Treatment of eyelid epithelial neoplasm by targeting sonic hedgehog signaling: an experimental study

Ken-Ichi Miyazaki1, Shizuya Saika2, Osamu Yamanaka2

  • 1Department of Ophthalmology, Wakayama Medical University School of Medicine, Wakayama, Japan. miyaken@wakayama-med.ac.jp.

Abstract

Insights

Cyclopamine, a Sonic hedgehog (Shh) signal inhibitor, effectively suppressed epithelial tumor growth and induced apoptosis in preclinical models. This suggests the Shh pathway is a promising therapeutic target for eyelid tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Dermatology

Background:

  • Epithelial neoplasms, such as eyelid tumors, represent a significant clinical challenge.
  • The Sonic hedgehog (Shh) signaling pathway plays a crucial role in various developmental processes and has been implicated in the pathogenesis of certain cancers.
  • Targeting specific signaling pathways offers a promising strategy for novel cancer therapies.

Purpose of the Study:

  • To investigate the therapeutic potential of cyclopamine, a Shh signal inhibitor, in controlling epithelial neoplasm growth.
  • To elucidate the effects of cyclopamine on cell proliferation and apoptosis in preclinical models of eyelid tumors.

Main Methods:

  • In vivo studies involved chemically induced eyelid tumors in XPC-null mice treated with cyclopamine, followed by histological examination and bromodeoxyuridine (BrdU) labeling.
  • In vitro experiments utilized a squamous cell carcinoma (SCC) cell line treated with varying concentrations of recombinant Shh (rShh) and cyclopamine, with cell proliferation assessed via MTT assay.
  • Tumorigenicity was further evaluated by implanting SCC cells into nude mice and subsequently treating developed tumors with cyclopamine.

Main Results:

  • Cyclopamine treatment significantly suppressed BrdU incorporation and induced apoptosis in eyelid tumors in XPC-null mice.
  • In vitro, rShh enhanced SCC cell proliferation, an effect abrogated by cyclopamine co-treatment.
  • Cyclopamine inhibited proliferation and induced apoptosis in SCC cell line tumors grown in nude mice, demonstrating its efficacy in vivo.

Conclusions:

  • Cyclopamine demonstrates potent anti-proliferative and pro-apoptotic effects on epithelial tumor cells in vivo.
  • The Shh-signaling pathway is a viable therapeutic target for the management of eyelid tumors.
  • These findings support further investigation of cyclopamine as a potential treatment for epithelial neoplasms.