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Updated: May 26, 2026

Quantitative PCR-based Assay to Measure Sonic Hedgehog Signaling in Cellular Model of Ciliogenesis
Published on: January 31, 2025
Hedgehog signaling inhibition blocks growth of resistant tumors through effects on tumor microenvironment
Emanuela Heller1, Michelle A Hurchla, Jingyu Xiang
1Department of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Abstract:
Hedgehog (Hh) signaling is implicated in bone development and cellular transformation. Here we show that inhibition of Hh pathway activity inhibits tumor growth through effects on the microenvironment. Pharmacologic inhibition of the Hh effector Smoothened (Smo) increased trabecular bone in vivo and inhibited osteoclastogenesis in vitro. In addition, enhanced Hh signaling due to heterozygosity of the Hh inhibitory receptor Patched (Ptch1(+/-)) increased bone resorption, suggesting direct regulation of osteoclast (OC) activity by the Hh pathway. Ptch1(+/-) mice had increased bone metastatic and subcutaneous tumor growth, suggesting that increased Hh activation in host cells promoted tumor growth. Subcutaneous growth of Hh-resistant tumor cells was inhibited by LDE225, a novel orally bioavailable SMO antagonist, consistent with effects on tumor microenvironment. Knockdown of the Hh ligand Sonic Hh (SHH) in these cells decreased subcutaneous tumor growth and decreased stromal cell production of interleukin-6, indicating that tumor-derived Hh ligands stimulated tumor growth in a paracrine fashion. Together our findings show that inhibition of the Hh pathway can reduce tumor burden, regardless of tumor Hh responsiveness, through effects on tumor cells, OCs, and stromal cells within the tumor microenvironment. Hh may be a promising therapeutic target for solid cancers and bone metastases.
Insights
Inhibiting the Hedgehog (Hh) pathway reduces tumor growth by impacting the tumor microenvironment, including bone cells and stromal cells. This pathway is a potential therapeutic target for cancers and bone metastases.
Area of Science:
- Oncology
- Bone Biology
- Cell Signaling
Background:
- Hedgehog (Hh) signaling plays a role in bone development and cancer.
- The tumor microenvironment significantly influences cancer progression.
Purpose of the Study:
- To investigate the role of Hh pathway inhibition in tumor growth, focusing on its effects on the tumor microenvironment.
- To explore Hh signaling as a therapeutic target for solid cancers and bone metastases.
Main Methods:
- Pharmacologic inhibition of Smoothened (Smo), a Hh pathway effector.
- Utilizing Patched (Ptch1(+/-)) heterozygous mice with enhanced Hh signaling.
- Investigating the effects of LDE225, a Smo antagonist, on Hh-resistant tumor cells.
- Knockdown of Sonic Hh (SHH) ligand in tumor cells.
Main Results:
- Hh pathway inhibition increased trabecular bone and reduced osteoclastogenesis.
- Enhanced Hh signaling led to increased bone resorption and promoted tumor growth in vivo.
- Inhibition of Smo reduced tumor growth, even in Hh-resistant cells, by affecting the microenvironment.
- Tumor-derived SHH stimulated tumor growth via paracrine signaling, decreasing stromal interleukin-6 production.
Conclusions:
- Hh pathway inhibition effectively reduces tumor burden by targeting tumor cells, osteoclasts, and stromal cells within the tumor microenvironment.
- The Hh pathway is a promising therapeutic target for solid cancers and bone metastases, irrespective of tumor Hh responsiveness.
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