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Updated: May 21, 2026

Quantitative PCR-based Assay to Measure Sonic Hedgehog Signaling in Cellular Model of Ciliogenesis
Published on: January 31, 2025
Role of hedgehog signaling in malignant pleural mesothelioma
Yandong Shi1, Ubiratan Moura, Isabelle Opitz
1Laboratory of Molecular Oncology, Clinic and Policlinic of Oncology, Division of Thoracic Surgery, Institute of Surgical Pathology, University Hospital Zürich, Zurich, Switzerland.
Purpose:
The aim of this study was to assess the activity of hedgehog signaling pathway in malignant pleural mesothelioma (MPM).
Experimental Design:
The expression of hedgehog signaling components was assessed by quantitative PCR and in situ hybridization in 45 clinical samples. Primary MPM cultures were developed in serum-free condition in 3% oxygen and were used to investigate the effects of smoothened (SMO) inhibitors or GLI1 silencing on cell growth and hedgehog signaling. In vivo effects of SMO antagonists were determined in an MPM xenograft growing in nude mice.
Results:
A significant increase in GLI1, sonic hedgehog, and human hedgehog interacting protein gene expression was observed in MPM tumors compared with nontumoral pleural tissue. SMO antagonists inhibited GLI1 expression and cell growth in sensitive primary cultures. This effect was mimicked by GLI1 silencing. Reduced survivin and YAP protein levels were also observed. Survivin protein levels were rescued by overexpression of GLI1 or constitutively active YAP1. Treatment of tumor-bearing mice with the SMO inhibitor HhAntag led to a significant inhibition of tumor growth in vivo accompanied by decreased Ki-67 and nuclear YAP immunostaining and a significant difference in selected gene expression profile in tumors.
Conclusions:
An aberrant hedgehog signaling is present in MPM, and inhibition of hedgehog signaling decreases tumor growth indicating potential new therapeutic approach.
Insights
Aberrant hedgehog signaling is active in malignant pleural mesothelioma (MPM). Inhibiting this pathway significantly reduces tumor growth, suggesting a promising new therapeutic strategy for MPM patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Malignant pleural mesothelioma (MPM) is an aggressive cancer with limited treatment options.
- The hedgehog signaling pathway plays a role in various cancers, but its involvement in MPM is not fully understood.
Purpose of the Study:
- To investigate the activity and therapeutic potential of the hedgehog signaling pathway in malignant pleural mesothelioma.
- To assess the expression of key hedgehog signaling components in MPM tumors.
Main Methods:
- Quantitative PCR and in situ hybridization were used to analyze gene expression in 45 clinical MPM samples.
- In vitro studies involved primary MPM cultures treated with smoothened (SMO) inhibitors or GLI1 silencing.
- In vivo efficacy was evaluated using an MPM xenograft mouse model treated with SMO antagonists.
Main Results:
- MPM tumors showed significantly increased expression of GLI1, sonic hedgehog, and human hedgehog interacting protein compared to normal tissue.
- SMO inhibitors and GLI1 silencing reduced cell growth and GLI1 expression in MPM cultures.
- In vivo treatment with the SMO inhibitor HhAntag significantly inhibited tumor growth, decreasing proliferation markers (Ki-67) and YAP levels.
Conclusions:
- Aberrant hedgehog signaling is confirmed in malignant pleural mesothelioma.
- Inhibition of the hedgehog signaling pathway demonstrates anti-tumor effects, highlighting its potential as a therapeutic target for MPM.
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