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Updated: Apr 27, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Structural basis for Smoothened receptor modulation and chemoresistance to anticancer drugs
Chong Wang1, Huixian Wu1, Tama Evron2
1Department of Integrative Structural and Computational Biology, The Scripps Research Institute, 10550 North Torrey Pines Road, La Jolla, California 92037, USA.
Abstract:
The Smoothened receptor (SMO) mediates signal transduction in the hedgehog pathway, which is implicated in normal development and carcinogenesis. SMO antagonists can suppress the growth of some tumours; however, mutations at SMO have been found to abolish their antitumour effects, a phenomenon known as chemoresistance. Here we report three crystal structures of human SMO bound to the antagonists SANT1 and Anta XV, and the agonist, SAG1.5, at 2.6-2.8 Å resolution. The long and narrow cavity in the transmembrane domain of SMO harbours multiple ligand binding sites, where SANT1 binds at a deeper site as compared with other ligands. Distinct interactions at D473(6.54f) elucidated the structural basis for the differential effects of chemoresistance mutations on SMO antagonists. The agonist SAG1.5 induces a conformational rearrangement of the binding pocket residues, which could contribute to SMO activation. Collectively, these studies reveal the structural basis for the modulation of SMO by small molecules.
Insights
Structural insights into the Smoothened receptor (SMO) reveal how mutations cause chemoresistance. Understanding these interactions is key for developing effective hedgehog pathway cancer therapies.
Area of Science:
- Biochemistry
- Molecular Biology
- Structural Biology
Background:
- The Smoothened receptor (SMO) is crucial for hedgehog pathway signaling, which plays a role in development and cancer.
- SMO antagonists show promise in cancer treatment, but resistance mutations can limit their efficacy.
Purpose of the Study:
- To elucidate the structural basis of SMO modulation by small molecules.
- To understand the mechanisms underlying chemoresistance in SMO-targeted therapies.
Main Methods:
- X-ray crystallography was used to determine the structures of human SMO bound to ligands.
- Structures were resolved at 2.6-2.8 Å resolution.
Main Results:
- Three crystal structures of human SMO with antagonists (SANT1, Anta XV) and an agonist (SAG1.5) were determined.
- SANT1 binds to a deeper site within the SMO transmembrane domain compared to other ligands.
- Specific interactions at D473 explain how chemoresistance mutations affect SMO antagonist binding.
- The agonist SAG1.5 induces conformational changes in the SMO binding pocket, suggesting a mechanism for activation.
Conclusions:
- The study reveals the structural basis for SMO modulation by small molecules, including antagonists and agonists.
- Understanding these structures provides a foundation for designing more effective SMO-targeting drugs and overcoming resistance mechanisms.
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