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The Role of Hedgehog Signaling in the Melanoma Tumor Bone Microenvironment
Karnoon Shamsoon1,2, Daichi Hiraki1, Koki Yoshida3
1Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Human Biology and Pathophysiology, School of Dentistry, Health Sciences University of Hokkaido, Tobetsu 061-0293, Japan.
Abstract:
A crucial regulator in melanoma progression and treatment resistance is tumor microenvironments, and Hedgehog (Hh) signals activated in a tumor bone microenvironment are a potential new therapeutic target. The mechanism of bone destruction by melanomas involving Hh/Gli signaling in such a tumor microenvironment is unknown. Here, we analyzed surgically resected oral malignant melanoma specimens and observed that Sonic Hedgehog, Gli1, and Gli2 were highly expressed in tumor cells, vasculatures, and osteoclasts. We established a tumor bone destruction mouse model by inoculating B16 cells into the bone marrow space of the right tibial metaphysis of 5-week-old female C57BL mice. An intraperitoneal administration of GANT61 (40 mg/kg), a small-molecule inhibitor of Gli1 and Gli2, resulted in significant inhibition of cortical bone destruction, TRAP-positive osteoclasts within the cortical bone, and endomucin-positive tumor vessels. The gene set enrichment analysis suggested that genes involved in apoptosis, angiogenesis, and the PD-L1 expression pathway in cancer were significantly altered by the GANT61 treatment. A flow cytometry analysis revealed that PD-L1 expression was significantly decreased in cells in which late apoptosis was induced by the GANT61 treatment. These results suggest that molecular targeting of Gli1 and Gli2 may release immunosuppression of the tumor bone microenvironment through normalization of abnormal angiogenesis and bone remodeling in advanced melanoma with jaw bone invasion.
Insights
Targeting Hedgehog/Gli signaling in melanoma bone microenvironments inhibits bone destruction and PD-L1 expression. This approach may overcome treatment resistance by normalizing tumor vasculature and bone remodeling.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Tumor microenvironments regulate melanoma progression and treatment resistance.
- Hedgehog (Hh) signaling in the bone microenvironment is a potential therapeutic target for melanoma.
- The mechanism of melanoma-induced bone destruction via Hh/Gli signaling is not fully understood.
Purpose of the Study:
- To investigate the role of Hh/Gli signaling in melanoma-induced bone destruction.
- To evaluate the efficacy of Gli1 and Gli2 inhibition in a preclinical melanoma bone metastasis model.
- To explore the impact of Gli inhibition on tumor angiogenesis, osteoclastogenesis, and immune suppression.
Main Methods:
- Analysis of oral malignant melanoma specimens for Hh/Gli pathway components.
- Establishment of a B16 melanoma bone destruction mouse model.
- Treatment with GANT61, a small-molecule inhibitor of Gli1 and Gli2.
- Assessment of bone destruction, osteoclast activity, and tumor vasculature.
- Gene set enrichment analysis and flow cytometry for PD-L1 expression.
Main Results:
- Sonic Hedgehog, Gli1, and Gli2 were highly expressed in melanoma specimens.
- GANT61 treatment significantly inhibited cortical bone destruction, osteoclast formation, and tumor angiogenesis in vivo.
- GANT61 altered gene expression related to apoptosis, angiogenesis, and PD-L1 pathway.
- PD-L1 expression was decreased in GANT61-treated cells undergoing apoptosis.
Conclusions:
- Molecular targeting of Gli1 and Gli2 inhibits melanoma-induced bone destruction.
- Inhibition of Gli1/Gli2 may normalize tumor angiogenesis and bone remodeling in advanced melanoma.
- Targeting Gli signaling could potentially alleviate immunosuppression in the tumor bone microenvironment, offering a new therapeutic strategy for melanoma with jaw bone invasion.
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