Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives

The Hedgehog pathway (HhP) plays an important role in normal embryonic development and its abnormal function has been linked to a variety of neoplasms. Recently, the complex mechanisms involved in this pathway have been deciphered and the cross talks with other important pathways involved in carcino...

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Main Authors: Daniel Girardi, Adriana Barrichello, Gustavo Fernandes, Allan Pereira
Format: Article
Language:English
Published: MDPI AG 2019-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/8/2/153
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author Daniel Girardi
Adriana Barrichello
Gustavo Fernandes
Allan Pereira
author_facet Daniel Girardi
Adriana Barrichello
Gustavo Fernandes
Allan Pereira
author_sort Daniel Girardi
collection DOAJ
description The Hedgehog pathway (HhP) plays an important role in normal embryonic development and its abnormal function has been linked to a variety of neoplasms. Recently, the complex mechanisms involved in this pathway have been deciphered and the cross talks with other important pathways involved in carcinogenesis have been characterized. This knowledge has led to the development of targeted therapies against key components of HhP, which culminated in the approval of vismodegib for the treatment of advanced basal cell carcinoma in 2012. Since then, other compounds have been developed and evaluated in preclinical and clinical studies with interesting results. Today, several medications against components of the HhP have demonstrated clinical activity as monotherapies and in combination with cytotoxic treatment or other targeted therapies against mitogenic pathways that are linked to the HhP. This review aims to clarify the mechanism of the HhP and the complex crosstalk with others pathways involved in carcinogenesis and to discuss both the evidence associated with the growing number of medications and combined therapies addressing this pathway and future perspectives.
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spelling doaj.art-fc629c13402d46428a7bfd6c66aee2492023-09-03T01:51:34ZengMDPI AGCells2073-44092019-02-018215310.3390/cells8020153cells8020153Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future PerspectivesDaniel Girardi0Adriana Barrichello1Gustavo Fernandes2Allan Pereira3Division of Medical Oncology, Hospital Sírio-Libanês, Brasilia 70200-730, BrazilDivision of Medical Oncology, Hospital Sírio-Libanês, Brasilia 70200-730, BrazilDivision of Medical Oncology, Hospital Sírio-Libanês, Brasilia 70200-730, BrazilDivision of Medical Oncology, Hospital Sírio-Libanês, Brasilia 70200-730, BrazilThe Hedgehog pathway (HhP) plays an important role in normal embryonic development and its abnormal function has been linked to a variety of neoplasms. Recently, the complex mechanisms involved in this pathway have been deciphered and the cross talks with other important pathways involved in carcinogenesis have been characterized. This knowledge has led to the development of targeted therapies against key components of HhP, which culminated in the approval of vismodegib for the treatment of advanced basal cell carcinoma in 2012. Since then, other compounds have been developed and evaluated in preclinical and clinical studies with interesting results. Today, several medications against components of the HhP have demonstrated clinical activity as monotherapies and in combination with cytotoxic treatment or other targeted therapies against mitogenic pathways that are linked to the HhP. This review aims to clarify the mechanism of the HhP and the complex crosstalk with others pathways involved in carcinogenesis and to discuss both the evidence associated with the growing number of medications and combined therapies addressing this pathway and future perspectives.https://www.mdpi.com/2073-4409/8/2/153Hedgehogtargeted therapySMO inhibitorGLI
spellingShingle Daniel Girardi
Adriana Barrichello
Gustavo Fernandes
Allan Pereira
Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
Cells
Hedgehog
targeted therapy
SMO inhibitor
GLI
title Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
title_full Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
title_fullStr Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
title_full_unstemmed Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
title_short Targeting the Hedgehog Pathway in Cancer: Current Evidence and Future Perspectives
title_sort targeting the hedgehog pathway in cancer current evidence and future perspectives
topic Hedgehog
targeted therapy
SMO inhibitor
GLI
url https://www.mdpi.com/2073-4409/8/2/153
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AT adrianabarrichello targetingthehedgehogpathwayincancercurrentevidenceandfutureperspectives
AT gustavofernandes targetingthehedgehogpathwayincancercurrentevidenceandfutureperspectives
AT allanpereira targetingthehedgehogpathwayincancercurrentevidenceandfutureperspectives