Hedgehog signaling restrains bladder cancer progression by eliciting stromal production of urothelial differentiation factors

Kunyoo Shin, Agnes Lim, Chen Zhao, Debashis Sahoo, Ying Pan, Edda Spiekerkoetter, Joseph C. Liao, Philip A. Beachy

Research output: Contribution to journalArticle

84 Scopus citations

Abstract

Hedgehog (Hh) pathway inhibitors are clinically effective in treatment of basal cell carcinoma and medulloblastoma, but fail therapeutically or accelerate progression in treatment of endodermally derived colon and pancreatic cancers. In bladder, another organ of endodermal origin, we find that despite its initial presence in the cancer cell of origin Sonic hedgehog (Shh) expression is invariably lost during progression to invasive urothelial carcinoma. Genetic blockade of stromal response to Shh furthermore dramatically accelerates progression and decreases survival time. This cancer-restraining effect of Hh pathway activity is associated with stromal expression of BMP signals, which stimulate urothelial differentiation. Progression is dramatically reduced by pharmacological activation of BMP pathway activity with low-dose FK506, suggesting an approach to management of human bladder cancer.

Original languageEnglish (US)
Pages (from-to)521-533
Number of pages13
JournalCancer Cell
Volume26
Issue number4
DOIs
StatePublished - Oct 13 2014

ASJC Scopus subject areas

  • Oncology
  • Cell Biology
  • Cancer Research

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    Shin, K., Lim, A., Zhao, C., Sahoo, D., Pan, Y., Spiekerkoetter, E., Liao, J. C., & Beachy, P. A. (2014). Hedgehog signaling restrains bladder cancer progression by eliciting stromal production of urothelial differentiation factors. Cancer Cell, 26(4), 521-533. https://doi.org/10.1016/j.ccell.2014.09.001