Table 1 The occurrence of different mechanisms in various cancer types.

From: Mechanisms and therapeutic potential of the hedgehog signaling pathway in cancer

Classification of cancer

Cancer

Abnormal activation type

Cause of pathway activation

Reference

Skin system

BCC

Ligand-independent autocrine patterns

Dual targeting of Ptch1 and Ptch2, as well as overexpression of key Hh signaling mediators.

[48]

Nervous system

MB

Ligand-independent autocrine patterns

Mutations in the PTCH1, SMO and SUFU

[84]

Soft tissue sarcoma

RMS

Ligand-independent autocrine patterns

Partial inactivation of PTCH1

[78]

Digestive system

CRC

Ligand-dependent autocrine patterns

Overexpression of Hh/Gli components

[101,102,103]

 

Ligand-dependent paracrine patterns

Activation of surrounding stromal cells promotes tumor cell growth, changes tumor microenvironment and enhances tumor metastasis.

[135]

Pancreatic cancer

Ligand-dependent autocrine patterns

TNF-α, IL-1β and hypoxia-induced upregulation of Smo

[110]

 

Ligand-dependent paracrine patterns

HH ligands enhance tumor growth, invasion, metastasis and perineural invasion through paracrine mechanisms.

[133]

Urogenital system

Bladder cancer

Ligand-dependent autocrine patterns

Shh-expressing stem cells in the basal urothelium activate the HH pathway.

[115]

Prostate cancer

Ligand-dependent autocrine patterns

Increased Hh ligands (especially Ihh and Dhh) and changes in reactive substrates (such as decreased SMCs) in the tumor microenvironment.

[121]

 

Ligand-dependent paracrine patterns

By promoting osteoblast development and SEMA3C induces androgen production, it affects tumor progression and metastasis.

[138,139,140]

Breast cancer

Ligand-dependent autocrine patterns

Up-regulated stem cell markers such as OCT4, NESTIN and NANOG

[125]

  1. Table 1 lists the various forms of cancer in the digestive, urogenital, skin, nervous, and soft tissue sarcoma systems, along with the abnormal activation types of the Hh signaling pathways that correspond to them (such as ligand-independent autocrine mode and ligand-dependent autocrine/paracrine mode). It also describes the precise causes of abnormal activation of these pathways. such include alterations in the cell microenvironment, protein overexpression, and gene mutation. Furthermore, these findings offer potential targets for upcoming treatment approaches in addition to crucial insights into the part Hh signaling pathways play in the genesis of cancer.