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 | |
 | 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. | ||
Breast cancer | Ligand-dependent autocrine patterns | Up-regulated stem cell markers such as OCT4, NESTIN and NANOG | [125] |