Table 1 Organ-specific anti-aging effects of Hh signaling.

From: Anti-aging effect of Hedgehog signaling

Organ

Year

Mechanism

Phenotype/function

References

Brain

2025

Shh prevents proteasomal degradation of synaptic proteins

Preserved neuronal structure/function

20

2016

Shh promotes hippocampal neurogenesis

Enhanced memory and neurogenesis in aged mice

21

2015

Dendrosomatic Shh signaling in hippocampal neurons

Maintains synaptic integrity under stress

22

2017

Shh enhances mitochondrial function

Neuronal survival in Parkinson’s models

23

2018

Shh maintains adult neural stem cell pools

Supports neural progenitor differentiation

24

Liver

2024

Shh mitigates SASP in senescent hepatocytes

Restores liver homeostasis

36

2022

Hh restoration in aged hepatic stellate cells

Improved regeneration, reduced fibrosis

31

2023

Regulated Shh activation

Supports survival and bile duct regeneration

37

2021

Shh hydrogel delivery

Restores function in irradiated liver

38

2018

Shh gene therapy

Reduced apoptosis and promoted regeneration

39

Cardiac

2022

Shh-mediated angiogenesis and remodeling

Reduced fibrosis and enhanced regeneration

40

2018

Shh promotes cardiac progenitor proliferation

Cardiac regeneration

41

2006

Shh-RAS anti-apoptotic survival signaling

Cardiomyocyte survival under stress

42

Lung

2025

Hhip modulates Shh signaling

Alveolar epithelial repair

43

2019

Shh maintains airway stem cell niches

Suppresses fibrotic remodeling

44

2004

Shh-Gli3 processing for morphogenesis

Supports alveolarization

45

Bone/cartilage

2022

Hh supports osteocyte mechanotransduction

Maintains bone mass

46

2020

Ihh represses senescence in bone marrow-derived MSCs

Promotes osteogenic potential

47

2023

Shh–Gli–Bmi1 axis in chondrocytes

Delays cartilage degeneration

48

2019

Shh promotes osteoblast differentiation

Bone formation

49

2010

Shh regulates matrix deposition

Supports osteogenesis

50

Hair

2022

Shh reprograms follicular fibroblasts

Enhances HFSC proliferation

51

2009

Shh maintains HFSC quiescence

Sustains cyclical regeneration

52

Adipose

2019

Shh inhibits adipogenesis

Promotes osteogenic/chondrogenic lineage

53

2022

Shh suppresses marrow adipogenesis

Supports bone and adipose balance

46

Systemic

2023

Shh induces VEGF

Angiogenesis and endothelial regeneration

54

2023

Shh enhances neural organoid patterning

Spinal cord regeneration

55

2022

Ihh anti-inflammatory signaling

Tissue homeostasis in kidney

56

2021

Shh enhances MSC survival

Stress resilience

57

2018

Shh gene therapy in fibrosis

Preserves erectile tissue

58