Hedgehog pathway - Problems with the hedgehog pathway

5 important questions on Hedgehog pathway - Problems with the hedgehog pathway

Which molecule is needed for the hedghog pathway? And which syndrom do you get when you have a fold in this molecule formation.

Cholesterol => added to the C-terminus of hedgehog.
Formed in all cells, but particullarly in hepatocyten.
Also essential to formation bile acid and vit D and steroid hormones.

There are 8 steps in the formation of cholesterol => every step can lead to a problem.

SLOS (Smith Lemli Opitz Syndrom)
- microcephaly
- Cleft palate

- dysmorph face
- hangend of laagstaand ooglid = ptosis
- callosal agenesis
- brain defect
- polydactyly
- ambigous genitals
- cryptorchidism (niet ingedaalde teeltballen)

What is the mutation for SLOS?

AR mutation in 7-OH-cholesterol reductase.

What are the hedgehog-cholesterol phenotypes?

  • CNS disorders: MR, Dorsal-ventral patterning defects (callosal agenesis, HPE), neural tube closure defects
  • Limb / skeletal affections: brachydactyly, broad thumbs/toes, polydactyly, syndactyly, rhizo/mesomelia, ectopic calcifications
  • Skin disorders: hyperkeratosis, skin atrophy, pigmentation, alopecia.
  • Craniofacial anomalies: craniosynostosis, microcephaly, macrocephaly, hypertelorism (ogen uit elkaar), cleft palate
  • Urogenital disorders: cryptorchidism, hypogonadism, ambiguous genitals
  • (susceptability to) tumors: chondroma, basal cell carcinoma, prostate- and pancreatic cancer, medulloblastoma
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What are results of a mutation in patched? PTCH.

Causes holoprosencephaly and (susceptability) to various cancer types when (somatically) mutated, incl. medulloblastoma, basal cell carcinoma, rhabdomyosarcoma

SMO stimulates the Gli proteins, transcription factors. Which are important for brain, lung and limb development. What are the results of mutations or overexpression?

Mutations may cause a.o. callosal agenesis, craniosynostosis, facial anomalies , poly(syn)dactylies, broad thumbs/toes, and genital anomalies

Overexpression  => cancer

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