Expression profile of sonic hedgehog signaling-related molecules in basal cell carcinoma

PLoS One. 2019 Nov 22;14(11):e0225511. doi: 10.1371/journal.pone.0225511. eCollection 2019.

Abstract

Basal cell carcinoma (BCC) is the most common human cancer, characterized by aberrant activation of the hedgehog (HH) signaling pathway resulting from mutations in the patched 1 (PTCH1) or smoothened (SMO) genes. In the present study, to uncover the expression profile of HH signaling-related molecules, we thoroughly examined the mRNA and protein expression levels of six molecules including GLI1, GLI2, PTCH1, PTCH2, SHH, and SMO in BCC and various other cutaneous tumors. Real-time PCR analysis demonstrated that BCC showed remarkably enhanced mRNA expression of all HH molecules, except SMO compared to other skin tumors. However, immunohistochemical analysis revealed that only GLI1 protein was specifically upregulated in BCC, while the other HH-related proteins did not show any significant differences between the tumors. Notably, other skin malignancies such as squamous cell carcinoma, sebaceous carcinoma, and malignant melanoma showed no GLI1 expression and there was no difference in GLI1 expression between the BCC subtypes. In addition, GLI1 and GLI2 expression were strongly associated with the hair follicle stem cell markers, LGR4 and LGR5, which are known target genes of the Wnt pathway. Our results suggest that GLI1 has the potential to be a diagnostically useful marker for differentiating BCC from other skin malignancies and an interaction between the HH and Wnt signaling pathways may be involved in the development of BCCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Basal Cell / metabolism
  • Carcinoma, Basal Cell / pathology*
  • Gene Expression Regulation, Neoplastic
  • Hedgehog Proteins / genetics
  • Hedgehog Proteins / metabolism*
  • Humans
  • Patched-2 Receptor / genetics
  • Patched-2 Receptor / metabolism
  • RNA, Messenger / metabolism
  • Signal Transduction / genetics*
  • Skin / metabolism
  • Skin / pathology
  • Skin Neoplasms / metabolism
  • Skin Neoplasms / pathology
  • Smoothened Receptor / genetics
  • Smoothened Receptor / metabolism
  • Stem Cells / metabolism
  • Zinc Finger Protein GLI1 / genetics
  • Zinc Finger Protein GLI1 / metabolism

Substances

  • GLI1 protein, human
  • Hedgehog Proteins
  • PTCH2 protein, human
  • Patched-2 Receptor
  • RNA, Messenger
  • SHH protein, human
  • SMO protein, human
  • Smoothened Receptor
  • Zinc Finger Protein GLI1

Grants and funding

This study was supported by a research grant from Jeju National University Hospital in 2017. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.