2009
DOI: 10.1016/j.bmcl.2009.08.049
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GDC-0449—A potent inhibitor of the hedgehog pathway

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Cited by 354 publications
(242 citation statements)
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“…Cyclopamine mimics are currently in wide development in the pharmaceutical industry (36,37,63,64) but are not expected to be effective in diseases in which pathway activation involves mutations in components downstream of Smo (13)(14)(15)41) or in which pathway activity results from increased expression or activity of the Gli1 proteins (16)(17)(18)(19)25). In addition, mutations that cause constitutive Smo activity can render Smo resistant to the action of cyclopamine mimics (11,30), or resistance can arise in the setting of treatment with a cyclopamine mimic, as has been documented for a human medulloblastoma patient (38,40).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Cyclopamine mimics are currently in wide development in the pharmaceutical industry (36,37,63,64) but are not expected to be effective in diseases in which pathway activation involves mutations in components downstream of Smo (13)(14)(15)41) or in which pathway activity results from increased expression or activity of the Gli1 proteins (16)(17)(18)(19)25). In addition, mutations that cause constitutive Smo activity can render Smo resistant to the action of cyclopamine mimics (11,30), or resistance can arise in the setting of treatment with a cyclopamine mimic, as has been documented for a human medulloblastoma patient (38,40).…”
Section: Discussionmentioning
confidence: 99%
“…A number of additional Hh antagonists subsequently identified in vitro in signaling assays by screening of chemical libraries appear to mimic cyclopamine in binding to Smo (32,33), and most compete with a fluorescent derivative of cyclopamine for binding to Smo. Smo thus appears to represent the major target in screens for Hh pathway antagonists, and cyclopamine mimics or cyclopamine derivatives have been the major focus of efforts to develop drugs that target the Hh signaling pathway (34)(35)(36)(37); one of these candidates, GDC-0449, appears to be remarkably effective in recent clinical trials (38,39).…”
mentioning
confidence: 99%
“…A major breakthrough is the recent approval of a novel Smo antagonist Erivedge/Vismodegib (GDC-0449) in the Shh field by the FDA for treating metastatic BCC and locally advanced BCC deemed untreatable by surgery or radiation (Robarge et al, 2009). However, its effects in kidney diseases remain to be investigated and validated in the preclinical setting before considering any clinic trials.…”
Section: Strategies To Target Shh Signaling In Kidney Fibrosismentioning
confidence: 99%
“…This finding provides an opportunity for specifically targeting CSCs which are responsible for tumor initiation, progression, recurrence and metastasis (Curtin and Lorenzi, 2010). Significant progress has been made in developing therapeutics targeting Notch and Hh (Luistro et al, 2009;Robarge et al, 2009), whereas the Wnt pathway has been more challenging for targeted therapy (Curtin and Lorenzi, 2010).…”
Section: 2789 Application Of Stem Cells In Targeted Therapy Of Breasmentioning
confidence: 99%