2012
DOI: 10.1158/0008-5472.can-12-1068
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Paracrine Hedgehog Signaling Drives Metabolic Changes in Hepatocellular Carcinoma

Abstract: Hepatocellular carcinoma (HCC) typically develop in cirrhosis, a condition characterized by Hedgehog (Hh) pathway activation and accumulation of Hh-responsive myofibroblasts (MF). Although Hh signaling generally regulates stromal-epithelial interactions that support epithelial viability, the role of Hh-dependent MF in hepatocarcinogenesis is unknown. Here we used human HCC samples, a mouse HCC model, and hepatoma cell/MF co-cultures to examine the hypothesis that Hh signaling modulates MF metabolism to generat… Show more

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Cited by 51 publications
(42 citation statements)
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“…In preclinical studies, a monoclonal antibody against Hh (5E1) was able to inhibit activation and proliferation of hepatic stellate cells (Sicklick et al, 2005), as well as the Shh-dependent paracrine effects of hepatic stellate cells on the proliferation of progenitor cells (Michelotti et al, 2013) and on the metabolic reprogramming and proliferation of malignant hepatoma cells (Chan et al, 2012). Shh can also be inhibited by robotnikinin, a small molecule that binds Shh, preventing it from engaging Ptch-1 and hence, inhibiting activation of the Hh pathway (Stanton et al, 2009).…”
Section: Hedgehog Pathway As a Therapeutic Target In Nonalcoholic Fatmentioning
confidence: 99%
“…In preclinical studies, a monoclonal antibody against Hh (5E1) was able to inhibit activation and proliferation of hepatic stellate cells (Sicklick et al, 2005), as well as the Shh-dependent paracrine effects of hepatic stellate cells on the proliferation of progenitor cells (Michelotti et al, 2013) and on the metabolic reprogramming and proliferation of malignant hepatoma cells (Chan et al, 2012). Shh can also be inhibited by robotnikinin, a small molecule that binds Shh, preventing it from engaging Ptch-1 and hence, inhibiting activation of the Hh pathway (Stanton et al, 2009).…”
Section: Hedgehog Pathway As a Therapeutic Target In Nonalcoholic Fatmentioning
confidence: 99%
“…Here, Hedgehog ligands are secreted by malignant hepatocytes, induce Gli-dependent Warburg reprogramming and lactate secretion in stromal cells (mainly myofibroblasts) and lactate signals back to malignant hepatocytes to sustain their growth and survival [137]. This metabolic reprogramming is known as the “ Reverse Warburg ”.…”
Section: Hedgehog Signalling and Metabolismmentioning
confidence: 99%
“…The second mode of aberrant activation is autocrine: The Hh ligand is secreted by tumor cells and also affects the tumor cells themselves (41,42). In the third mode, which is paracrine activation, tumor cells secrete Hh ligands to act on peripheral stroma cells, which activates vascular endothelial growth factor, insulin-like growth factor and Wnt signaling pathways to promote self-proliferation (43,44). A paracrine pattern in which stromal cells secret Hh ligands, thus contributing to the activation of Hh signaling in the tumor cells, has also been described (45).…”
Section: Antagonism Between Hedgehog and Wnt Signaling Pathways Regulmentioning
confidence: 99%