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2016 ; 7
(48
): 78226-78241
Nephropedia Template TP
gab.com Text
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English Wikipedia
Hedgehog pathway dysregulation contributes to the pathogenesis of human
gastrointestinal stromal tumors via GLI-mediated activation of KIT expression
#MMPMID27793025
Tang CM
; Lee TE
; Syed SA
; Burgoyne AM
; Leonard SY
; Gao F
; Chan JC
; Shi E
; Chmielecki J
; Morosini D
; Wang K
; Ross JS
; Kendrick ML
; Bardsley MR
; Siena M
; Mao J
; Harismendy O
; Ordog T
; Sicklick JK
Oncotarget
2016[Nov]; 7
(48
): 78226-78241
PMID27793025
show ga
Gastrointestinal stromal tumors (GIST) arise within the interstitial cell of
Cajal (ICC) lineage due to activating KIT/PDGFRA mutations. Both ICC and GIST
possess primary cilia (PC), which coordinate PDGFRA and Hedgehog signaling,
regulators of gastrointestinal mesenchymal development. Therefore, we
hypothesized that Hedgehog signaling may be altered in human GIST and controls
KIT expression. Quantitative RT-PCR, microarrays, and next generation sequencing
were used to describe Hedgehog/PC-related genes in purified human ICC and GIST.
Genetic and pharmacologic approaches were employed to investigate the effects of
GLI manipulation on KIT expression and GIST cell viability. We report that
Hedgehog pathway and PC components are expressed in ICC and GIST and subject to
dysregulation during GIST oncogenesis, irrespective of KIT/PDGFRA mutation
status. Using genomic profiling, 10.2% of 186 GIST studied had potentially
deleterious genomic alterations in 5 Hedgehog-related genes analyzed, including
in the PTCH1 tumor suppressor (1.6%). Expression of the predominantly repressive
GLI isoform, GLI3, was inversely correlated with KIT mRNA levels in GIST cells
and non-KIT/non-PDGFRA mutant GIST. Overexpression of the 83-kDa repressive form
of GLI3 or small interfering RNA-mediated knockdown of the activating isoforms
GLI1/2 reduced KIT mRNA. Treatment with GLI1/2 inhibitors, including arsenic
trioxide, significantly increased GLI3 binding to the KIT promoter, decreased KIT
expression, and reduced viability in imatinib-sensitive and imatinib-resistant
GIST cells. These data offer new evidence that genes necessary for Hedgehog
signaling and PC function in ICC are dysregulated in GIST. Hedgehog signaling
activates KIT expression irrespective of mutation status, offering a novel
approach to treat imatinib-resistant GIST.