Abstract:
Objective This study explored the relationship between the Hedgehog (Hh) signal pathway and esophageal squamous cell carcinoma (ESCC).
Methods The expression levels of the Hh signaling components Smo and Gli2, as well as that of the target protein Cyclin D1, were detected in 30 randomly obtained ESCC specimens (tumor or paraneoplastic tissues) using immunohistochemistry (IHC). The ShhN ligand secretions in the conditional medium were obtained, and the CaEs-17 esophageal cancer cells were treated with the conditional medium, the Hh signaling agonist purmorphamine, the Hh pathway inhibitor cyclopamine, and the Gli1/Gli2 inhibitor GANT61. The cell survival rates were then detected using the methyl thiazolyl tetrazolium (MTT) assay.
Results IHC showed that the Smo, Gli2, and Cyclin D1 proteins were highly expressed in the tumor tissues as compared with the pericarcinomatous tissues. The ShhN-containing conditional medium induced the expression of the Hh signaling target gene CCND1 and effectively promoted cell growth. The results indicated that activation of the Hh pathway in esophageal cancer cells was Hh ligand-dependent. Purmorphamine could activate the Hh pathway by directly targeting Smo and consequently promote the survival of CaEs-17 cells, whereas the Smo-specific inhibitor cyclopamine could decrease the cell survival rate. GANT61 appeared to be a more powerful inhibitor of CaEs-17 survival as compared with cyclopamine.
Conclusions The Hh signaling pathway is abnormally activated in ESCC, which may be a useful approach for treating esophageal cancer.