Sonic hedgehog in gastric physiology and neoplastic transformation: friend or foe?
Sonic hedgehog in gastric physiology and neoplastic transformation: friend or foe?
复制标题
DOI:
10.1097/med.0b013e328320a821
复制
发表时间:
2009-02
期刊:
影响因子:
--
通讯作者:
Merchant JL
中科院分区:
文献类型:
--
作者:
El-Zaatari M;Saqui-Salces M;Waghray M;Todisco A;Merchant JL
To understand the role of sonic hedgehog (Shh) in normal gastric physiology and neoplastic transformation. Emerging evidence shows that gastric epithelial cells produce Shh ligand, which subsequently targets the mesenchyme. This paracrine signaling event is recapitulated by Shh-producing tumors that signal to the supporting stroma to encourage growth. Primary cilia contain components of the hedgehog (Hh) signaling apparatus, and thus are typically found on responding stromal cells. In the stomach, Shh is produced in epithelial cells and received by responding cells in the mesenchyme. In vitro, Shh enhances gastric acid secretion and induces mucin expression. It remains to be determined whether the canonical signaling pathway mediates the observed epithelial effects. Shh expression and signaling is reduced in chronic gastritis, and Shh−/− embryos exhibit hyperplasia and metaplastic changes in the gastric mucosa. After its loss in the corpus, Shh is re-expressed in some gastric carcinomas typically arising in the distal stomach or antrum suggesting that Shh promotes tumor growth.