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<art>
   <ui>1475-4924-1-10</ui>
   <ji>1475-4924</ji>
   <fm>
      <dochead>Research article</dochead>
      <bibl>
         <title>
            <p>Small-molecule modulators of Hedgehog signaling: identification and characterization of Smoothened agonists and antagonists</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Frank-Kamenetsky</snm>
               <fnm>Maria</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A2">
               <snm>Zhang</snm>
               <mi>M</mi>
               <fnm>Xiaoyan</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A3">
               <snm>Bottega</snm>
               <fnm>Steve</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A4">
               <snm>Guicherit</snm>
               <fnm>Oivin</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A5">
               <snm>Wichterle</snm>
               <fnm>Hynek</fnm>
               <insr iid="I2"/>
            </au>
            <au id="A6">
               <snm>Dudek</snm>
               <fnm>Henryk</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A7">
               <snm>Bumcrot</snm>
               <fnm>David</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A8">
               <snm>Wang</snm>
               <mi>Y</mi>
               <fnm>Frank</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A9">
               <snm>Jones</snm>
               <fnm>Simon</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A10">
               <snm>Shulok</snm>
               <fnm>Janine</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A11">
               <snm>Rubin</snm>
               <mi>L</mi>
               <fnm>Lee</fnm>
               <insr iid="I1"/>
            </au>
            <au id="A12" ca="yes">
               <snm>Porter</snm>
               <mi>A</mi>
               <fnm>Jeffery</fnm>
               <insr iid="I1"/>
               <email>jporter@curis.com</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Curis, Inc., 61 Moulton Street, Cambridge, MA 02138, USA</p>
            </ins>
            <ins id="I2">
               <p>Columbia University, College of Physicians and Surgeons, 701 West 168 Street, New York, NY 10032, USA</p>
            </ins>
         </insg>
         <source>Journal of Biology</source>
         <issn>1475-4924</issn>
         <pubdate>2002</pubdate>
         <volume>1</volume>
         <issue>2</issue>
         <fpage>10</fpage>
         <url>http://jbiol.com/content/1/2/10</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="doi">10.1186/1475-4924-1-10</pubid>
               <pubid idtype="pmpid">12437772</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>23</day>
               <month>7</month>
               <year>2002</year>
            </date>
         </rec>
         <revrec>
            <date>
               <day>18</day>
               <month>9</month>
               <year>2002</year>
            </date>
         </revrec>
         <acc>
            <date>
               <day>11</day>
               <month>10</month>
               <year>2002</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>6</day>
               <month>11</month>
               <year>2002</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2002</year>
         <collab>Frank-Kamenetsky et al., licensee BioMed Central Ltd</collab>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>The Hedgehog (Hh) signaling pathway is vital to animal development as it mediates the differentiation of multiple cell types during embryogenesis. In adults, Hh signaling can be activated to facilitate tissue maintenance and repair. Moreover, stimulation of the Hh pathway has shown therapeutic efficacy in models of neuropathy. The underlying mechanisms of Hh signal transduction remain obscure, however: little is known about the communication between the pathway suppressor Patched (Ptc), a multipass transmembrane protein that directly binds Hh, and the pathway activator Smoothened (Smo), a protein that is related to G-protein-coupled receptors and is capable of constitutive activation in the absence of Ptc.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>We have identified and characterized a synthetic non-peptidyl small molecule, Hh-Ag, that acts as an agonist of the Hh pathway. This Hh agonist promotes cell-type-specific proliferation and concentration-dependent differentiation <it>in vitro,</it> while <it>in utero</it> it rescues aspects of the Hh-signaling defect in <it>Sonic hedgehog</it>-null, but not <it>Smo</it>-null, mouse embryos. Biochemical studies with Hh-Ag, the Hh-signaling antagonist cyclopamine, and a novel Hh-signaling inhibitor Cur61414, reveal that the action of all these compounds is independent of Hh-protein ligand and of the Hh receptor Ptc, as each binds directly to Smo.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusions</p>
               </st>
               <p>Smo can have its activity modulated directly by synthetic small molecules. These studies raise the possibility that Hh signaling may be regulated by endogenous small molecules <it>in vivo</it> and provide potent compounds with which to test the therapeutic value of activating the Hh-signaling pathway in the treatment of traumatic and chronic degenerative conditions.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>The <it>hedgehog</it> (<it>hh</it>) gene was identified two decades ago in <it>Drosophila</it> as a critical regulator of cell-fate determination during embryogenesis <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. Subsequent work in several model systems has defined and characterized the <it>Hh</it> gene family that encodes highly conserved secreted signaling proteins (for review see <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>). Hedgehog (Hh) proteins are synthesized as approximately 45 kDa precursors that autoprocess in an unprecedented fashion, resulting in the covalent attachment of a cholesterol moiety to the amino-terminal half of the precursor <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. This processed amino-terminal domain, Hh-Np, is responsible for the activation of a unique and complex signaling cascade that is essential for controlling cell fate throughout development and into adulthood <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. In mammals there are three Hh-family proteins: Sonic (Shh), Indian (Ihh), and Desert (Dhh). Gene-targeting experiments in mice have demonstrated that the development and patterning of essentially every major organ requires input from the Hh pathway <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>.</p>
         <p><it>In vitro</it> culture systems of neuronal tissues have been used to characterize the biology of the Hh-signaling pathway. Most notably, the neural-plate explant assay has defined the concentration-dependent role that ventrally expressed Shh plays in opposing dorsally expressed bone morphogenetic proteins (BMPs) to pattern the neural tube <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. The assay demonstrates that the Hh-signaling cascade can distinguish between small concentration differences in the Hh ligand to instruct the differentiation of specific neuronal cell types. Additional insights have been gained by utilizing cultures of postnatal cerebellar neuron precursors <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. These studies have shown that Hh patterns the cerebellum by promoting proliferation of the granule neuron precursors. Given the role that Hh signaling plays in promoting progenitor-cell proliferation, it is not surprising that misregulation of Hh signaling has been implicated in the biology of certain cancers, in particular basal cell carcinoma (BCC) and medulloblastoma.</p>
         <p>The Hh-signaling pathway comprises three main components: the Hh ligand; a transmembrane receptor circuit composed of the negative regulator Patched (Ptc) plus an activator, Smoothened (Smo); and finally a cytoplasmic complex that regulates the Cubitus interruptus (Ci) or Gli family of transcriptional effectors. Additional pathway components are thought to modulate the activity or subcellular distribution of these molecules <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. There is positive and negative feedback at the transcriptional level as the <it>Gli1</it> and <it>Ptc1</it> genes are direct transcriptional targets of activation of the pathway.</p>
         <p>Smo is a seven-pass transmembrane protein with homology to G-protein-coupled receptors (GPCRs), while Ptc is a twelve-pass transmembrane protein that resembles a channel or transporter. Consistent with its role as an essential pathway inhibitor, removal of Ptc renders the Hh pathway constitutively 'on', independent of the Hh ligand. Similarly, specific point mutations in the transmembrane helices of Smo are capable of constitutively stimulating the pathway, effectively bypassing Ptc inhibition <abbrgrp><abbr bid="B3">3</abbr></abbrgrp>. At present, a controversy surrounds the mechanism by which Ptc inhibits Smo. Although early studies suggested a simple, direct, stoichiometric regulation, more recent data support a more complicated indirect or catalytic model <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. And although it has been demonstrated that Hh directly interacts with <abbrgrp><abbr bid="B4">4</abbr></abbrgrp> and destabilizes <abbrgrp><abbr bid="B5">5</abbr></abbrgrp> Ptc, the downstream molecular events remain obscure. In particular, little is known about the means by which Ptc exerts its inhibitory effect on Smo, or how Smo communicates with the cytoplasmic Ci/Gli transcription factor complex.</p>
         <p>Through a 'chemical genetic' approach of identifying and studying the mechanism of action of small-molecule agonists (and antagonists), we hoped to uncover some of the complexities of the Hh-signaling system. Small-molecule modulators of growth-factor pathways have proven valuable in providing enhanced understanding of the intracellular events that occur subsequent to receptor activation, and in establishing the biological functions of these pathways <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr></abbrgrp>. In Hh signaling, multiple insights have been gained through the use of the plant-derived Hh antagonist cyclopamine <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr></abbrgrp> and a recently identified synthetic small-molecule Hh-signaling inhibitor, Cur61414 <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>. Interestingly, these specific inhibitors of Hh signaling appear to function downstream of Ptc but their precise molecular target(s) and mechanism of action are unknown.</p>
         <p>Although genetic manipulations involving gain-of-function point mutations of Smo <abbrgrp><abbr bid="B3">3</abbr></abbrgrp> have demonstrated that the pathway can be activated independently of Hh ligand, no small molecules with this capability have been identified. Indeed, it has proven difficult to identify small-molecule agonists of any signaling pathway activated by a protein ligand. Two examples have recently been described, however. One involved identification of a non-peptide activator of the granulocyte colony-stimulating factor (GCSF) pathway that appeared to act via receptor oligomerization <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>. Another report described a small-molecule activator of the insulin-signaling pathway that also acts at the level of the receptor <abbrgrp><abbr bid="B19">19</abbr></abbrgrp>.</p>
         <p>Since the Hh receptor, Ptc, serves to inhibit signaling, a small-molecule pathway activator would need to be capable of one of the following: first, interfering with the inhibitory effect that Ptc exerts on Smo; second, activating Smo without affecting Ptc; or third, activating the pathway downstream of Smo. Identifying small molecules with any of these activities would provide useful information concerning the details of Hh signaling and would also provide a simple means of modulating activity of the pathway <it>in vivo</it> or <it>in vitro</it>.</p>
         <p>In this article, we show that a non-peptidyl small-molecule agonist of Hh signaling has been identified that has all the known signaling properties of the recombinant Hh protein. But this agonist, unlike Hh protein, appears to bypass the Ptc-regulatory step, by interacting directly with Smo. Furthermore, studies with the agonist and several antagonists of Hh signaling suggest that Smo can be activated or inhibited by direct interaction with small-molecule ligands. These observations suggest that the Ptc-Smo receptor circuit may incorporate native small-molecule ligands in the regulation of Hh signaling.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Isolation of Hh agonists by high-throughput screening</p>
            </st>
            <p>To identify small-molecule agonists of Hh signaling, we established a mammalian-cell-based assay. After testing several cell lines for Hh-dependent induction of the target genes <it>Ptc1</it> and <it>Gli1</it><abbrgrp><abbr bid="B2">2</abbr></abbrgrp>, we identified C3H10T1/2 and TM3 cells as optimal responders. We then introduced into each line a plasmid containing a luciferase reporter downstream of multimerized Gli binding sites and a minimal promoter <abbrgrp><abbr bid="B20">20</abbr></abbrgrp>. An isolated stable clone of the 10T1/2 cell transfectants (referred to as clone S12) gave a 10-20-fold up-regulation of luciferase activity (Figure <figr fid="F1">1a</figr>) when stimulated with Hh protein <abbrgrp><abbr bid="B21">21</abbr></abbrgrp> for 24 hours. Using this assay system, we screened 140,000 synthetic compounds at a concentrations of 2-5 &#956;M and isolated several putative agonists. One of these molecules - Hh-Ag 1.1 (Figure <figr fid="F1">1a,b</figr>) - was studied further. Hh-Ag 1.1 exhibited half-maximal stimulation (EC<sub>50</sub>) at around 3 &#956;M, and an activation maximum (A<sub>max</sub>) of approximately 35% compared to the Hh protein control (Figure <figr fid="F1">1a</figr>). In the presence of sub-threshold signaling levels of Hh protein (0.3 nM), the EC<sub>50</sub> of Hh-Ag 1.1 was reduced to around 0.4 &#956;M and the A<sub>max</sub> approached 70% (Figure <figr fid="F1">1a</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>A Hh-signaling agonist identified in a cell-based small-molecule screen</p>
               </caption>
               <text>
                  <p>A Hh-signaling agonist identified in a cell-based small-molecule screen. <b>(a)</b> A luciferase-based reporter assay of Hh signaling, showing a dose-response curve for the following: Hh protein (Hh); the small-molecule agonist Hh-Ag 1.1; Hh-Ag 1.1 in the presence of 0.3 nM Hh protein (Hh-Ag 1.1 + low Hh); or 0.3 nM Hh protein alone (low Hh). Data points represent the averages (n = 4) with standard deviations less than 15%. <b>(b)</b> The structure of Hh-Ag 1.1. <b>(c)</b> The output of a quantitative PCR analysis of <it>Ptc1</it> and <it>Gli1</it> mRNA levels from C3H10T1/2 cells exposed for 18 hours to an increasing dose of Hh-Ag 1.1. Data are graphed as relative activation versus Hh-Ag 1.1 concentration (&#956;M). The 0 to 100% range was set using data from cells treated with 0 or 25 nM Hh protein; fold inductions for levels of <it>Ptc1</it> and <it>Gli1</it> mRNA were determined using <it>GAPDH</it> mRNA levels as internal standards. Each data point represents an average (n = 4) with standard deviation shown by error bars. <b>(d)</b> A luciferase-based reporter assay of Hh signaling showing dose-response curves (with concentrations in nM) for Hh protein and the five agonist compounds Hh-Ag 1.1, 1.2, 1.3, 1.4 and 1.5. Graphs are representative of multiple assays of these compounds. Data points represent the averages (n = 2) with standard deviations less than 15%. <b>(e)</b> Structures of Hh-agonist derivatives; 1.2 is a methylated analog, and 1.3 a methylated analog with a para-pyridyl moiety. <b>(f)</b> A proliferation assay of Hh-responsive primary neuronal precursors from postnatal day 4 rat cerebellum. [<sup>3</sup>H]-thymidine incorporation was measured 24 hours after the addition of the vehicle dimethyl sulfoxide ('vehicle'), Hh protein, or agonist. Hh protein was tested at 50 nM; Hh-Ag 1.1 was added at 5 and 1.75 &#956;M; Hh-Ag 1.2 was added at 300 and 100 nM. Data points represent the averages (n = 4) with standard deviations depicted with error bars.</p>
               </text>
               <graphic file="1475-4924-1-10-1"/>
            </fig>
            <p>We next tested whether expression of endogenous Hh-responsive genes was stimulated by the agonist. Using quantitative PCR, Hh-Ag 1.1 was shown clearly to elevate the expression of <it>Gli1</it> and <it>Ptc1</it> in a dose-dependent manner (Figure <figr fid="F1">1c</figr>).</p>
         </sec>
         <sec>
            <st>
               <p>Chemical modifications increase potency</p>
            </st>
            <p>In an effort to improve the potency of Hh-Ag 1.1, over 300 derivatives were synthesized and tested in the cell-based reporter assay. The relative potencies of the most active derivatives - 1.2, 1.3, 1.4 and 1.5 - are shown in Figure <figr fid="F1">1d</figr>. The most potent, Hh-Ag 1.5, had an EC<sub>50</sub> of approximately 1 nM. Thus, potency was increased over 1000-fold by chemical modification. The structures of compounds 1.2 and 1.3 are shown in Figure <figr fid="F1">1e</figr>. Hh-Ag 1.2 was the most stable derivative <it>in vivo</it> and <it>in vitro</it> (data not shown) and was used for most cell-based assays. Hh-Ag 1.3 showed lower toxicity in embryonic tissue cultures (data not shown) and was used for the neural plate explant assays described below. These experiments suggest that the agonist may have many of the properties of the Hh ligand. To specifically test this, we used two established <it>in vitro</it> assay systems that detect the effects of Hh on primary neuronal precursors.</p>
         </sec>
         <sec>
            <st>
               <p><it>In vitro</it> assay of neuronal precursors</p>
            </st>
            <sec>
               <st>
                  <p>Proliferation activity of the agonist</p>
               </st>
               <p>It has recently been shown that primary neonatal cerebellar granule neuron (CGN) precursors proliferate in response to Hh stimulation <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. To determine whether the Hh agonist could elicit this response, we monitored [<sup>3</sup>H]-thymidine incorporation of cultured rat CGN precursors treated with Hh protein, Hh-Ag 1.1, Hh-Ag 1.2, or vehicle (DMSO). The original active molecule, Hh-Ag 1.1, stimulated thymidine incorporation at 5 &#956;M, but not at 1.75 &#956;M (Figure <figr fid="F1">1f</figr>). The extent of proliferation was around 50% of that seen with a high dose of Hh protein (50 nM). Hh-Ag 1.2 stimulated proliferation at 300 nM and 100 nM to levels comparable to those seen with Hh protein (Figure <figr fid="F1">1f</figr>). These data demonstrate that the agonists can elicit a biological response in primary cells similar to that produced by Hh protein.</p>
            </sec>
            <sec>
               <st>
                  <p>Morphogenic activity of the agonist</p>
               </st>
               <p>Neural progenitors within the intermediate region of the chick neural plate (Figure <figr fid="F2">2a</figr>) respond to increasing concentrations of Hh protein by adopting specific fates. The identity of these cells can be assessed by their distinct expression patterns of a set of transcription factors <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. Three of these transcription factors - Pax7, MNR2 and Nkx2.2 - whose expression is differentially sensitive to increasing concentrations of Hh protein were assayed in response to varying concentrations of the agonist (Hh-Ag 1.3). The dorsal spinal cord marker Pax7 is normally repressed by low concentrations of Hh <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>. Pax7 expression was extinguished by 1-10 nM agonist (Figure <figr fid="F2">2b,c,d,e,f</figr>). Higher concentrations of agonist (10-200 nM) induced expression of the motor neuron progenitor marker MNR2 (Figure <figr fid="F2">2b,g,h,i,j</figr>), and yet higher concentrations (20 nM-1 &#956;M) induced the most ventral interneuron progenitor marker Nkx2.2 (Figure <figr fid="F2">2b,k,l,m,n</figr>). This dose-dependent profile of expression closely resembles the response achieved by increasing concentrations of Hh protein <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr><abbr bid="B24">24</abbr></abbrgrp>, demonstrating that the Hh agonist mimics the concentration-dependent inductive activity of Hh on neural precursors.</p>
               <fig id="F2">
                  <title>
                     <p>Figure 2</p>
                  </title>
                  <caption>
                     <p>The concentration-dependent response to Hh agonist of neural progenitor markers in neural plate explants</p>
                  </caption>
                  <text>
                     <p>The concentration-dependent response to Hh agonist of neural progenitor markers in neural plate explants. <b>(a)</b> The intermediate region of neural plate was dissected from stage 10-11 chick embryos and cultured in the presence of varying concentrations of Hh-Ag 1.3 (agonist) for 22 hours. Explants were then immunostained for Pax7, MNR2 and Nkx2.2 and the number of immunoreactive cells per explant was counted. <b>(b)</b> The average number of immunoreactive cells per explant in response to increasing concentrations of Hh-Ag 1.3 (n = 6 explants). Error bars represent standard deviations. <b>(c-n)</b> Confocal images of representative explants cultured in the presence of different concentrations of the agonist and stained for (c-f) Pax7; (g-j) MNR2; and (k-n) Nkx2.2. Pax7 is expressed only at the lowest concentrations of the agonist (c,d), MNR2 at intermediate and high concentrations (i,j), and Nkx2.2 only at high concentrations of agonist (n).</p>
                  </text>
                  <graphic file="1475-4924-1-10-2"/>
               </fig>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Activity of the agonist <it>in vivo</it></p>
            </st>
            <p>To explore the site of action of the Hh agonist within the Hh pathway, we developed an <it>in vivo</it> assay for the agonist that would allow us to test its activity in <it>Shh-</it> and <it>Smo</it>-mutant mouse embryos <it>in utero</it>. First, we compared the expression of <it>Ptc1</it> in vehicle- and agonist-treated <it>Ptc1</it><sup><it>lacZ</it>/+</sup> mouse embryos <abbrgrp><abbr bid="B25">25</abbr></abbrgrp>. The <it>Ptc1</it><sup><it>lacZ</it>/+</sup> mouse expresses &#946;-galactosidase under control of <it>Ptc1</it>-regulatory elements and thus reports Hh-pathway activity in mouse tissues. Hh-Ag 1.2 (Figure <figr fid="F1">1e</figr>) was chosen for study on the basis of its relatively low toxicity, long serum half-life and ability to cross the placenta (data not shown). Hh-Ag 1.2 was delivered by oral gavage to pregnant mice at 7.5 and 8.5 days post coitum (7.5 and 8.5 dpc). Embryos were collected at embryonic day (E) 9.5 and analyzed by staining with the &#946;-galactosidase chromogenic substrate X-gal. In vehicle-treated embryos, <it>Ptc1</it> expression was confined primarily to the ventral neural tube (Figure <figr fid="F3">3a,c</figr>). In embryos treated with Hh-Ag 1.2, however, expression of <it>Ptc1</it><sup><it>lacZ</it></sup> was greatly extended dorsally in the neural tube and throughout the adjacent mesoderm (Figure <figr fid="F3">3b,d</figr>). These embryos also displayed open rostral neural tubes, similar to those of <it>Ptc1</it><sup>-/-</sup> embryos. These experiments demonstrate that the agonist compound effectively activates Hh signaling <it>in vivo</it> following oral administration.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p><it>In vivo</it> assays of an Hh agonist</p>
               </caption>
               <text>
                  <p><it>In vivo</it> assays of an Hh agonist. <b>(a-d)</b> The Hh agonist Hh-Ag 1.2 up-regulates Hh signaling in mouse embryos <it>in utero</it>. Expression of <it>Ptc1</it><sup><it>lacZ</it></sup> in E9.5 <it>Ptc1</it><sup><it>lacZ</it>/+</sup> embryos after treatment with vehicle (a,c) or Hh-Ag 1.2 (b,d). (a,b) Lateral views of whole embryos stained with X-gal; (c,d) transverse sections through E9.5 embryos following X-gal staining. <it>Ptc1</it> expression is dorsally expanded throughout the ventral neural tube and adjacent mesoderm in agonist-treated embryos (compare b,d with a,c). Note the open neural tube in the head of these embryos (b). <b>(e-p)</b> The agonist complements the loss of Shh but requires Smo to activate Hh signaling <it>in utero</it>. (e-l) Whole-mount <it>in situ</it> hybridization analyses of the expression of <it>Ptc1</it> gene in E8.5 embryos (n = 4); (e-h) ventral anterior views, and (i-l) ventral posterior views, of embryos heterozygous (e,f,i,j) or homozygous (g,h,k,l) for an <it>Shh</it>-null allele. (m-p) Lateral views of X-gal staining of <it>Ptc1</it><sup><it>lacZ</it></sup> expression in E8.5 <it>Ptc1</it><sup><it>lacZ</it>/+</sup> embryos (n = 4) heterozygous (m,n) or homozygous (o,p) for a <it>Smo</it>-null allele. (e,g,i,k,m,o) Vehicle-treated embryos; (f,h,j,l,n,p) Hh-Ag 1.2- (agonist-) treated embryos. Red arrows in (e-h) indicate the partial rescue of midline structures in <it>Shh</it><sup>-/-</sup> embryos (g) by agonist treatment (h). Black arrowheads in (e-l) indicate expression in the midline.</p>
               </text>
               <graphic file="1475-4924-1-10-3"/>
            </fig>
            <sec>
               <st>
                  <p>Agonist site of action <it>in vivo</it></p>
               </st>
               <p>Having established an <it>in utero</it> assay for Hh signaling, we next investigated whether the agonist could rescue aspects of <it>Shh</it>- or <it>Smo</it>-mutant phenotypes, by monitoring <it>lacZ</it> expression in <it>Smo</it><sup>-/-</sup><it>Ptc1</it><sup><it>lacZ</it>/+</sup> embryos <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> and <it>Ptc1</it> mRNA levels in <it>Shh</it><sup>-/-</sup> embryos.</p>
               <p>Pregnant mice from <it>Shh</it><sup>+/-</sup> and <it>Smo</it><sup>+/-</sup> intercrosses were treated by oral gavage with vehicle or agonist (15 mg/kg) at 6.5 and 7.5 dpc. Embryos were collected at 6-8 somite stages (E8.5) when the midline defects are first detectable in both <it>Shh</it><sup>-/-</sup> and <it>Smo</it><sup>-/-</sup> embryos, but prior to any general retardation of growth and development <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp>. In both <it>Shh</it><sup>+/-</sup> and <it>Smo</it><sup>+/-</sup><it>Ptc1</it><sup><it>lacZ</it>/+</sup> embryos, <it>Ptc1</it> was detected in ventral neural tube, somites and lateral plate mesoderm (Figure <figr fid="F3">3e,i,m</figr>). Treatment with the agonist dramatically enhanced and expanded the expression of <it>Ptc1</it> in these heterozygous embryos (Figure <figr fid="F3">3f,j,n</figr>). This was consistent with what we have observed in wild-type embryos (Figure <figr fid="F3">3a,b,c,d</figr>). It is worth noting that the agonist-treated embryos exhibited overgrowth of the headfolds and hindbrain, reminiscent of <it>Ptc1</it><sup>-/-</sup> embryos (compare Figure <figr fid="F3">3e,m</figr> with <figr fid="F3">3f,n</figr>).</p>
               <p><it>Shh</it><sup>-/-</sup> and <it>Smo</it><sup>-/-</sup> embryos at this stage (6-8 somites) started to show fused ventral lips of the cephalic folds, and a single continuous optic vesicle, indicating lack of a clearly defined midline (red arrow, Figure <figr fid="F3">3g</figr>, and data not shown). As expected, <it>Ptc1</it> expression was not detected in the ventral neural tube of the vehicle-treated <it>Shh</it><sup>-/-</sup> embryos (arrowhead, Figure <figr fid="F3">3g</figr>), whereas expression was seen in lateral plate mesoderm and weakly in somites (Figure <figr fid="F3">3g,k</figr>). This is most likely due to Ihh signaling in these tissues <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. Both Shh and Ihh signaling were dependent on Smo, however, because <it>Ptc1</it> expression could not be detected in <it>Smo</it><sup>-/-</sup> embryos (Figure <figr fid="F3">3o</figr>).</p>
               <p>Following agonist treatment, we observed that the neural tube and somite expression of <it>Ptc1</it> in <it>Shh</it><sup>-/-</sup> embryos was greater than vehicle-treated wild-type levels (compare Figure <figr fid="F3">3h,l</figr> with <figr fid="F3">3e,i</figr>). The midline defects in <it>Shh</it><sup>-/-</sup> embryos were at least partly rescued by agonist treatment (compare Figure <figr fid="F3">3g</figr> and <figr fid="F3">3h</figr>; red arrows). Like <it>Shh</it><sup>+/-</sup> embryos, <it>Shh</it><sup>-/-</sup> embryos had overgrown headfolds after administration of the Hh agonist (Figure <figr fid="F3">3f</figr> and <figr fid="F3">h</figr>). In contrast, agonist treatment had no detectable effect on either morphology or <it>Ptc1</it> expression in <it>Smo</it><sup>-/-</sup> embryos (compare Figure <figr fid="F3">3o</figr> and <figr fid="F3">p</figr>). In summary, these studies demonstrate that agonist activity <it>in vivo</it> does not depend upon Shh, but that Smo is absolutely required.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Mechanism of action</p>
            </st>
            <sec>
               <st>
                  <p>Chemical epistasis studies</p>
               </st>
               <p>We sought to determine the level at which the agonist acts in the Hh pathway, in cultured cell assays. To begin addressing this question, we used the Hh reporter cell line to conduct competition experiments between the Hh agonist and known Hh- signaling antagonists that block the pathway at different levels (Figure <figr fid="F4">4a</figr>). These include: a Hh-protein-blocking antibody, 5E1 <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>; a natural product derivative, cyclopamine <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp> that has recently been shown to act downstream of Ptc, perhaps at the level of Smo <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>; a recently identified synthetic small-molecule inhibitor, Cur61414, which has inhibitory properties similar to cyclopamine <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>; and forskolin, an adenylate cyclase/protein kinase A activator that is thought to block Hh signaling by stimulating degradation of members of the Gli family of transcriptional activators <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>.</p>
               <fig id="F4">
                  <title>
                     <p>Figure 4</p>
                  </title>
                  <caption>
                     <p>Analysis of the agonist's site of action, using characterized Hh-pathway antagonists</p>
                  </caption>
                  <text>
                     <p>Analysis of the agonist's  site of action, using characterized Hh-pathway antagonists. <b>(a)</b> The Hh-signaling pathway. The major components are shown, along with the suspected sites of action of four antagonists: 5E1, the Hh-ligand-binding/blocking monoclonal antibody; cyclopamine, the natural product inhibitor, activity of which maps downstream of Ptc; forskolin, the adenylate cyclase activator that functions via protein kinase A to activate destruction of Ci/Gli; and a recently identified Hh-signaling antagonist Cur61414. Lines with arrowheads represent activation and blunt-ended lines represent repression. <b>(b-e)</b> Luciferase-based reporter assays of Hh signaling showing inhibitory dose response on cells activated by Hh protein (10 nM) or Hh-Ag 1.2 (200 nM) of (b) 5E1; (c) forskolin; (d) cyclopamine; and (e) Cur61414. Data points represent the averages (n = 3) with standard deviations depicted by error bars.</p>
                  </text>
                  <graphic file="1475-4924-1-10-4"/>
               </fig>
               <p>The Hh-blocking antibody 5E1 had no effect on pathway activation by the agonist (Figure <figr fid="F4">4b</figr>), while forskolin (Figure <figr fid="F4">4c</figr>), cyclopamine (Figure <figr fid="F4">4d</figr>) and Cur61414 (Figure <figr fid="F4">4e</figr>), were all inhibitory. The lack of inhibition by 5E1 eliminates the possibility that the small molecule agonist activates signaling indirectly via stimulation of Hh expression. Furthermore, this supports the data showing that the agonist can activate signaling in <it>Shh</it><sup>-/-</sup> embryos (Figure <figr fid="F3">3</figr>) and suggests that the agonist function is not only downstream of the Hh protein but also independent of the endogenous Hh-signaling modulators, Tout veloux and HIP, that act via the Hh ligand <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>. The competition experiment with forskolin showed identical inhibition curves for Hh protein and the agonist, strongly suggesting that the action of the small molecule is upstream of the protein-kinase-A-sensitive step in the pathway. In contrast, the competition experiments with cyclopamine (Figure <figr fid="F4">4d</figr>) and Cur61414 (Figure <figr fid="F4">4e</figr>) showed that Hh protein and the agonist differ in their sensitivity to these antagonists. Specifically, the agonist appears somewhat resistant to the inhibitory effect of cyclopamine and Cur61414. Identical results were seen using the slightly less active cyclopamine-related natural compound jervine, and the more potent synthetic derivative of cyclopamine, KAAD-cyclopamine (data not shown). These results argue that the agonist activates the pathway downstream of the Hh-Ptc interaction while cyclopamine, Cur61414 and the agonist may act at a similar level in the Hh-signaling cascade.</p>
            </sec>
            <sec>
               <st>
                  <p>Regulation of Ptc and Smo by Hh protein and Hh agonist</p>
               </st>
               <p>Recent work in <it>Drosophila</it> tissue culture has shown that endogenous Ptc and Smo proteins are differentially affected by the addition of Hh to the growth medium <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>. Ptc was destabilized, while Smo accumulated following post-translational modification. To test whether similar phenomena occur in mammalian cells with Hh protein and agonist, we generated stable cell lines expressing two epitope-tagged proteins, Ptc coupled to green fluorescent protein, Ptc-GFP, and Smo coupled to a fragment of influenza hemagglutinin, HA-Smo. Figure <figr fid="F5">5a</figr> shows an immunoprecipitation (anti-GFP) plus protein blot (anti-Ptc) analysis of extracts from these cells treated for 4, 8 and 24 hours with vehicle, 25 nM Hh protein or 0.2 &#956;M Hh agonist (see Figure <figr fid="F1">1e</figr>; Hh-Ag 1.2). This experiment shows that Ptc-GFP appears to be destabilized by Hh protein but not by the agonist. Similar results were seen at higher doses of agonist (up to 2 &#956;M) and in several independent lines (data not shown). These data further support the idea that Hh protein and the agonist act in distinct ways to stimulate the pathway.</p>
               <fig id="F5">
                  <title>
                     <p>Figure 5</p>
                  </title>
                  <caption>
                     <p>The effects of Hh protein and agonist on vertebrate Smo and Ptc proteins</p>
                  </caption>
                  <text>
                     <p>The effects of Hh protein and agonist on vertebrate Smo and Ptc proteins. A stable cell line expressing Ptc-GFP and HA-Smo retroviral constructs was generated to evaluate the effects of Hh protein versus agonist on the Hh receptor components. <b>(a)</b> Anti-Ptc protein blot of anti-GFP immunoprecipitates, fractionated by SDS-polyacrylamide gel electrophoresis, from cells treated with vehicle (lanes 1,4,7), 25 nM Hh protein (lanes 2,5,8) or 0.2 &#956;M Hh-Ag 1.2 (agonist; lanes 3,6,9), for 4 hours (lanes 1-3), 8 hours (lanes 4-6) or 24 hours (lanes 7-9). <b>(b)</b> Anti-HA protein blot of cell extracts, fractionated by SDS-polyacrylamide gel electrophoresis, from cells treated with vehicle (lanes 1,4,7,10), 35 nM Hh protein (lanes 2,5,8,11) or 0.5 &#956;M Hh-Ag 1.2 (agonist; lanes 3,6,9,12), for 2 hours (lanes 1-3), 5 hours (lanes 4-6), 8 hours (lanes 7-9) or 20 hours (lanes 10-12). <b>(c)</b> Anti-HA protein blot of cell extracts, fractionated by SDS-polyacrylamide gel electrophoresis, from cells treated with vehicle (lanes 1,4), 35 nM Hh protein (lanes 2,5), or 0.5 &#956;M Hh-Ag 1.2 (agonist; lanes 3,6), for 5 hours (lanes 1-3) or 8 hours (lanes 4-6). Cells used in (c) were also treated with cycloheximide to block new protein synthesis. Blots in (b) and (c) were reprobed with anti-tubulin antibody as a sample loading control. <b>(d)</b> Anti-HA protein blot of cell extracts, fractionated by SDS-polyacrylamide gel electrophoresis, from cells treated with decreasing concentrations of Hh protein (lane 1, 100 nM; lane 2, 50 nM; lane 3, 25 nM; lane 4, 12.5 nM; lane 5, 6.25 nM; lane 6, 3.12 nM), or with vehicle (lane 7), or with increasing concentrations of Hh-Ag 1.2 (agonist; lane 8, 15 nM; lane 9, 31.25 nM; lane 10, 62.5 nM; lane 11, 250 nM; lane 12, 500 nM; lane 13, 1 &#956;M) for 22 hours. All blots were visualized by autoradiography using anti-HRP (horse radish peroxidase) secondary antibodies and a chemiluminescence reagent kit (Amersham).</p>
                  </text>
                  <graphic file="1475-4924-1-10-5"/>
               </fig>
               <p>Figure <figr fid="F5">5b</figr> shows an immunoblot (anti-HA) of total extracts from HA-Smo-expressing cells treated for 2, 5, 8 and 20 hours with vehicle, 35 nM Hh protein or 0.5 &#956;M Hh agonist. In contrast to the results with Ptc-GFP, incubation of cells with both Hh protein and the small-molecule agonist resulted in the apparent accumulation of HA-Smo protein after 5 hours of incubation. To test whether the accumulation of HA-Smo in response to Hh protein or the agonist required protein synthesis, a similar study was performed in the presence of cycloheximide (Figure <figr fid="F5">5c</figr>). Under these conditions, HA-Smo accumulation was detectable 5 hours after addition of either Hh protein or the agonist (Figure <figr fid="F5">5c</figr>); this result argues that the effect of Hh protein and the agonist on HA-Smo levels does not require new protein synthesis. Finally, with increasing concentrations of Hh protein and the agonist there is a clear dose-dependent increase of HA-Smo levels (Figure <figr fid="F5">5d</figr>). These effects on epitope-tagged Smo protein were observed in multiple lines (data not shown). Taken together, these data suggest that Hh protein and the agonist share the ability to stabilize Smo, but only Hh protein can destabilize Ptc. Yet the agonist is fully capable of activating the full signaling pathway.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Testing Smo as the molecular target</p>
            </st>
            <sec>
               <st>
                  <p>Binding in whole cells</p>
               </st>
               <p>Our biochemistry experiments (above) show that the agonist modulates Smo levels, and thus may activate Hh signaling by directly binding Smo. To explore this possibility we tested whether a tritiated form of the agonist analog Hh-Ag 1.5 could form a complex with Smo, when Smo is transiently overexpressed in 293T cells. Figure <figr fid="F6">6a</figr> shows immunoprecipitable counts of extracts from cells incubated at 37&#176;C for 2 hours with 5 nM [<sup>3</sup>H]-Hh-Ag 1.5 either in the absence (columns 1-3) or presence of competitors (columns 4-9).</p>
               <fig id="F6">
                  <title>
                     <p>Figure 6</p>
                  </title>
                  <caption>
                     <p>Assessing whether Smoothened is the molecular target of the Hh agonist</p>
                  </caption>
                  <text>
                     <p>Assessing whether Smoothened is the molecular target of the Hh agonist. <b>(a)</b> The number of counts per minute (cpm) precipitated from an immunocomplex binding assay of 293T cells incubated with [<sup>3</sup>H]-Hh-Ag 1.5. Anti-HA (columns 1,3-9) or anti-v5 (column 2) immunocomplexes were isolated from 293T cells that were untransfected (column 1) or transfected with expression constructs encoding a rat &#946;2-adrenergic receptor cDNA carrying a v5 epitope tag (column 2; &#946;AR), or an HA-epitope-tagged <it>Smo</it> cDNA (columns 3-9). Prior to cell lysis and immunoprecipitations, these cells were incubated with 5 nM [<sup>3</sup>H]-Hh-Ag 1.5 alone (columns 1-3) or with 5 nM [<sup>3</sup>H]-Hh-Ag 1.5 in the presence of 5 &#956;M of various unlabeled compounds (columns 4-9): Hh-Ag 1.5 (column 4); an inactive Hh-Ag 1.1-derivative containing a two-carbon linker instead of the cyclohexane ring (Ag control, column 5); the potent natural product Hh-signaling-inhibitor derivative KAAD-cyclopamine (column 6); the inactive natural product tomatadine (Antag control 1, column 7); the synthetic Hh-signaling inhibitor Cur61414 (column 8); or an inactive derivative of Cur61414 (Antag control 2, column 9). Standard deviations (n = 2) are represented by error bars. <b>(b,c)</b> Filtration membrane-binding assay using [<sup>3</sup>H]-Hh-Ag 1.5 (2 nM) and membranes (approximately 5 &#956;g protein) from 293T cells transfected with different cDNA constructs. (b) Bound [<sup>3</sup>H]-Hh-agonist (cpm) when using membranes from cells transfected with murine Smo (column 1); GFP (column 2); rat &#946;2-adrenergic receptor (&#946;AR, column 3), and murine Ptc1 (column 4). A no-membrane control (column 5) is also included, to demonstrate the level of nonspecific binding associated with the filtration plate apparatus. (c) A competition experiment using membranes from cells transfected with murine Smo and incubated with [<sup>3</sup>H]-Hh-Ag 1.5 (2 nM) in the presence of various unlabeled compounds: no competitor (-, column 1); 2 &#956;M unlabeled Hh-Ag 1.5 (column 2); 2 &#956;M inactive Hh-Ag 1.1 derivative (Ag control, column 3); KAAD-cyclopamine (column 4); tomatadine (Antag control 1, column 5); Cur61414 (column 6); or an inactive derivative of Cur61414 (Antag control 2, column 7). Standard deviations (n = 4) are represented by error bars.</p>
                  </text>
                  <graphic file="1475-4924-1-10-6"/>
               </fig>
               <p>Immunocomplexes from untransfected control and &#946;-adrenergic-receptor transfected cells did not contain significant counts (Figure <figr fid="F6">6a</figr>, columns 1, 2). Immunocomplexes derived from cells expressing Smo (Figure <figr fid="F6">6a</figr>, column 3) resulted in the recovery of approximately 40,000 of the 800,000 added counts, however. To test the specificity of this apparent Hh-Ag/Smo complex, cells were incubated with 5 &#956;M (1000-fold molar excess) of unlabeled Hh Ag 1.5 or an unlabeled, signaling-inactive but structurally similar compound, an Hh-Ag 1.1 derivative that has a two-carbon linker in place of the cyclohexane ring (Figure <figr fid="F6">6a</figr>; Hh-Ag 1.5, column 4; Hh-Ag control, column 5). The addition of the unlabeled Hh-Ag 1.5, but not the inactive Hh-Ag 1.1 derivative agonist control, resulted in the complete absence of counts in the immunocomplex. These results suggest that a stable, specific interaction can form between Smo and the Hh agonist.</p>
               <p>It has been shown that the Hh-pathway antagonists cyclopamine and Cur61414 block signaling in a Ptc-independent manner <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B17">17</abbr></abbrgrp> and therefore may act directly on Smo. Having established a binding assay for a small-molecule agonist binding to Smo-expressing cells, we next tested whether the Hh antagonists could selectively compete out binding of [<sup>3</sup>H]-Hh-Ag 1.5. To perform theses studies, Smo-overexpressing 293T cells were incubated for 2 hours at 37&#176;C with 5 nM [<sup>3</sup>H]-Hh-Ag 1.5 in the presence of either KAAD-cyclopamine at 5 &#956;M (Figure <figr fid="F6">6a</figr>, column 6), the related but inactive plant compound tomatadine at 5 &#956;M (Figure <figr fid="F6">6a</figr>; Antag control 1, column 7), Cur61414 at 5 &#956;M (Figure <figr fid="F6">6a</figr>, column 8), or a related but inactive Cur61414 derivative (Figure <figr fid="F6">6a</figr>; Antag control 2, column 9) at 5 &#956;M. These data show that the Hh-signaling inhibitors, but not structurally related inactive compounds, can significantly compete with the binding of the Hh agonist to Smo-expressing cells. This supports the model that all of these small-molecule modulators of Hh signaling are direct ligands of Smo.</p>
               <p>We next asked whether a derivative of the Hh agonist carrying a photoactivatable crosslinker could be coupled directly to Smo, to facilitate further biochemical characterization of the binding site. To perform this experiment we synthesized a tritiated diazirine derivative of Hh-Ag 1.2 with an EC<sub>50</sub> in the cell-based assay of 35 nM (data not shown). We incubated this compound at 0.5 &#956;M with HA-Smo- or control, GFP-transfected 293T cells and subsequently ultraviolet-irradiated them to initiate crosslinking. Fractionation by SDS-polyacrylamide gel electrophoresis and autoradiography of the resulting immunocomplexes from these cells showed crosslinking exclusively to HA-Smo, but with an efficiency of less than 1% (data not shown). This result demonstrates that a Hh-agonist derivative can be covalently crosslinked to Smo in living cells. More efficient crosslinkers are required to extend these studies, however.</p>
            </sec>
            <sec>
               <st>
                  <p>Cell-free membrane-binding assays</p>
               </st>
               <p>To test whether the Hh agonist could interact with Smo <it>in vitro</it>, we transiently overexpressed murine Smo, murine Ptc, rat &#946;2-adrenergic receptor and GFP in 293T cells, harvested membranes and performed a filtration membrane-binding assay in a 96-well plate with [<sup>3</sup>H]-Hh-Ag 1.5 added at 2 nM. Figure <figr fid="F6">6b</figr> shows a bar graph of the bound counts from these binding assays (murine Smo, column 1; GFP, column 2; &#946;AR, column 3; murine Ptc1, column 4; and a no-membrane plate control, column 5). The no-membrane control (column 5) was included to show the degree of non-specific binding to the filter-plate apparatus. The Smo-containing membranes (column 1) are the only samples that exhibit significant binding above that seen in the absence of membranes.</p>
               <p>To assess the specificity of binding, we repeated the experiment in the presence and absence of a 1000-fold molar excess of unlabeled agonist (2 &#956;M). The addition of 'cold' compound completely competed out these counts (Figure <figr fid="F6">6c</figr>, column 1 compared to column 2). To control for this observation, we added an unlabeled, inactive Hh agonist to the binding assay at 2 &#956;M (a 1000-fold molar excess). This compound was unable to compete out the binding of [<sup>3</sup>H]-Hh-Ag 1.5 to the Smo-containing membranes (Figure <figr fid="F6">6c</figr>, column 3). These results argue that Smo and the agonist form a specific complex <it>in vitro</it>, as predicted by the whole cell/immunocomplex binding assay (Figure <figr fid="F6">6a</figr>).</p>
               <p>Having established an <it>in vitro</it> binding assay for the Hh agonist to Smo, we next tested whether the Ptc-independent Hh antagonists could selectively compete with the interaction. Binding was assayed in the presence of KAAD-cyclopamine at 10 &#956;M (Figure <figr fid="F6">6c</figr>, column 4), tomatadine at 10 &#956;M (Figure <figr fid="F6">6c</figr>; Antag control 1, column 5), Cur61414 at 10 &#956;M (Figure <figr fid="F6">6c</figr>, column 6), or the inactive Cur61414 derivative (Figure <figr fid="F6">6c</figr>; Antag control 2, column 7) at 10 &#956;M. These data show that the Hh-signaling inhibitors, but not structurally related inactive compounds, can significantly compete with the binding of the Hh agonist to Smo membranes.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Kinetics, saturation and competition binding analysis</p>
            </st>
            <p>Next, we sought to generate association, dissociation and saturation-binding curves, in order to derive affinity constants for the interaction of the Hh agonist and Smo. To control for nonspecific binding we used either Cur61414 or Hh-Ag 1.5 as unlabeled competitors. Similar results were generated if control membranes (from cells transfected with GFP, &#946;AR, or Ptc) were used to define the non-specific level (data not shown).</p>
            <p>First, we performed a kinetic analysis to establish the reversibility of the binding reaction and the approximate incubation time required for equilibrium binding studies. Association assays were performed at 37&#176;C by combining 2 nM [<sup>3</sup>H]-Hh-Ag 1.5 with Smo-containing membranes for various times prior to harvesting and counting. Dissociation studies were initiated by adding 2 &#956;M unlabeled Hh-Ag 1.5 after 2 hours of association. Samples were then incubated for 1-26 hours prior to harvesting and counting. Figure <figr fid="F7">7a</figr> shows the association and dissociation phases of agonist binding to Smo-containing membranes. Using the Prism GraphPad software, these data were fit to one-phase exponential association and decay curves, respectively, and gave an association t&#189; of approximately 1 hour and a dissociation t&#189; of approximately 10 hours. These results demonstrate that the binding of the agonist to Smo is reversible and that equilibrium binding will require binding reaction times of approximately 50 hours (five times the t&#189; of dissociation).</p>
            <fig id="F7">
               <title>
                  <p>Figure 7</p>
               </title>
               <caption>
                  <p>[<sup>3</sup>H]-Hh-agonist kinetic, saturation and competition binding analysis with Smo-containing membranes</p>
               </caption>
               <text>
                  <p>[<sup>3</sup>H]-Hh-agonist kinetic, saturation and competition binding analysis with Smo-containing membranes. <b>(a)</b> The association (solid line) and dissociation (broken line) time courses for the binding of [<sup>3</sup>H]-Hh-Ag 1.5 to membranes from Smo-overexpressing 293T cells. The arrow denotes the time at which 2 &#956;M unlabeled [<sup>3</sup>H]-Hh-Ag 1.5 was added to initiate dissociation studies. <b>(b)</b> The total (squares), nonspecific (triangles) and specific (circles) binding (in cpm) of [<sup>3</sup>H]-Hh-Ag 1.5 to membranes from Smo-overexpressing 293T cells. Total and specific binding data were derived in the absence and presence of 2 &#956;M unlabeled Hh-Ag 1.5, respectively. The specific curve (red) represents the difference between these curves. Similar specific curves resulted when control membranes or a no-membrane control plate was used to define the nonspecific binding, or if 10 &#956;M Cur61414 was used as the competitor. A dissociation binding constant (K<sub>d</sub>) of 0.37 nM is predicted from this single site binding isotherm. <b>(c)</b> A competition assay of [<sup>3</sup>H]-Hh-Ag 1.5/Smo binding by a set of agonist derivatives including Hh-Ag 1.5, Hh-Ag 1.3, Hh-Ag 1.2, Hh-Ag 1.1, and an inactive Hh-agonist derivative. <b>(d)</b> A competition binding study showing the properties of the binding of KAAD-cyclopamine, Cur61414 and Hh-Ag 1.5 to wild-type Smo, Smo<sup>wt</sup>, and a constitutively active Smo mutant protein, Smo<sup>act</sup>, which contains an activating W539L amino-acid substitution. Competition curves on Smo<sup>wt</sup> are shown by broken lines and the competition curves on Smo<sup>act</sup> by solid lines. Standard deviations (n = 4) are represented by error bars for all data points.</p>
               </text>
               <graphic file="1475-4924-1-10-7"/>
            </fig>
            <p>Next, we performed a saturation binding experiment. To establish total, nonspecific, and specific binding curves (Figure <figr fid="F7">7b</figr>), we added a range of [<sup>3</sup>H]-Hh-Ag 1.5 concentrations (0.01-3 nM) in the presence or absence of unlabeled Hh-Ag-1.5 at 2 &#956;M. Identical results were seen if Cur61414 at 10 &#956;M was used as the competitor (data not shown). On the basis of the binding kinetics, incubations were carried out for approximately 45 hours at 37&#176;C, to allow for equilibrium to be reached. Using the Prism GraphPad software to perform non-linear regression analysis and curve fitting, we concluded that the data best fit a simple one-site binding model with a predicted K<sub>d</sub> of 0.37 nM for Hh-Ag 1.5. This K<sub>d</sub> is in general agreement with the EC<sub>50</sub> values observed in the cell-based assay (0.37 nM as compared to 1 nM).</p>
            <p>To further validate our binding results, we performed a competition assay using several agonist derivatives across a range of concentrations (0.01 nM to 1 &#956;M). Figure <figr fid="F7">7c</figr> shows the competition curves for Hh-Ag 1.5, Hh-Ag 1.3, Hh-Ag 1.2, Hh-Ag 1.1, and the signaling-inactive Hh-Ag 1.1 derivative described above. With the exception of the inactive derivative, these compounds all compete out the binding of [<sup>3</sup>H]-Hh-Ag 1.5 (0.4 nM) to the Smo-containing membranes. These data are best fit to a single-binding-site competition model that predicts the following K<sub>i</sub> values: Hh-Ag 1.5, 0.52 nM; Hh-Ag 1.3, 8.4 nM; Hh-Ag 1.2, 22 nM; and Hh-Ag 1.1, 96 nM. These K<sub>i</sub> values are in general agreement with the agonist EC<sub>50</sub> values in cell culture for these compounds, with the exception that the Hh-Ag 1.1 compound is not as potent in signaling assays (EC<sub>50</sub> 2 &#956;M) as its K<sub>i</sub> (96 nM) might predict. This suggests an uncoupling of binding and signaling for certain agonists. Although binding affinities and signaling efficacy can correspond for certain ligand/receptor complexes, exceptions often arise <abbrgrp><abbr bid="B28">28</abbr></abbrgrp> because binding affinity does not necessarily measure the ability of a compound to induce an active receptor conformation. As a control for these binding studies, identical competition experiments were performed with membranes from cells transfected with GFP, or with the &#946;-adrenergic receptor. No specific binding or apparent competition was seen under these conditions (data not shown).</p>
            <p>We next compared binding of KAAD-cyclopamine, Cur61414 and Hh-Ag 1.5 to a constitutively active mutant of Smo (Smo<sup>act</sup>) or to wild-type Smo (Smo<sup>wt</sup>). The two Hh-signaling antagonists, KAAD-cyclopamine and Cur61414, have shown decreased potency on Smo<sup>act</sup>-expressing cells, leading to the speculation that they may bind this mutant form of Smo less well than the wild-type form <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B17">17</abbr></abbrgrp>. We sought to determine whether the Hh agonist binds Smo<sup>act</sup> with a higher affinity, an observation seen with certain ligands and constitutively active mutants of GPCRs <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. To perform this experiment, we isolated membranes from cells transfected with a cDNA construct encoding a tryptophan-to-leucine mutation at residue 539 (W539L) of murine Smo. This oncogenic mutation has been found in human basal cell carcinoma <abbrgrp><abbr bid="B3">3</abbr></abbrgrp> and the correspondingly mutated protein is capable of ligand-independent activation of the Hh pathway in cell-culture assays <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>. A kinetic and saturation binding assay with Smo<sup>act</sup>-containing membranes showed that this mutant protein binds the Hh agonist with an affinity identical to that of Smo<sup>wt</sup> (data not shown).</p>
            <p>Using Smo<sup>act</sup>- and Smo<sup>wt</sup>-containing membranes, we then performed competition binding studies by adding increasing concentrations of unlabeled Hh-Ag 1.5, KAAD-cyclopamine or Cur61414 in the presence of [<sup>3</sup>H]-Hh-Ag 1.5 (0.4 nM). These binding curves (Figure <figr fid="F7">7d</figr>) can be fit to a single-site competition model. Although the K<sub>i</sub> for Hh-Ag 1.5 on Smo<sup>act</sup>-containing membranes was essentially identical to that observed for Smo<sup>wt</sup>-containing membranes (approximately 0.5 nM), the K<sub>i</sub> values of the Hh antagonists were seven-fold higher on the Smo<sup>act</sup>- compared to the Smo<sup>wt</sup>-containing membranes for both KAAD-cyclopamine (38.3 nM versus 5.8 nM) and Cur61414 (309 nM versus 44 nM). These results strongly support the model, initially hypothesized for cyclopamine <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>, that the reduced potency observed for Hh antagonists on Smo<sup>act</sup>-expressing cells is directly due to a reduced affinity of the antagonist for the mutated Smo protein. The agonist, on the other hand, would be predicted to bind to a site on Smo that is not affected by this gain-of-function Smo<sup>act</sup> mutation.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Hh signal transduction has been the focus of intense research over the past decade due to the central role it plays in development and its emerging biomedical relevance in areas ranging from regenerative medicine to oncology <abbrgrp><abbr bid="B2">2</abbr><abbr bid="B30">30</abbr></abbrgrp>. Our goal in these studies was to isolate and characterize small-molecule modulators of Hh signaling in order to understand better the regulation of pathway activation and to generate potential therapeutics. Our work shows firstly that it is possible to identify potent small molecule agonists of Hh signaling, secondly that these compounds can mimic the effects of recombinant Hh protein in multiple assays used to define the properties of Hh signaling, thirdly that these compounds act by binding directly to Smo, and finally that two Ptc-independent inhibitors of Hh signaling compete for this binding to Smo, strongly suggesting they too act directly on Smo.</p>
         <sec>
            <st>
               <p>Models of Smo-ligand interaction</p>
            </st>
            <p>To interpret the results of the competition binding studies, we assume that the mutation in Smo<sup>act</sup>, like those in constitutively activate mutants of other GPCRs <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>, indirectly influences ligand binding by creating a change in the normal equilibrium between the different conformations of Smo. Thus, the mutation would not directly influence the binding pocket for either ligand. A simple two-state model (Figure <figr fid="F8">8a</figr>) predicts that the agonist (Ag, green square) and the antagonist (Ant, pink circle) compete for the same site on Smo to activate or inactivate Hh-pathway signaling. It also suggests that antagonists should bind Smo<sup>act</sup> with a lower affinity than they bind Smo<sup>wt</sup>, while the agonist should bind with a higher affinity, as it prefers the active conformation. Such a model cannot accommodate our observations with the gain-of-function Smo mutant. Thus we introduce a ternary complex model (Figure <figr fid="F8">8b</figr>), used traditionally to describe the behavior of GPCRs in binding studies with agonist and antagonists <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>, as well as constitutively active receptors <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. The ternary complex model for Hh signaling suggests that there are two independent binding sites on Smo<sup>wt</sup>, one specific for the agonist and another specific for antagonists. Binding at either site would decrease the affinity for interactions at the other site (allosteric binding with high negative cooperativity). The agonist-bound form represents the normal activated state, while the antagonist-bound form is considered the inactive conformation. There are also other conformations that would not be bound, or would be transiently bound, by both ligands. A signaling pathway coupler, or effector (in blue), is proposed to bind the activated state of Smo<sup>wt</sup> so as to generate a complex competent to initiate Hh signaling. Throughout the discussion the term 'coupler/effector' is used to describe an unknown molecule that binds activated Smo in such a way as to trigger signal transduction. The model further suggests that the Smo<sup>act</sup> protein resides in a stable conformation in the absence of agonist that is capable of forming an active coupler/effector complex resistant to antagonist, but not agonist, binding.</p>
            <fig id="F8">
               <title>
                  <p>Figure 8</p>
               </title>
               <caption>
                  <p>Models of small-molecule modulators binding to Smo</p>
               </caption>
               <text>
                  <p>Models of small-molecule modulators binding to Smo. <b>(a)</b> The two-state model shows direct competition for a single binding site between the agonist (Ag, green square) and the antagonist (Ant, pink circle). <b>(b)</b> The ternary complex model suggests that there are two independent sites, and that agonist and antagonists are in a dynamic equilibrium (denoted by arrows) between Smo conformers bound at one site, both sites or not bound by ligand. On the basis of experimental data, binding at either site would decrease the affinity of interaction at the other site (allosteric binding with high negative cooperativity). A hypothetical signal transduction coupler, or effector, (the blue structure labeled X) is introduced in the ternary complex model. A coupler/effector-bound form is considered to be the active signaling complex. According to the model, only single active agonist-bound species of Smo<sup>wt</sup> is seen (bottom left). For Smo<sup>act</sup> (bottom right), the model predicts that the activating point mutation, W539L, results in a stable, distorted form of Smo that binds the antagonist poorly and has an increased affinity for the coupler/effector, even in the absence of agonist, thus leading to elevated basal signaling. This mutant form can nevertheless bind agonist and assume a conformation like that of the normal activated Smo<sup>wt</sup>. Residue 539 is designated as either W for Smo<sup>wt</sup> or as L in the Smo<sup>act</sup> mutant.</p>
               </text>
               <graphic file="1475-4924-1-10-8"/>
            </fig>
            <p>Specifically, our data suggest that the agonist binds and stabilizes (or induces) an active signaling state of Smo while the antagonists bind and stabilize (or induce) an inactive form. Furthermore, the gain-of-function Smo mutation renders the protein less sensitive to the inhibitors, presumably because the amino-acid substitution directly stabilizes or induces an active conformation. On the basis of a simple two-state model, one might predict an increased affinity of the agonist for the mutant form, but in our studies binding of the agonist, unlike the antagonist, is not affected by the activating mutation, suggesting that a more complex model requiring two binding sites and perhaps multiple active conformations is needed to account for the observations. Thus, we propose a variation of the classic 'ternary complex model' (Figure <figr fid="F8">8</figr>), a decades-old paradigm that has provided the foundation for describing ligand induced conformational changes of GPCRs <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>.</p>
            <p>Briefly, if this model is applied to Hh signaling, it proposes that, firstly, agonist and antagonists act at independent sites to select active and inactive conformations of Smo; secondly, that Smo engages an undefined coupler/effector, when it is in its signaling state; and finally, that the gain-of-function mutant form of Smo, Smo<sup>act</sup>, adopts an abnormal conformation that resembles the coupler/effector-bound signaling state of Smo with low affinity for antagonists but normal affinity for the agonist.</p>
         </sec>
         <sec>
            <st>
               <p>Activating Hh signaling through the GPCR-like Smo receptor</p>
            </st>
            <p>As a receptor class, GPCRs are considered excellent drug targets because they are often regulated through interactions with small natural ligands <abbrgrp><abbr bid="B32">32</abbr><abbr bid="B33">33</abbr></abbrgrp>. Specifically, studies of classic GPCRs, such as the &#946;-adrenergic receptors, show that in the absence of endogenous ligand (agonists) these receptors exist in multiple interconvertible conformations that are predominately inactive <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>. Upon exposure to their natural ligands, however, the active receptor forms are preferentially stabilized, allowing them to readily engage G-protein couplers and to create signaling-competent complexes. Multiple compound classes have been isolated on the basis of their ability to compete for the binding of &#946;-adrenergic receptors by their natural ligands. These competitors can mimic the natural ligand activity (agonists) or interfere with it (antagonists).</p>
            <p>In addition to the binding sites for natural or endogenous agonists (orthosteric sites), many GPCRs have also been found to have allosteric sites <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. These sites can bind natural ligands, as in the case of Zn ions and heparin for the dopamine and neurokinin receptors, respectively, or bind synthetic drugs such gallamine, in the case of the muscarinic receptors <abbrgrp><abbr bid="B35">35</abbr></abbrgrp>. Binding of small molecules to these allosteric sites can modulate activity of a receptor without directly mimicking or competing out the interaction of ligands to the orthosteric sites. In summary, GPCRs have an array of potential regulatory binding sites, or potential drug targets.</p>
            <p>How does Smo compare with other GPCRs with regard to the properties described above? Although there is clear structural homology between Smo and other GPCRs, endogenous ligands have yet to be discovered. Early models of Hh signaling proposed a Hh-regulated Ptc-Smo complex that directly controlled the conformation of Smo, making endogenous ligands unnecessary. But recent studies argue against this stoichiometric model <abbrgrp><abbr bid="B5">5</abbr><abbr bid="B36">36</abbr></abbrgrp>, indicating that perhaps natural ligands should be considered. Furthermore, regarding G-protein-effector coupling for Smo, the results are also equivocal. Although no compelling data have been presented that directly link classic G-protein activation <abbrgrp><abbr bid="B37">37</abbr></abbrgrp> to the canonical Hh pathway involving Ci/Gli stimulation <abbrgrp><abbr bid="B2">2</abbr></abbrgrp>, recent studies show that under certain conditions Smo can engage G-protein subunits in a Ptc-dependent manner <abbrgrp><abbr bid="B38">38</abbr></abbrgrp> and that G-protein-mediated cAMP modulation may underlie certain effects of Hh on neuronal tissue <abbrgrp><abbr bid="B39">39</abbr></abbrgrp>.</p>
            <p>Finally, with respect to pharmacological properties, our studies indicate that Smo behaves like a classic GPCR in many regards and that the models used to describe this large family of receptors can be applied to Hh signaling (Figure <figr fid="F8">8</figr>). Two relatively novel concepts for Hh signaling are raised by these GPCR models: firstly, the importance of considering the active Smo-coupler/effector complexes when modeling pathway regulation, and secondly the potential for endogenous ligands in the regulation of Smo activity.</p>
         </sec>
         <sec>
            <st>
               <p>GPCR models for Smo and potential mechanisms of Ptc function</p>
            </st>
            <p>A recent study in <it>Drosophila</it> suggested that Hh stimulates the pathway via Ptc degradation and, as a result, Smo is stabilized through extensive phosphorylation at the plasma membrane where it initiates signaling <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>. This led to speculation that a Ptc-regulated phosphatase may control the subcellular distribution and stability of Smo <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>. Although suggestive, the studies in <it>Drosophila</it> did not establish that phosphorylation, translocation or stabilization of Smo is required for pathway stimulation. It is plausible that some or all of these effects on Smo result from a feedback inhibition mechanism that targets the activated Smo receptor. Interestingly, while we did observe stabilization of Smo by Hh in our mammalian cell experiments (Figure <figr fid="F5">5</figr>), we did not detect Smo phosphorylation or translocation to the plasma membrane (data not shown). Perhaps the cellular (or species) context dictates the degree to which the active conformations of Smo are associated with such changes. Thus, in considering models of Ptc function based on Hh-stimulated effects it is important to consider whether the form of Smo that is being observed is the active (coupler/effector bound) signaling state, or perhaps a downregulated and inactive form.</p>
            <p>Several potential points for regulation by Ptc during the formation of a Smo-coupler/effector complex are apparent in a ternary complex model. The ideas proposed for the <it>Drosophila</it> system, in which Ptc may affect the levels of Smo or its subcellular localization, are easily accommodated. Ptc-induced instability of Smo protein would indirectly reduce the concentration of an active Smo-coupler/effector complex. Furthermore, limiting access of Smo to its effector through targeted vesicle trafficking would prevent a signaling-competent complex from forming. Alternatively, Ptc could more directly maintain Smo in an inactive state. On the basis of our studies it is tempting to speculate that native small molecules with properties similar to our agonist and antagonists act directly on Smo in a Ptc-dependent manner. These putative endogenous Smo modulators could represent orthosteric or allosteric ligands.</p>
            <p>The simplest model would have Ptc acting catalytically to dock a natural antagonist directly onto (or remove an agonist from) Smo. A more complex model would involve Ptc restricting the distribution of Smo such that it is forced into compartments containing the natural antagonists or lacking the natural agonists. Finally, Ptc could control the distribution of the endogenous small-molecule modulators themselves. Ptc shares sequence homology with molecules associated with vesicle trafficking and transporter activity, namely SCAP and NPC1 <abbrgrp><abbr bid="B36">36</abbr><abbr bid="B40">40</abbr><abbr bid="B41">41</abbr><abbr bid="B42">42</abbr></abbrgrp>; if it also shares the activities of these molecules, as suggested by a recent study <abbrgrp><abbr bid="B36">36</abbr></abbrgrp>, then the possibility of the existence of endogenous Smo ligands that are docked via Ptc should be explored.</p>
         </sec>
         <sec>
            <st>
               <p>Therapeutic potential of a Hh-pathway agonist</p>
            </st>
            <p>Various studies in mammals have shown that <it>Hh</it> genes are expressed in discrete areas of the adult organism and may function in the normal maintenance of mature organ systems <abbrgrp><abbr bid="B43">43</abbr><abbr bid="B44">44</abbr><abbr bid="B45">45</abbr><abbr bid="B46">46</abbr></abbrgrp>. In addition, the regenerative healing of vascular and skeletal tissues following acute injuries appears to be aided by re-activating the Hh-signaling cascade <abbrgrp><abbr bid="B47">47</abbr><abbr bid="B48">48</abbr></abbrgrp>. Taken together, these observations suggest that the Hh pathway may represent a point of intervention for treating certain degenerative disorders. Two recent studies in models of Parkinson's disease and peripheral nerve damage support this claim, by demonstrating that pathway activation with a Hh-protein ligand has therapeutic value <abbrgrp><abbr bid="B49">49</abbr><abbr bid="B50">50</abbr></abbrgrp>. On the basis of our current understanding of these models and the specific mechanism of action of the Hh agonists, we predict that an agonist-derivative with low toxicity and favorable pharmacokinetics would replicate these positive results. As a drug, a Hh agonist would represent an attractive alternative to an expensive Hh-protein therapeutic. Beyond the economics, for disorders of the central nervous system a small molecule with the potential to cross the blood-brain barrier would eliminate the need for injections directly into the brain, the current delivery mode for central nervous system protein therapies.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Materials and methods</p>
         </st>
         <sec>
            <st>
               <p>Chemical libraries and medicinal chemistry</p>
            </st>
            <p>The compound libraries used in our screens were purchased from a number of commercial vendors and were primarily generated by combinatorial chemistry approaches. The Hh-agonist class was isolated from a library synthesized by Oxford Asymmetry International, now EvotecOAI. The derivatization of this compound class utilized standard procedures, the details of which will be published elsewhere.</p>
         </sec>
         <sec>
            <st>
               <p>Cultured cell line assays</p>
            </st>
            <p>TM3 and C3H10T1/2 cells (ATCC; Manassas, USA) were maintained according to the instructions of ATCC. Stable Hh-signaling reporter cell lines were established by G418 selection following transfection with a luciferase reporter plasmid <abbrgrp><abbr bid="B20">20</abbr></abbrgrp> containing the neomycin-resistance gene. Hh signaling was monitored by plating cells at 70% confluence in growth medium. After 24 hours the cells were changed to 0.5% serum-containing medium, and Hh protein or compounds were added; 24 hours later the cells were either monitored for luciferase activity using the Luc-lite assay kit (Packard Instrument Company, Meriden, USA) or harvested for RNA isolation using an RNA isolation kit (Qiagen; Valencia, USA). RNA was subjected to quantitative RT-PCR analysis (Taqman; Applied Biosystems, Foster City, USA) utilizing <it>Gli1, Ptc1</it> and <it>GAPDH</it> primers and probes. Assays were run on a Prism 7700 instrument (ABI; Applied Biosystems).</p>
         </sec>
         <sec>
            <st>
               <p>Recombinant Hh protein</p>
            </st>
            <p>The Hh protein used in the studies described here was bacterially overexpressed amino-terminal human Shh modified at its amino-terminal cysteine by an octyl maleimide moiety <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. This lipophilic Shh form showed comparable potency to native Shh in the cell-based reporter assay (data not shown).</p>
         </sec>
         <sec>
            <st>
               <p>Retroviral cell lines</p>
            </st>
            <p>Mouse <it>Smo</it> and <it>Ptc1</it> genes were introduced by a retroviral approach utilizing the pLPCX vector (Clontech; Palo Alto, USA) to limit the copy number per cell. Stable HA-Smo and Ptc-GFP lines were established by puromycin selection following infection of TM3 cells with the respective retroviruses. TM3 cells expressing both epitope-tagged Ptc and Smo were derived by infecting first with an HA-Smo construct and subsequently with a Ptc-GFP construct. The levels of Ptc were relatively low in these lines and a standard immunoprecipitation procedure followed by western blotting was required to detect the Ptc-GFP protein. The HA-Smo protein was highly expressed and was easily detected in western blots of whole cell extracts. The HA tag was sub-cloned into the <it>Smo</it> gene so that it would reside immediately after the Smo signal sequence. The GFP tag was inserted before the stop codon of the <it>Ptc</it> open reading frame.</p>
         </sec>
         <sec>
            <st>
               <p><it>In utero</it> Hh-signaling assays</p>
            </st>
            <p>Generation of <it>Ptc1</it><sup><it>lacZ</it></sup>, <it>Shh</it> and <it>Smo</it> mutant mice has been described previously <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>. <it>Ptc1</it><sup><it>lacZ</it>/+</sup> mice were kindly provided by Matthew Scott. <it>Shh</it><sup>+/-</sup> and <it>Smo</it><sup>+/-</sup> mice were kindly provided by Andrew McMahon. Agonist solution was prepared in fine suspension in 0.5% methylcellulose/0.2% Tween 80 at 1.5 mg/ml. Compound was administered by oral gavage to pregnant mice once a day for two days at 100 &#956;l per 10 g body weight. Embryos were collected 24 hours later. Whole-mount <it>in situ</it> hybridization with <it>Ptc1</it> probe and X-gal staining for whole-mount &#946;-galactosidase detection were performed as described <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. For histology, embryos stained with X-gal were post-fixed in 4% paraformaldehyde, wax-embedded, and 20 &#956;m sections were prepared.</p>
         </sec>
         <sec>
            <st>
               <p>Primary cerebellar cultures</p>
            </st>
            <p>Cerebellar neurons were dissected out of postnatal (one week) rat brains, and placed into primary cell culture. Briefly, cells were placed in 96-well plates at a density of approximately 150,000 cells per well in basal medium of Eagle (Gibco; Carlsbad, USA) supplemented with 26 mM KCl, 2 mM glutamine and 10% calf serum. Treatment agents were added once, on the first day of culture (0 DIV). Cells were left in culture until 2 DIV, when [<sup>3</sup>H]-thymidine was added for 5 hours. Cells were then lysed, and the incorporation of [<sup>3</sup>H]-thymidine was determined by scintillation counting.</p>
         </sec>
         <sec>
            <st>
               <p>Neural plate explant assay</p>
            </st>
            <p>Intermediate regions of the open neural tube (i-explants) were dissected from stage 10-11 chick embryos and embedded in collagen gel <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Explants were cultured in Ham-F12 supplemented with 3 g/l D-glucose, Mito Serum Extender (Collaborative Research; Bedford, USA), penicillin/streptomycin (Gibco), 2 mM L-glutamine (Gibco) and Hh-Ag 1.3 (0.1, 1, 10, 20, 200 and 1000 nM prepared as 1000X stocks in DMSO; n = 6 explants). As a control, some explants were cultured with vehicle alone or with octylated Hh-N recombinant protein. Cultures were fixed after 22 hours, stained with mouse monoclonal antibodies against Pax7, MNR2 or rabbit polyclonal antibodies against Nkx2.2 and the number of immunoreactive cells per explant counted.</p>
         </sec>
         <sec>
            <st>
               <p>Whole cell/immunocomplex binding assay</p>
            </st>
            <p>Cultured cells - 70% confluent 293T cells in 6-well plates - were either left untransfected or transfected using Fugene6 with a pCDNA3.1 construct containing HA-tagged Smo or v5-epitope tagged &#946;2AR (Invitrogen; Carlsbad, USA). After 48 hours cells were switched from 10% fetal bovine serum containing DME media to 0.5% FBS containing media supplemented with either 5 nM [<sup>3</sup>H]-Hh-Ag 1.5 alone or 5 nM [<sup>3</sup>H]-agonist plus 5 &#956;M of various competitors (see Results). After 2 hours of incubation at 37&#176;C, cells were washed one time with PBS and subsequently lysed in 0.5 ml of lysis/wash buffer containing 1% NP40 in Tris-buffered saline plus an EDTA-free protease inhibitor cocktail (Roche; Indianapolis, USA) for 20 minutes at 4&#176;C. Cell extracts were spun at 14,000 rpm in a microcentrifuge and supernatants were incubated for 40-60 minutes with either anti-HA beads (Roche) or anti-v5 antibody (Invitrogen) and Protein A beads (Pierce; Rockford, USA) to form immunocomplexes. Immunobeads were then spun down and washed three times with 0.5 ml lysis/wash buffer per wash. The washed pellets were then resuspended in SDS sample buffer and combined with scintillation fluid. Counts per minute (cpm) for each sample were then determined in a scintillation counter (Packard topcount).</p>
         </sec>
         <sec>
            <st>
               <p>Membrane binding assays</p>
            </st>
            <p>Membranes were prepared as follows. Briefly, approximately 10<sup>8</sup> cells were transfected with pcDNA 3.1 constructs (Invitrogen) bearing either murine <it>Smo</it> (wild-type or W539L mutant), GFP, rat &#946;2AR (Invitrogen), or murine <it>Ptc</it> cDNAs using Fugene 6 (Roche). After 48 hours cells were harvested by scraping in PBS, centrifuged at 1,000 &#215; <it>g</it> for 10 minutes, and gently resuspended in around 10 ml of a 50 mM Tris pH 7.5, 250 mM sucrose buffer containing an EDTA-free protease inhibitor cocktail (Roche). This cell suspension was then placed in a nitrogen cavitation device (Parr Instrument Co, Moline, USA) and exposed to nitrogen gas (230 psi) for 10 minutes. Lysed cells were released from the device and centrifuged at 20,000 rpm in an SS34 rotor for 20 minutes at 4&#176;C. Supernatants were discarded and the pellets were resuspended in 10% sucrose, 50 mM Tris pH 7.5, 5 mM MgCl, 1 mM EDTA solution using three 10-second pulses with a Polytron (Brinkman; Westbury, USA) at a power setting of 12. Using these membranes, filtration binding assays were performed according to previously described protocols <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. To reduce nonspecific binding, 96-well filtration plates (fiberglass FB filters; Millipore, Bedford, USA) were pre-coated as suggested by the manufacturer with 0.5% polyethyleneimine + 0.1% BSA and then washed four times with 0.1% BSA.</p>
            <p>For association and dissociation studies, membranes (1.5 &#956;g total protein) were incubated in polypropylene tubes with 2 nM [<sup>3</sup>H]-Hh-Ag 1.5 in the presence or absence of 2 &#956;M competitor in binding buffer (50 mM Tris pH 7.5, 5 mM MgCl, 1 mM EDTA, 0.1 % bovine serum albumin) plus EDTA-free protease inhibitor cocktail (Roche) in a final volume of 250 &#956;l for 1-26 hours at 37&#176;C. For saturation and competition binding analysis, membranes (1.5 &#956;g total protein) were incubated on the plates with various concentrations of the [<sup>3</sup>H]-Hh-Ag 1.5 (plus and minus competitors) in binding buffer plus EDTA-free protease inhibitor cocktail (Roche) at a final volume of 1 ml for approximately 45 hours at 37&#176;C to allow binding to reach apparent equilibrium. Binding reaction mixtures (0.2 ml for association/dissociation studies and 0.75 ml in saturation and competition experiments) were then transferred to the pre-coated 96-well filtration plates (Millipore fiberglass FB filters), filtered and washed over a vacuum manifold with six 300 &#956;l per well washes of binding buffer supplemented with 2% hydoxypropyl cyclodextrin (HPCD; Sigma; ST Louis, USA) + 0.1% BSA to decrease non-specific binding. Identical results were obtained if incubations were done in borosilicate glass or siliconized plastic tubes. Centrifugation assays were also performed that replicate the filtration assay results (data not shown). Additionally, these experiments showed that the extent of ligand depletion was less than 10% in these studies. Binding-kinetics experiments were performed similarly to the saturation and competition studies. All binding data were evaluated using a nonlinear regression analysis program (Prism; GraphPad; San Diego, USA). K<sub>i</sub> values were calculated using the Cheng-Prusoff correction equation <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>, where K<sub>i</sub> = IC<sub>50</sub>/1+ [L]/K<sub>d</sub>, and K<sub>d</sub> for Hh-Ag 1.5 was determined to be 0.37 nM by the saturation analysis.</p>
         </sec>
         <sec>
            <st>
               <p>Note added in proof</p>
            </st>
            <p>Related results demonstrating the action of cyclopamine on Smo have been reported by Beachy and colleagues <abbrgrp><abbr bid="B51">51</abbr><abbr bid="B52">52</abbr></abbrgrp>.</p>
         </sec>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgments</p>
            </st>
            <p>We thank Douglas Melton, Andrew McMahon, Thomas Jessell and Phillip Beachy for comments on the manuscript. Shh-, Smo- and Ptc-transgenic lines were graciously provided by the labs of Andrew McMahon and Matthew Scott. We thank James Chen and Phillip Beachy for providing us with KAAD-cyclopamine and for sharing their observations that cyclopamine and its derivatives bind directly to Smoothened and that our agonists compete this interaction. Superior medicinal chemistry support as well as screening libraries were provided by Larry Kruse, Andy Boyd, Steven Price and the team at Evotec/Oxford Asymmetry International.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Mutations affecting segment number and polarity in <it>Drosophila</it>.</p>
            </title>
            <aug>
               <au>
                  <snm>Nusslein-Volhard</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Wieschaus</snm>
                  <fnm>E</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1980</pubdate>
            <volume>287</volume>
            <fpage>795</fpage>
            <lpage>801</lpage>
            <xrefbib>
               <pubid idtype="pmpid">6776413</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>Hedgehog signaling in animal development: paradigms and principles.</p>
            </title>
            <aug>
               <au>
                  <snm>Ingham</snm>
                  <fnm>PW</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>AP</fnm>
               </au>
            </aug>
            <source>Genes Dev</source>
            <pubdate>2001</pubdate>
            <volume>15</volume>
            <fpage>3059</fpage>
            <lpage>3087</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1101/gad.938601</pubid>
                  <pubid idtype="pmpid" link="fulltext">11731473</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Activating Smoothened mutations in sporadic basal-cell carcinoma.</p>
            </title>
            <aug>
               <au>
                  <snm>Xie</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Murone</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Luoh</snm>
                  <fnm>SM</fnm>
               </au>
               <au>
                  <snm>Ryan</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Gu</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Zhang</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Bonifas</snm>
                  <fnm>JM</fnm>
               </au>
               <au>
                  <snm>Lam</snm>
                  <fnm>CW</fnm>
               </au>
               <au>
                  <snm>Hynes</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Goddard</snm>
                  <fnm>A</fnm>
               </au>
               <etal/>
            </aug>
            <source>Nature</source>
            <pubdate>1998</pubdate>
            <volume>391</volume>
            <fpage>90</fpage>
            <lpage>92</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/34201</pubid>
                  <pubid idtype="pmpid" link="fulltext">9422511</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>The tumour-suppressor gene <it>patched</it> encodes a candidate receptor for Sonic hedgehog.</p>
            </title>
            <aug>
               <au>
                  <snm>Stone</snm>
                  <fnm>DM</fnm>
               </au>
               <au>
                  <snm>Hynes</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Armanini</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Swanson</snm>
                  <fnm>TA</fnm>
               </au>
               <au>
                  <snm>Gu</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Johnson</snm>
                  <fnm>RL</fnm>
               </au>
               <au>
                  <snm>Scott</snm>
                  <fnm>MP</fnm>
               </au>
               <au>
                  <snm>Pennica</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Goddard</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Phillips</snm>
                  <fnm>H</fnm>
               </au>
               <etal/>
            </aug>
            <source>Nature</source>
            <pubdate>1996</pubdate>
            <volume>384</volume>
            <fpage>129</fpage>
            <lpage>134</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/384129a0</pubid>
                  <pubid idtype="pmpid">8906787</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>Hedgehog induces opposite changes in turnover and subcellular localization of patched and smoothened.</p>
            </title>
            <aug>
               <au>
                  <snm>Denef</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Neubuser</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Perez</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Cohen</snm>
                  <fnm>SM</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>2000</pubdate>
            <volume>102</volume>
            <fpage>521</fpage>
            <lpage>531</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10966113</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Use of kinase inhibitors to dissect signaling pathways.</p>
            </title>
            <aug>
               <au>
                  <snm>Cuenda</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Alessi</snm>
                  <fnm>DR</fnm>
               </au>
            </aug>
            <source>Methods Mol Biol</source>
            <pubdate>2000</pubdate>
            <volume>99</volume>
            <fpage>161</fpage>
            <lpage>175</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1385/1-59259-054-3:161</pubid>
                  <pubid idtype="pmpid" link="fulltext">10909084</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Development of anticancer drugs targeting the MAP kinase pathway.</p>
            </title>
            <aug>
               <au>
                  <snm>Sebolt-Leopold</snm>
                  <fnm>JS</fnm>
               </au>
            </aug>
            <source>Oncogene</source>
            <pubdate>2000</pubdate>
            <volume>19</volume>
            <fpage>6594</fpage>
            <lpage>6599</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.onc.1204083</pubid>
                  <pubid idtype="pmpid" link="fulltext">11426644</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>p38 mitogen-activated protein kinase inhibitors - mechanisms and therapeutic potentials.</p>
            </title>
            <aug>
               <au>
                  <snm>Lee</snm>
                  <fnm>JC</fnm>
               </au>
               <au>
                  <snm>Kassis</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Kumar</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Badger</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Adams</snm>
                  <fnm>JL</fnm>
               </au>
            </aug>
            <source>Pharmacol Ther</source>
            <pubdate>1999</pubdate>
            <volume>82</volume>
            <fpage>389</fpage>
            <lpage>397</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0163-7258(99)00008-X</pubid>
                  <pubid idtype="pmpid">10454214</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Teratogen-mediated inhibition of target tissue response to Shh signaling.</p>
            </title>
            <aug>
               <au>
                  <snm>Cooper</snm>
                  <fnm>MK</fnm>
               </au>
               <au>
                  <snm>Porter</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Young</snm>
                  <fnm>KE</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>1998</pubdate>
            <volume>280</volume>
            <fpage>1603</fpage>
            <lpage>1607</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.280.5369.1603</pubid>
                  <pubid idtype="pmpid" link="fulltext">9616123</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>The teratogenic <it>Veratrum</it> alkaloid cyclopamine inhibits sonic hedgehog signal transduction.</p>
            </title>
            <aug>
               <au>
                  <snm>Incardona</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <snm>Gaffield</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Kapur</snm>
                  <fnm>RP</fnm>
               </au>
               <au>
                  <snm>Roelink</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Development</source>
            <pubdate>1998</pubdate>
            <volume>125</volume>
            <fpage>3553</fpage>
            <lpage>3562</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9716521</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Effects of oncogenic mutations in Smoothened and Patched can be reversed by cyclopamine.</p>
            </title>
            <aug>
               <au>
                  <snm>Taipale</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>JK</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>MK</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Mann</snm>
                  <fnm>RK</fnm>
               </au>
               <au>
                  <snm>Milenkovic</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Scott</snm>
                  <fnm>MP</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>2000</pubdate>
            <volume>406</volume>
            <fpage>1005</fpage>
            <lpage>1009</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/35023008</pubid>
                  <pubid idtype="pmpid" link="fulltext">10984056</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Hedgehog-dependent oligodendrocyte lineage specification in the telencephalon.</p>
            </title>
            <aug>
               <au>
                  <snm>Tekki-Kessaris</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Woodruff</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Hall</snm>
                  <fnm>AC</fnm>
               </au>
               <au>
                  <snm>Gaffield</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Kimura</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Stiles</snm>
                  <fnm>CD</fnm>
               </au>
               <au>
                  <snm>Rowitch</snm>
                  <fnm>DH</fnm>
               </au>
               <au>
                  <snm>Richardson</snm>
                  <fnm>WD</fnm>
               </au>
            </aug>
            <source>Development</source>
            <pubdate>2001</pubdate>
            <volume>128</volume>
            <fpage>2545</fpage>
            <lpage>2554</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11493571</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Sonic hedgehog regulates gastric gland morphogenesis in man and mouse.</p>
            </title>
            <aug>
               <au>
                  <snm>van den Brink</snm>
                  <fnm>GR</fnm>
               </au>
               <au>
                  <snm>Hardwick</snm>
                  <fnm>JC</fnm>
               </au>
               <au>
                  <snm>Tytgat</snm>
                  <fnm>GN</fnm>
               </au>
               <au>
                  <snm>Brink</snm>
                  <fnm>MA</fnm>
               </au>
               <au>
                  <snm>Ten Kate</snm>
                  <fnm>FJ</fnm>
               </au>
               <au>
                  <snm>Van Deventer</snm>
                  <fnm>SJ</fnm>
               </au>
               <au>
                  <snm>Peppelenbosch</snm>
                  <fnm>MP</fnm>
               </au>
            </aug>
            <source>Gastroenterology</source>
            <pubdate>2001</pubdate>
            <volume>121</volume>
            <fpage>317</fpage>
            <lpage>328</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11487541</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>Pancreas development is promoted by cyclopamine, a hedgehog signaling inhibitor.</p>
            </title>
            <aug>
               <au>
                  <snm>Kim</snm>
                  <fnm>SK</fnm>
               </au>
               <au>
                  <snm>Melton</snm>
                  <fnm>DA</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <pubdate>1998</pubdate>
            <volume>95</volume>
            <fpage>13036</fpage>
            <lpage>13041</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">23700</pubid>
                  <pubid idtype="pmpid" link="fulltext">9789036</pubid>
                  <pubid idtype="doi">10.1073/pnas.95.22.13036</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>Essential role for Sonic hedgehog during hair follicle morphogenesis.</p>
            </title>
            <aug>
               <au>
                  <snm>Chiang</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Swan</snm>
                  <fnm>RZ</fnm>
               </au>
               <au>
                  <snm>Grachtchouk</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Bolinger</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Litingtung</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Robertson</snm>
                  <fnm>EK</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>MK</fnm>
               </au>
               <au>
                  <snm>Gaffield</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Westphal</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
               <au>
                  <snm>Dlugosz</snm>
                  <fnm>AA</fnm>
               </au>
            </aug>
            <source>Dev Biol</source>
            <pubdate>1999</pubdate>
            <volume>205</volume>
            <fpage>1</fpage>
            <lpage>9</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/dbio.1998.9103</pubid>
                  <pubid idtype="pmpid" link="fulltext">9882493</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>The concentric structure of the developing gut is regulated by Sonic hedgehog derived from endodermal epithelium.</p>
            </title>
            <aug>
               <au>
                  <snm>Sukegawa</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Narita</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kameda</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Saitoh</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Nohno</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Iba</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Yasugi</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Fukuda</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Development</source>
            <pubdate>2000</pubdate>
            <volume>127</volume>
            <fpage>1971</fpage>
            <lpage>1980</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10751185</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>Identification of novel inhibitors of the hedgehog signaling pathway: Effects on basal cell carcinoma-like lesions.</p>
            </title>
            <aug>
               <au>
                  <snm>Williams</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Guicherit</snm>
                  <fnm>OM</fnm>
               </au>
               <au>
                  <snm>Zaharian</snm>
                  <fnm>BI</fnm>
               </au>
               <au>
                  <snm>Xu</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Chai</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Gatchalian</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Porter</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Rubin</snm>
                  <fnm>LL</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>FY</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <inpress/>
         </bibl>
         <bibl id="B18">
            <title>
               <p>A small, nonpeptidyl mimic of granulocyte colony-stimulating factor.</p>
            </title>
            <aug>
               <au>
                  <snm>Tian</snm>
                  <fnm>SS</fnm>
               </au>
               <au>
                  <snm>Lamb</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>King</snm>
                  <fnm>AG</fnm>
               </au>
               <au>
                  <snm>Miller</snm>
                  <fnm>SG</fnm>
               </au>
               <au>
                  <snm>Kessler</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Luengo</snm>
                  <fnm>JI</fnm>
               </au>
               <au>
                  <snm>Averill</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Johnson</snm>
                  <fnm>RK</fnm>
               </au>
               <au>
                  <snm>Gleason</snm>
                  <fnm>JG</fnm>
               </au>
               <au>
                  <snm>Pelus</snm>
                  <fnm>LM</fnm>
               </au>
               <etal/>
            </aug>
            <source>Science</source>
            <pubdate>1998</pubdate>
            <volume>281</volume>
            <fpage>257</fpage>
            <lpage>259</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.281.5374.257</pubid>
                  <pubid idtype="pmpid" link="fulltext">9657720</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>Discovery of a small molecule insulin mimetic with antidiabetic activity in mice.</p>
            </title>
            <aug>
               <au>
                  <snm>Zhang</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Salituro</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Szalkowski</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Li</snm>
                  <fnm>Z</fnm>
               </au>
               <au>
                  <snm>Zhang</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Royo</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Vilella</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Diez</snm>
                  <fnm>MT</fnm>
               </au>
               <au>
                  <snm>Pelaez</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Ruby</snm>
                  <fnm>C</fnm>
               </au>
               <etal/>
            </aug>
            <source>Science</source>
            <pubdate>1999</pubdate>
            <volume>284</volume>
            <fpage>974</fpage>
            <lpage>977</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.284.5416.974</pubid>
                  <pubid idtype="pmpid" link="fulltext">10320380</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>A binding site for Gli proteins is essential for HNF-3beta floor plate enhancer activity in transgenics and can respond to Shh <it>in vitro</it>.</p>
            </title>
            <aug>
               <au>
                  <snm>Sasaki</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Hui</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Nakafuku</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Kondoh</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Development</source>
            <pubdate>1997</pubdate>
            <volume>124</volume>
            <fpage>1313</fpage>
            <lpage>1322</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9118802</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Enhanced potency of human Sonic hedgehog by hydrophobic modification.</p>
            </title>
            <aug>
               <au>
                  <snm>Taylor</snm>
                  <fnm>FR</fnm>
               </au>
               <au>
                  <snm>Wen</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Garber</snm>
                  <fnm>EA</fnm>
               </au>
               <au>
                  <snm>Carmillo</snm>
                  <fnm>AN</fnm>
               </au>
               <au>
                  <snm>Baker</snm>
                  <fnm>DP</fnm>
               </au>
               <au>
                  <snm>Arduini</snm>
                  <fnm>RM</fnm>
               </au>
               <au>
                  <snm>Williams</snm>
                  <fnm>KP</fnm>
               </au>
               <au>
                  <snm>Weinreb</snm>
                  <fnm>PH</fnm>
               </au>
               <au>
                  <snm>Rayhorn</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Hronowski</snm>
                  <fnm>X</fnm>
               </au>
               <etal/>
            </aug>
            <source>Biochemistry</source>
            <pubdate>2001</pubdate>
            <volume>40</volume>
            <fpage>4359</fpage>
            <lpage>4371</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1021/bi002487u</pubid>
                  <pubid idtype="pmpid" link="fulltext">11284692</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>Pax6 controls progenitor cell identity and neuronal fate in response to graded Shh signaling.</p>
            </title>
            <aug>
               <au>
                  <snm>Ericson</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Rashbass</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Schedl</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Brenner-Morton</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Kawakami</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>van Heyningen</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Jessell</snm>
                  <fnm>TM</fnm>
               </au>
               <au>
                  <snm>Briscoe</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>1997</pubdate>
            <volume>90</volume>
            <fpage>169</fpage>
            <lpage>180</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9230312</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B23">
            <title>
               <p>Two critical periods of Sonic Hedgehog signaling required for the specification of motor neuron identity.</p>
            </title>
            <aug>
               <au>
                  <snm>Ericson</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Morton</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Kawakami</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Roelink</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Jessell</snm>
                  <fnm>TM</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>1996</pubdate>
            <volume>87</volume>
            <fpage>661</fpage>
            <lpage>673</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">8929535</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>Specification of motor neuron identity by the MNR2 homeodomain protein.</p>
            </title>
            <aug>
               <au>
                  <snm>Tanabe</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>William</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Jessell</snm>
                  <fnm>TM</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>1998</pubdate>
            <volume>95</volume>
            <fpage>67</fpage>
            <lpage>80</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9778248</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Altered neural cell fates and medulloblastoma in mouse patched mutants.</p>
            </title>
            <aug>
               <au>
                  <snm>Goodrich</snm>
                  <fnm>LV</fnm>
               </au>
               <au>
                  <snm>Milenkovic</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Higgins</snm>
                  <fnm>KM</fnm>
               </au>
               <au>
                  <snm>Scott</snm>
                  <fnm>MP</fnm>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>1997</pubdate>
            <volume>277</volume>
            <fpage>1109</fpage>
            <lpage>1113</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.277.5329.1109</pubid>
                  <pubid idtype="pmpid" link="fulltext">9262482</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Smoothened mutants reveal redundant roles for Shh and Ihh signaling including regulation of L/R asymmetry by the mouse node.</p>
            </title>
            <aug>
               <au>
                  <snm>Zhang</snm>
                  <fnm>XM</fnm>
               </au>
               <au>
                  <snm>Ramalho-Santos</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>AP</fnm>
               </au>
            </aug>
            <source>Cell</source>
            <pubdate>2001</pubdate>
            <volume>105</volume>
            <fpage>781</fpage>
            <lpage>792</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0092-8674(01)00385-3</pubid>
                  <pubid idtype="pmpid" link="fulltext">11440720</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>Cyclopia and defective axial patterning in mice lacking Sonic hedgehog gene function.</p>
            </title>
            <aug>
               <au>
                  <snm>Chiang</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Litingtung</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Lee</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Young</snm>
                  <fnm>KE</fnm>
               </au>
               <au>
                  <snm>Corden</snm>
                  <fnm>JL</fnm>
               </au>
               <au>
                  <snm>Westphal</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>1996</pubdate>
            <volume>383</volume>
            <fpage>407</fpage>
            <lpage>413</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/383407a0</pubid>
                  <pubid idtype="pmpid">8837770</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B28">
            <aug>
               <au>
                  <snm>Enna</snm>
                  <fnm>SJ</fnm>
               </au>
               <au>
                  <snm>Williams</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Ferkany</snm>
                  <fnm>JW</fnm>
               </au>
               <au>
                  <snm>Kenakin</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Porsolt</snm>
                  <fnm>RD</fnm>
               </au>
               <au>
                  <snm>Sullivan</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <cnm>(eds.)</cnm>
               </au>
            </aug>
            <source>Current Protocols in Pharmacology</source>
            <publisher>New York: John Wiley and Sons</publisher>
            <pubdate>2000</pubdate>
         </bibl>
         <bibl id="B29">
            <title>
               <p>A mutation-induced activated state of the beta 2-adrenergic receptor. Extending the ternary complex model.</p>
            </title>
            <aug>
               <au>
                  <snm>Samama</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Cotecchia</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Costa</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Lefkowitz</snm>
                  <fnm>RJ</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1993</pubdate>
            <volume>268</volume>
            <fpage>4625</fpage>
            <lpage>4636</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">8095262</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B30">
            <title>
               <p>The Hedgehog and Wnt signalling pathways in cancer.</p>
            </title>
            <aug>
               <au>
                  <snm>Taipale</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>2001</pubdate>
            <volume>411</volume>
            <fpage>349</fpage>
            <lpage>354</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/35077219</pubid>
                  <pubid idtype="pmpid" link="fulltext">11357142</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B31">
            <title>
               <p>A ternary complex model explains the agonist-specific binding properties of the adenylate cyclase-coupled beta-adrenergic receptor.</p>
            </title>
            <aug>
               <au>
                  <snm>De Lean</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Stadel</snm>
                  <fnm>JM</fnm>
               </au>
               <au>
                  <snm>Lefkowitz</snm>
                  <fnm>RJ</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>1980</pubdate>
            <volume>255</volume>
            <fpage>7108</fpage>
            <lpage>7117</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">6248546</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Orphan G-protein-coupled receptors and natural ligand discovery.</p>
            </title>
            <aug>
               <au>
                  <snm>Howard</snm>
                  <fnm>AD</fnm>
               </au>
               <au>
                  <snm>McAllister</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Feighner</snm>
                  <fnm>SD</fnm>
               </au>
               <au>
                  <snm>Liu</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Nargund</snm>
                  <fnm>RP</fnm>
               </au>
               <au>
                  <snm>Van der Ploeg</snm>
                  <fnm>LH</fnm>
               </au>
               <au>
                  <snm>Patchett</snm>
                  <fnm>AA</fnm>
               </au>
            </aug>
            <source>Trends Pharmacol Sci</source>
            <pubdate>2001</pubdate>
            <volume>22</volume>
            <fpage>132</fpage>
            <lpage>140</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0165-6147(00)01636-9</pubid>
                  <pubid idtype="pmpid" link="fulltext">11239576</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>Novel neurotransmitters as natural ligands of orphan G-protein-coupled receptors.</p>
            </title>
            <aug>
               <au>
                  <snm>Civelli</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Nothacker</snm>
                  <fnm>HP</fnm>
               </au>
               <au>
                  <snm>Saito</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>Z</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>SH</fnm>
               </au>
               <au>
                  <snm>Reinscheid</snm>
                  <fnm>RK</fnm>
               </au>
            </aug>
            <source>Trends Neurosci</source>
            <pubdate>2001</pubdate>
            <volume>24</volume>
            <fpage>230</fpage>
            <lpage>237</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0166-2236(00)01763-X</pubid>
                  <pubid idtype="pmpid" link="fulltext">11250008</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Model systems for the study of seven-transmembrane-segment receptors.</p>
            </title>
            <aug>
               <au>
                  <snm>Dohlman</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Thorner</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Caron</snm>
                  <fnm>MG</fnm>
               </au>
               <au>
                  <snm>Lefkowitz</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Annu Rev Biochem</source>
            <pubdate>1991</pubdate>
            <volume>60</volume>
            <fpage>653</fpage>
            <lpage>688</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1146/annurev.bi.60.070191.003253</pubid>
                  <pubid idtype="pmpid" link="fulltext">1652922</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Allosteric binding sites on cell-surface receptors: novel targets for drug discovery.</p>
            </title>
            <aug>
               <au>
                  <snm>Christopoulos</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>Nat Rev Drug Discov</source>
            <pubdate>2002</pubdate>
            <volume>1</volume>
            <fpage>198</fpage>
            <lpage>210</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/nrd746</pubid>
                  <pubid idtype="pmpid">12120504</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Patched acts catalytically to suppress the activity of Smoothened.</p>
            </title>
            <aug>
               <au>
                  <snm>Taipale</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>MK</fnm>
               </au>
               <au>
                  <snm>Maiti</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Nature</source>
            <pubdate>2002</pubdate>
            <volume>418</volume>
            <fpage>892</fpage>
            <lpage>897</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/nature00989</pubid>
                  <pubid idtype="pmpid" link="fulltext">12192414</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B37">
            <title>
               <p>How receptors talk to trimeric G proteins.</p>
            </title>
            <aug>
               <au>
                  <snm>Bourne</snm>
                  <fnm>HR</fnm>
               </au>
            </aug>
            <source>Curr Opin Cell Biol</source>
            <pubdate>1997</pubdate>
            <volume>9</volume>
            <fpage>134</fpage>
            <lpage>142</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0955-0674(97)80054-3</pubid>
                  <pubid idtype="pmpid">9069253</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B38">
            <title>
               <p>Smoothened activates Galphai-mediated signaling in frog melanophores.</p>
            </title>
            <aug>
               <au>
                  <snm>DeCamp</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Thompson</snm>
                  <fnm>TM</fnm>
               </au>
               <au>
                  <snm>de Sauvage</snm>
                  <fnm>FJ</fnm>
               </au>
               <au>
                  <snm>Lerner</snm>
                  <fnm>MR</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>2000</pubdate>
            <volume>275</volume>
            <fpage>26322</fpage>
            <lpage>26327</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1074/jbc.M004055200</pubid>
                  <pubid idtype="pmpid" link="fulltext">10835429</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>Control of retinal ganglion cell axon growth: a new role for Sonic hedgehog.</p>
            </title>
            <aug>
               <au>
                  <snm>Trousse</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Marti</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Gruss</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Torres</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Bovolenta</snm>
                  <fnm>P</fnm>
               </au>
            </aug>
            <source>Development</source>
            <pubdate>2001</pubdate>
            <volume>128</volume>
            <fpage>3927</fpage>
            <lpage>3936</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11641217</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B40">
            <title>
               <p>Niemann-Pick C1 disease gene: homology to mediators of cholesterol homeostasis.</p>
            </title>
            <aug>
               <au>
                  <snm>Carstea</snm>
                  <fnm>ED</fnm>
               </au>
               <au>
                  <snm>Morris</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Coleman</snm>
                  <fnm>KG</fnm>
               </au>
               <au>
                  <snm>Loftus</snm>
                  <fnm>SK</fnm>
               </au>
               <au>
                  <snm>Zhang</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Cummings</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Gu</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Rosenfeld</snm>
                  <fnm>MA</fnm>
               </au>
               <au>
                  <snm>Pavan</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Krizman</snm>
                  <fnm>DB</fnm>
               </au>
               <etal/>
            </aug>
            <source>Science</source>
            <pubdate>1997</pubdate>
            <volume>277</volume>
            <fpage>228</fpage>
            <lpage>231</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.277.5323.228</pubid>
                  <pubid idtype="pmpid" link="fulltext">9211849</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B41">
            <title>
               <p>Cholesterol homeostasis: ESCAPe from the ER.</p>
            </title>
            <aug>
               <au>
                  <snm>Hampton</snm>
                  <fnm>RY</fnm>
               </au>
            </aug>
            <source>Curr Biol</source>
            <pubdate>2000</pubdate>
            <volume>10</volume>
            <fpage>R298</fpage>
            <lpage>R301</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0960-9822(00)00434-6</pubid>
                  <pubid idtype="pmpid" link="fulltext">10801406</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B42">
            <title>
               <p>Transmembrane molecular pump activity of Niemann-Pick C1 protein.</p>
            </title>
            <aug>
               <au>
                  <snm>Davies</snm>
                  <fnm>JP</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>FW</fnm>
               </au>
               <au>
                  <snm>Ioannou</snm>
                  <fnm>YA</fnm>
               </au>
            </aug>
            <source>Science</source>
            <pubdate>2000</pubdate>
            <volume>290</volume>
            <fpage>2295</fpage>
            <lpage>2298</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1126/science.290.5500.2295</pubid>
                  <pubid idtype="pmpid" link="fulltext">11125140</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B43">
            <title>
               <p>Regional distribution of Sonic Hedgehog, patched, and smoothened mRNA in the adult rat brain.</p>
            </title>
            <aug>
               <au>
                  <snm>Traiffort</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Charytoniuk</snm>
                  <fnm>DA</fnm>
               </au>
               <au>
                  <snm>Faure</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Ruat</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Neurochem</source>
            <pubdate>1998</pubdate>
            <volume>70</volume>
            <fpage>1327</fpage>
            <lpage>1330</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9489757</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B44">
            <title>
               <p>Schwann cell-derived Desert hedgehog controls the development of peripheral nerve sheaths.</p>
            </title>
            <aug>
               <au>
                  <snm>Parmantier</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Lynn</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Lawson</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Turmaine</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Namini</snm>
                  <fnm>SS</fnm>
               </au>
               <au>
                  <snm>Chakrabarti</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>AP</fnm>
               </au>
               <au>
                  <snm>Jessen</snm>
                  <fnm>KR</fnm>
               </au>
               <au>
                  <snm>Mirsky</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Neuron</source>
            <pubdate>1999</pubdate>
            <volume>23</volume>
            <fpage>713</fpage>
            <lpage>724</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0896-6273(01)80030-1</pubid>
                  <pubid idtype="pmpid" link="fulltext">10482238</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B45">
            <title>
               <p>Sonic hedgehog signaling is essential for hair development.</p>
            </title>
            <aug>
               <au>
                  <snm>St-Jacques</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Dassule</snm>
                  <fnm>HR</fnm>
               </au>
               <au>
                  <snm>Karavanova</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Botchkarev</snm>
                  <fnm>VA</fnm>
               </au>
               <au>
                  <snm>Li</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Danielian</snm>
                  <fnm>PS</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Lewis</snm>
                  <fnm>PM</fnm>
               </au>
               <au>
                  <snm>Paus</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>AP</fnm>
               </au>
            </aug>
            <source>Curr Biol</source>
            <pubdate>1998</pubdate>
            <volume>8</volume>
            <fpage>1058</fpage>
            <lpage>1068</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">9768360</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B46">
            <title>
               <p>Induction of the hair growth phase in postnatal mice by localized transient expression of Sonic hedgehog.</p>
            </title>
            <aug>
               <au>
                  <snm>Sato</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Leopold</snm>
                  <fnm>PL</fnm>
               </au>
               <au>
                  <snm>Crystal</snm>
                  <fnm>RG</fnm>
               </au>
            </aug>
            <source>J Clin Invest</source>
            <pubdate>1999</pubdate>
            <volume>104</volume>
            <fpage>855</fpage>
            <lpage>864</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10510326</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B47">
            <title>
               <p>The morphogen Sonic hedgehog is an indirect angiogenic agent upregulating two families of angiogenic growth factors.</p>
            </title>
            <aug>
               <au>
                  <snm>Pola</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Ling</snm>
                  <fnm>LE</fnm>
               </au>
               <au>
                  <snm>Silver</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Corbley</snm>
                  <fnm>MJ</fnm>
               </au>
               <au>
                  <snm>Kearney</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Pepinsky</snm>
                  <fnm>RB</fnm>
               </au>
               <au>
                  <snm>Shapiro</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Taylor</snm>
                  <fnm>FR</fnm>
               </au>
               <au>
                  <snm>Baker</snm>
                  <fnm>DP</fnm>
               </au>
               <au>
                  <snm>Asahara</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Isner</snm>
                  <fnm>JM</fnm>
               </au>
            </aug>
            <source>Nat Med</source>
            <pubdate>2001</pubdate>
            <volume>7</volume>
            <fpage>706</fpage>
            <lpage>711</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/89083</pubid>
                  <pubid idtype="pmpid" link="fulltext">11385508</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B48">
            <title>
               <p>Recapitulation of signals regulating embryonic bone formation during postnatal growth and in fracture repair.</p>
            </title>
            <aug>
               <au>
                  <snm>Vortkamp</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Pathi</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Peretti</snm>
                  <fnm>GM</fnm>
               </au>
               <au>
                  <snm>Caruso</snm>
                  <fnm>EM</fnm>
               </au>
               <au>
                  <snm>Zaleske</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Tabin</snm>
                  <fnm>CJ</fnm>
               </au>
            </aug>
            <source>Mech Dev</source>
            <pubdate>1998</pubdate>
            <volume>71</volume>
            <fpage>65</fpage>
            <lpage>76</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0925-4773(97)00203-7</pubid>
                  <pubid idtype="pmpid">9507067</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B49">
            <title>
               <p>Long-acting forms of Sonic hedgehog with improved pharmacokinetic and pharmacodynamic properties are efficacious in a nerve injury model.</p>
            </title>
            <aug>
               <au>
                  <snm>Pepinsky</snm>
                  <fnm>RB</fnm>
               </au>
               <au>
                  <snm>Shapiro</snm>
                  <fnm>RI</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Chakraborty</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Gill</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Lepage</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Wen</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Rayhorn</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Horan</snm>
                  <fnm>GS</fnm>
               </au>
               <au>
                  <snm>Taylor</snm>
                  <fnm>FR</fnm>
               </au>
               <etal/>
            </aug>
            <source>J Pharm Sci</source>
            <pubdate>2002</pubdate>
            <volume>91</volume>
            <fpage>371</fpage>
            <lpage>387</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/jps.10052</pubid>
                  <pubid idtype="pmpid" link="fulltext">11835197</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B50">
            <title>
               <p>Intrastriatal injection of sonic hedgehog reduces behavioral impairment in a rat model of Parkinson's</p>
            </title>
            <aug>
               <au>
                  <snm>Tsuboi</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Shults</snm>
                  <fnm>CW</fnm>
               </au>
            </aug>
            <source>Exp Neurol</source>
            <pubdate>2002</pubdate>
            <volume>173</volume>
            <fpage>95</fpage>
            <lpage>104</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/exnr.2001.7825</pubid>
                  <pubid idtype="pmpid" link="fulltext">11771942</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B51">
            <title>
               <p>Inhibition of Hedgehog signaling by direct binding of cyclopamine to Smoothened.</p>
            </title>
            <aug>
               <au>
                  <snm>Chen</snm>
                  <fnm>JK</fnm>
               </au>
               <au>
                  <snm>Taipale</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Cooper</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Genes Dev</source>
            <pubdate>2002</pubdate>
            <volume>16</volume>
            <fpage>2743</fpage>
            <lpage>2748</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">187469</pubid>
                  <pubid idtype="pmpid" link="fulltext">12414725</pubid>
                  <pubid idtype="doi">10.1101/gad.1025302</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B52">
            <title>
               <p>Small molecule modulation of Smoothened activity.</p>
            </title>
            <aug>
               <au>
                  <snm>Chen</snm>
                  <fnm>JK</fnm>
               </au>
               <au>
                  <snm>Taipale</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Young</snm>
                  <fnm>JE</fnm>
               </au>
               <au>
                  <snm>Maiti</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Beachy</snm>
                  <fnm>PA</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci USA</source>
            <pubdate>2002</pubdate>
            <volume>99</volume>
            <fpage>14071</fpage>
            <lpage>14076</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">137838</pubid>
                  <pubid idtype="pmpid" link="fulltext">12391318</pubid>
                  <pubid idtype="doi">10.1073/pnas.182542899</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
      </refgrp>
   </bm>
</art>
