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Publication : Activation of the Hedgehog signaling pathway leads to fibrosis in aortic valves.

First Author  Gu D Year  2023
Journal  Cell Biosci Volume  13
Issue  1 Pages  43
PubMed ID  36864465 Mgi Jnum  J:367520
Mgi Id  MGI:8209769 Doi  10.1186/s13578-023-00980-1
Citation  Gu D, et al. (2023) Activation of the Hedgehog signaling pathway leads to fibrosis in aortic valves. Cell Biosci 13(1):43
abstractText  BACKGROUND: Fibrosis is a pathological wound healing process characterized by excessive extracellular matrix deposition, which interferes with normal organ function and contributes to ~ 45% of human mortality. Fibrosis develops in response to chronic injury in nearly all organs, but the a cascade of events leading to fibrosis remains unclear. While hedgehog (Hh) signaling activation has been associated with fibrosis in the lung, kidney, and skin, it is unknown whether hedgehog signaling activation is the cause or the consequence of fibrosis. We hypothesize that activation of hedgehog signaling is sufficient to drive fibrosis in mouse models. RESULTS: In this study, we provide direct evidence to show that activation of Hh signaling via expression of activated smoothened, SmoM2, is sufficient to induce fibrosis in the vasculature and aortic valves. We showed that activated SmoM2 -induced fibrosis is associated with abnormal function of aortic valves and heart. The relevance of this mouse model to human health is reflected in our findings that elevated GLI expression is detected in 6 out of 11 aortic valves from patients with fibrotic aortic valves. CONCLUSIONS: Our data show that activating hedgehog signaling is sufficient to drive fibrosis in mice, and this mouse model is relevant to human aortic valve stenosis.
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