Curriculum
Module 08 · 55 min

Wnt, Hedgehog & Notch

Three developmental pathways that re-emerge as drivers of cancer and stem-cell biology.

CoreClinicalResearch
Topics

What this module covers

  • 01Canonical Wnt/β-catenin signaling
  • 02Hedgehog: PTCH1, SMO, GLI
  • 03Notch: ligand-receptor cleavage and NICD
  • 04Drugs: vismodegib, gamma-secretase inhibitors
Learning objectives

By the end of this module you will be able to

  • L01Explain how β-catenin escapes degradation when Wnt signaling is on.
  • L02Map the Hedgehog pathway from SHH to GLI transcription.
  • L03Describe Notch signaling as a ligand-induced regulated proteolysis cascade.
Expected takeaways

What you should walk away believing

  • APC mutations stabilize β-catenin → familial adenomatous polyposis & sporadic CRC.
  • PTCH1 loss drives basal cell carcinoma and medulloblastoma.
  • Notch is context-dependent: tumor suppressor in T-ALL, oncogene in some solid tumors.
Core summary

At the Core level

Wnt, Hedgehog, and Notch are ancient developmental pathways. They build embryos, maintain adult stem cells, and — when miswired — drive cancer.

Evidence-graded claims

Claims, scored A–F

A
APC loss is the most common initiating event in colorectal cancer
Vogelstein adenoma–carcinoma sequence.
D
Wnt agonists rejuvenate aging stem cells safely
Preclinical promise; tumor-promotion concerns.
Quiz

Check your understanding

Q1. In Wnt-OFF state, β-catenin is…
Flashcards

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Vismodegib mechanism?
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