PMID- 24852887 OWN - NLM STAT- MEDLINE DCOM- 20150401 LR - 20240321 IS - 1096-3634 (Electronic) IS - 1084-9521 (Print) IS - 1084-9521 (Linking) VI - 33 IP - 100 DP - 2014 Sep TI - Context-dependent signal integration by the GLI code: the oncogenic load, pathways, modifiers and implications for cancer therapy. PG - 93-104 LID - S1084-9521(14)00130-X [pii] LID - 10.1016/j.semcdb.2014.05.003 [doi] AB - Canonical Hedgehog (HH) signaling leads to the regulation of the GLI code: the sum of all positive and negative functions of all GLI proteins. In humans, the three GLI factors encode context-dependent activities with GLI1 being mostly an activator and GLI3 often a repressor. Modulation of GLI activity occurs at multiple levels, including by co-factors and by direct modification of GLI structure. Surprisingly, the GLI proteins, and thus the GLI code, is also regulated by multiple inputs beyond HH signaling. In normal development and homeostasis these include a multitude of signaling pathways that regulate proto-oncogenes, which boost positive GLI function, as well as tumor suppressors, which restrict positive GLI activity. In cancer, the acquisition of oncogenic mutations and the loss of tumor suppressors - the oncogenic load - regulates the GLI code toward progressively more activating states. The fine and reversible balance of GLI activating GLI(A) and GLI repressing GLI(R) states is lost in cancer. Here, the acquisition of GLI(A) levels above a given threshold is predicted to lead to advanced malignant stages. In this review we highlight the concepts of the GLI code, the oncogenic load, the context-dependency of GLI action, and different modes of signaling integration such as that of HH and EGF. Targeting the GLI code directly or indirectly promises therapeutic benefits beyond the direct blockade of individual pathways. CI - Copyright (c) 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Aberger, Fritz AU - Aberger F AD - Department of Molecular Biology, University of Salzburg, Hellbrunner Strasse 34, 5020 Salzburg, Austria. Electronic address: fritz.aberger@sbg.ac.at. FAU - Ruiz i Altaba, Ariel AU - Ruiz i Altaba A AD - Department of Genetic Medicine and Development, University of Geneva Medical School, 8242 CMU, 1 rue Michel Servet, CH-1211 Geneva, Switzerland. Electronic address: ariel.ruizaltaba@unige.ch. LA - eng GR - P 25629/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Review DEP - 20140519 PL - England TA - Semin Cell Dev Biol JT - Seminars in cell & developmental biology JID - 9607332 RN - 0 (GLI1 protein, human) RN - 0 (Hedgehog Proteins) RN - 0 (Transcription Factors) RN - 0 (Zinc Finger Protein GLI1) SB - IM MH - Animals MH - Carcinogenesis/genetics/*metabolism MH - Carcinoma, Basal Cell/drug therapy/genetics/*metabolism MH - Colonic Neoplasms/drug therapy/genetics/*metabolism MH - Gene Expression Regulation, Neoplastic MH - Hedgehog Proteins/physiology MH - Humans MH - Molecular Targeted Therapy MH - *Signal Transduction MH - Transcription Factors/*physiology MH - Zinc Finger Protein GLI1 PMC - PMC4151135 OTO - NOTNLM OT - Cancer OT - Development OT - GLI transcription factors OT - Hedgehog-GLI signaling OT - Oncogenes OT - Signal transduction OT - Signaling integration OT - Stem cells EDAT- 2014/05/24 06:00 MHDA- 2015/04/02 06:00 PMCR- 2014/09/01 CRDT- 2014/05/24 06:00 PHST- 2014/02/19 00:00 [received] PHST- 2014/05/12 00:00 [accepted] PHST- 2014/05/24 06:00 [entrez] PHST- 2014/05/24 06:00 [pubmed] PHST- 2015/04/02 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - S1084-9521(14)00130-X [pii] AID - 10.1016/j.semcdb.2014.05.003 [doi] PST - ppublish SO - Semin Cell Dev Biol. 2014 Sep;33(100):93-104. doi: 10.1016/j.semcdb.2014.05.003. Epub 2014 May 19.