“…In addition, an up-regulation of expression levels and/or activities of Hh signaling elements, including Hh ligands, SMO coreceptor, and GLI proteins often occurs during cancer initiation, and progression to locally invasive and metastatic disease stages. The overexpression of Hh signaling elements might result in the sustained growth and enhanced invasive properties of malignant cells in multiple myeloma, melanoma, glioma, gastrointestinal tract, pancreatic, hepatic, small-cell lung, prostate, mammary, and ovarian cancers (Thayer et al, 2003;Beachy et al, 2004;Karhadkar et al, 2004;Oniscu et al, 2004;Sanchez et al, 2004;Sheng et al, 2004;Ohta et al, 2005;Douard et al, 2006;Mimeault et al, 2006Mimeault et al, , 2007aBar et al, 2007;Bian et al, 2007;Chen et al, 2007b;Ehtesham et al, 2007;Peacock et al, 2007;Stecca et al, 2007;Bhattacharya et al, 2008;Liao et al, 2009;Mizuarai et al, 2009;Schnidar et al, 2009;Yang et al, 2010). More particularly, the reactivation of the Hh pathway and other developmental cascades, including EGFR and Wnt/-catenin, in tissue-resident adult stem/progenitor cells during severe tissue injury, chronic inflammation, and intense stress along chronological aging might promote the cancer initiation and development Nielsen et al, 2008;Batra, 2009, 2010a,c;Strobel et al, 2010).…”