Itraconazole, a Commonly Used Antifungal that Inhibits Hedgehog Pathway Activity and Cancer Growth
Open accessAbstract
In a screen of drugs previously tested in humans we identified itraconazole, a systemic antifungal, as a potent antagonist of the Hedgehog (Hh) signaling pathway that acts by a mechanism distinct from its inhibitory effect on fungal sterol biosynthesis. Systemically administered itraconazole, like other Hh pathway antagonists, can suppress Hh pathway activity and the growth of medulloblastoma in a mouse allograft model and does so at serum levels comparable to those in patients undergoing antifungal therapy. Mechanistically, itraconazole appears to act on the essential Hh pathway component Smoothened (SMO) by a mechanism distinct from that of cyclopamine and other known SMO antagonists, and prevents the ciliary accumulation of SMO normally caused by Hh stimulation.
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Marzi, M., Ghasemian, A., Ghanbariasad, A., Nournia, E., & Zarenezhad, E. (2026) · RSC Advances · doi:10.1039/d5ra09799a
- Authors
- Kim, J., Tang, J. Y., Gong, R., Kim, J., Lee, J. J., Clemons, K. V., Chong, C. R., Chang, K. S., Fereshteh, M., Gardner, D., Reya, T., Liu, J. O., Epstein, E. H., Stevens, D. A., & Beachy, P. A.
- Affiliations
- Stanford University (US)
- Howard Hughes Medical Institute (US)
- Santa Clara Valley Medical Center (US)
- Johns Hopkins University (US)
- Duke Medical Center (US)
- Poisonous Plant Research Laboratory (US)
- Corresponding author
- Beachy, Philip A.
- ORCID
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 17
- Issue
- 4
- Pages
- 388-399
- ISSN
- 1535-6108 (ISSN-L)
- PMC
- PMC4039177
- OpenAlex
- W2166221624
- Cited by
- 527
- References
- 67
- Citations by year
- 2026: 22 · 2025: 23 · 2024: 22 · 2023: 29 · 2022: 32 · 2021: 36 · 2020: 34 · 2019: 40 · 2018: 46 · 2017: 38 · 2016: 24 · 2015: 50 · 2014: 40 · 2013: 28 · 2012: 35
- FWCI
- 11.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- Prostate Cancer Foundation
- Johns Hopkins University
- National Cancer Institute (R21CA158640)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039306)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Hedgehog Signaling Pathway Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hippo pathway signaling and YAP/TAZ
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Wnt/β-catenin signaling in development and cancer
- Keywords
- itraconazole, Hedgehog signaling, Smoothened, medulloblastoma, antifungal agents, drug repurposing, cyclopamine, cancer growth inhibition
- MeSH terms
- Animals, Antifungal Agents, Antineoplastic Agents, Basal Cell Carcinoma, Cell Division, Cyclodextrins, Humans, Kinetics, Lipoproteins, LDL, Models, Molecular, Signal Transduction, Itraconazole, Mice, Hedgehog Proteins
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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