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The Smoothened frizzled class receptor (SMO) is a seven-transmembrane G protein-coupled receptor (GPCR) and a key component of the Hedgehog (Hh) signaling pathway. It is indirectly regulated by the Patched (PTCH) protein. When Hh ligands are absent, PTCH inhibits SMO. Binding of Hh to PTCH relieves this inhibition, leading to SMO activation and downstream signaling. SMO plays a critical role in embryonic development and tissue homeostasis, and its dysregulation is implicated in various cancers. SMO is a drug target, with inhibitors like vismodegib used to treat advanced basal cell carcinoma. However, resistance can arise due to mutations in SMO.
SMO inhibitors bind to the transmembrane domain of the receptor, blocking its activation and downstream signaling.
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