Mutations in the tumor suppressor gene PATCHED (PTC) are found in huma
n patients with the basal cell nevus syndrome, a disease causing devel
opmental defects and tumors, including basal cell carcinomas. Gene reg
ulatory relationships defined in the fruit fly Drosophila suggest that
overproduction of Sonic hedgehog (SHH), the ligand for PTC, will mimi
c loss of ptc function. It is shown here that transgenic mice overexpr
essing SHH in the skin develop many features of basal cell nevus syndr
ome, demonstrating that SHH is sufficient to induce basal cell carcino
mas in mice. These data suggest that SHH may have a role in human tumo
rigenesis.