Members of the hedgehog family are important signalling molecules duri
ng embryonic development. One member, Sonic hedgehog, is expressed in
embryonic structures such as the zone of polarizing activity in the po
sterior limb bud, the notochord, and the floor plate of the neural tub
e, where it plays a role in patterning of the embryo. Sonic hedgehog i
s synthesized as an inactive precursor which must be proteolytically c
leaved and modified by the addition of a cholesterol moiety to become
active as a signalling molecule. In this processing, the C-terminal re
gion of Sonic hedgehog serves as both the endoprotease and a cholester
ol transferase. The importance of cholesterol for Sonic hedgehog funct
ion may explain many of the profound developmental defects caused by p
erturbations of cholesterol metabolism. The receptor for Sonic hedgeho
g is Patched, a multi-pass transmembrane protein which forms a complex
with Smoothened Mutations in Patched are associated with basal cell n
aevus syndrome, while mutations in Sonic hedgehog cause holoprosenceph
aly. Downstream targets of Sonic hedgehog signalling are transcription
factors like Gli3, responsible for Greigs polycephalosyndactyly in hu
mans and Hoxd13, responsible for polysyndactyly.