Recent advances in developmental and molecular biology during embryogenesis
and organogenesis have provided new insights into the mechanism of bone fo
rmation. Members of the hedgehog gene family were initially characterized a
s patterning factors in embryonic development, but recently they have been
shown to regulate skeletal formation in vertebrates. The amino terminal Fra
gment of Sonic hedgehog (Shh-N), which is an active domain of Shh, has the
ability to induce ectopic cartilage and bone formation in vivo. Shh-N stimu
lates chondrogenic differentiation in cultures of chondrogenic cell line ce
lls in vitro and inhibits chondrogenesis in primary limb bud cells. These f
indings suggest that the regulation of chondrogenesis by hedgehog proteins
depends on the cell populations being studied. Indian hedgehog (Ihh) is pro
minently expressed in developing cartilage. Ectopic expression of Ihh decre
ases type X collagen expression and induces the up-regulation of parathyroi
d hormone-related peptide (PTHrp) gene expression in perichondrium cells. A
negative feedback loop consisting of Ihh and PTHrp, induced by Ihh. appear
s to regulate the rate of chondrocyte maturation. The direct actions of Shh
and Ihh on stimulation of osteoblast differentiation are evidenced by the
findings that these factors stimulate alkaline phosphatase activity in cult
ures of pluripotent mesenchymal cell line cells and osteoblastic cells and
that these cells express putative receptors of hedgehog proteins. In conclu
sion, hedgehog proteins seem to be significantly involved in skeletal forma
tion through multiple actions on chondrogenic mesenchymal cells, chondrocyt
es, and osteogenic cells.