Targeting Medulloblastoma


Purpose
To communicate the method of action and downfalls of Vismodegib, a targeted therapy previously used to treat Medulloblastoma.

Client
Derek Ng

Date
July 2021

Medium
Infographic

Tools
Maya, VMD, Photoshop, Procreate, Illustrator

Primary Audience
Educated lay

 

 

Rough Sketches

The project began with several rough concept sketches for different topics within the realm of Medulloblastoma and the sonic hedgehog signaling pathway.

 

Comprehensive Sketch

A final comprehensive sketch was created after receiving feedback from peers, prior to creating the final illustrations.

 
 
 
 
 

References

An, X., Bai, Q., Bai, F., Shi, D., Liu, H., & Yao, X. (2019). Deciphering the allosteric effect of antagonist vismodegib on smoothened receptor deactivation using metadynamics simulation. Frontiers in Chemistry, 7(406). https://doi.org/10.3389/fchem.2019.0040

Briscoe, J., & Thérond, P. P. (2013). The mechanisms of Hedgehog signalling and its roles in development and disease. Nature Reviews Molecular Cell Biology, 14(7), 418–431. https://doi.org/10.1038/nrm3598

Byrne, E. F. X., Luchetti, G., Rohatgi, R., & Siebold, C. (2018). Multiple ligand binding sites regulate the Hedgehog signal transducer Smoothened in vertebrates. Current Opinion in Cell Biology, 51, 81–88. https://doi.org/10.1016/j.ceb.2017.10.004

Byrne, E. F. X., Sircar, R., Miller, P. S., Hedger, G., Luchetti, G., Nachtergaele, S., Tully, M. D., Mydock-Mcgrane, L., Covey, D. F., Rambo, R. P., Sansom, M. S. P., Newstead, S., Rohatgi, R., & Siebold, C. (2016). Structural basis of Smoothened regulation by its extracellular domains. Nature, 535(7613), 517–522. https://doi.org/10.1038/nature18934

De Souza E Cassia, G., Alves, C. A. P. F., Taranath, A., López, N. S., Oztekin, O., Gonçalves, F. G., & Patay, Z. (2018). Childhood medulloblastoma revisited. Topics in Magnetic Resonance Imaging, 27(6), 479–502. https://doi.org/10.1097/RMR.0000000000000184

Gould, S. E., Low, J. A., Marsters, J. C., Robarge, K., Rubin, L. L., De Sauvage, F. J., Sutherlin, D. P., Wong, H., & Yauch, R. L. (2014). Discovery and preclinical development of vismodegib. Expert Opinion on Drug Discovery, 9(8), 969–984. https://doi.org/10.1517/17460441.2014.920816

Huang, P., Zheng, S., Wierbowski, B. M., Kim, Y., Nedelcu, D., Aravena, L., Liu, J., Kruse, A. C., & Salic, A. (2018). Structural Basis of Smoothened Activation in Hedgehog Signaling. Cell, 174(2), 312-324.e16. https://doi.org/10.1016/j.cell.2018.04.029

Lospinoso Severini, L., Ghirga, F., Bufalieri, F., Quaglio, D., Infante, P., & Di Marcotullio, L. (2020). The SHH/GLI signaling pathway: a therapeutic target for medulloblastoma. Expert Opinion on Therapeutic Targets, 24(11). https://doi.org/10.1080/14728222.2020.1823967

Northcott, P. A., Robinson, G. W., Kratz, C. P., Mabbott, D. J., Pomeroy, S. L., Clifford, S. C., Rutkowski, S., Ellison, D. W., Malkin, D., Taylor, M. D., Gajjar, A., & Pfister, S. M. (2019). Medulloblastoma. Nature Reviews Disease Primers, 5(1). https://doi.org/10.1038/s41572-019-0063-6

Royden Jones, H., Burns, T. M., Aminoff, M. J., & Pomeroy, S. L. (2013). The Netter Collection of Medical Illustrations: Nervous System (2nd ed., Vol. 7). Elsevier Inc.

Sommer, A., & Lemmon, M. A. (2018). Smoothening out the patches: New roles are discovered for cholesterol transport in a key developmental signaling pathway. Science, 362(6410), 26–27. https://doi.org/10.1126/science.aav1025

PDBs: 6D32, 5L71, 6E1H