The Desert Hedgehog Signalling Pathway in Human Gonadal Development and Differences of Sex Development

Sex Dev. 2022;16(2-3):98-111. doi: 10.1159/000518308. Epub 2021 Sep 8.

Abstract

While the Hedgehog signalling pathway is implicated in numerous developmental processes and maladies, variants in the Desert Hedgehog (DHH) ligand underlie a condition characterised by 46,XY gonadal dysgenesis with or without peripheral neuropathy. We discuss here the role and regulation of DHH and its signalling pathway in the developing gonads and examine the current understanding of how disruption to this pathway causes this difference of sex development (DSD) in humans.

Keywords: Desert hedgehog; Differences of sex development; Gonadal dysgenesis; Testis development.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Gonadal Dysgenesis, 46,XY*
  • Gonads / metabolism
  • Hedgehog Proteins* / genetics
  • Hedgehog Proteins* / metabolism
  • Humans
  • Sexual Development

Substances

  • Hedgehog Proteins