Cilia are essential for SmoM2-induced neoplasia. (a) Schematic showing that skin epithelial cells exposed to tamoxifen (TAM) both delete Kif3aflox and activate SmoM2cond (red cells), whereas unexposed cells retain Kif3aflox and do not activate SmoM2cond (gray cells). Cilia are lost in cells from Kif3aflox/− but not Kif3aflox/+ mice exposed to tamoxifen. (b) H&E staining of dorsal skin biopsies, showing that removal of Kif3a (Kif3aflox/−) blocks SmoM2-initiated tumorigenesis (arrows). (c) Immunofluorescence imaging showing that SmoM2 localizes to cilia (arrows) in neoplastic epidermal downgrowths. (d) Quantification of interfollicular epidermis thickness. Seven or eight independent Ker 14-CreERT;SmoM2cond;Kif3aflox/+ and Ker14-CreERT;SmoM2cond;Kif3aflox/− mice per genotype were analyzed. Four or five mice were analyzed for all other genotypes. (e) Protection against SmoM2-induced ear skin hyperplasia upon loss of Kif3a (arrow). (f) H&E staining of representative ear sections. (g) In situ staining showing that SmoM2-induced skin lesions upregulate Hh target genes Gli1 and Ptch1 (arrows). (h) Immunofluorescence imaging showing that Gli2 is upregulated in SmoM2-induced tumors that express Kif3a (stainings are representative of the mice analyzed in d and j). (i) Immunofluorescence imaging showing that Gli2 is upregulated upon expression of Myc-tagged SmoA1 in ciliated (wild type), but not unciliated (Kif3a−/− and Ift172−/−), transformed MEFs. (j) Cellular proliferation in skin, as assessed by Ki67 staining. Eight Ker14-CreERT;SmoM2cond;Kif3aflox/+ and Ker14-CreERT;SmoM2cond;Kif3aflox/− mice per genotype were analyzed, as well as four or five mice for the other genotypes. All scale bars are 50 μm except that in e (5 mm). All error bars shown, ± s.e.m.