Ciliary signaling pathways. (A–B) Hedgehog signaling pathway (A) In the absence of hedgehog (Hh) ligand the intraflagellar transport machinery moves the transcription factor glioma-associated oncogene (GLI) and suppressor of fused (SuFu) to the ciliary tip. Patched-1 (PTCH1) located in the surface of the ciliary membrane inhibits Smoothened (SMO), which is located in the cytoplasm, keeping GLI in an inactive form (GLIR). The inactive transcription factor is transported back to the cell body and enters the nucleus where represses the expression of genes such as CCND1, N-MYC, GLI1, GLI2, and PATCH1. (B) Binding of ligand (Hh) to PTCH1 leads to the formation of oligomers, which are degraded in endosomes, reliving the repression of SMO, and causing its re-localization to the ciliary tip. SMO interacts with SuFu leading to the maturation of GLI into its active form (GLIA). GLIA is transported back to the cell body and enters the nucleus where activates transcription of target genes. (C, D) Canonical Wnt signaling pathway. (C) Without Wnt ligands, β-catenin is ubiquitinated and degraded by the proteasome. The initial events of this pathway are regulated by a destruction complex composed of casein kinase 1α (CK1α), glycogen synthase kinase 3β (GSK-3β), protein phosphatase 2A (PP2A), adenomatous polyposis coli (APC), and Axin 1. In the absence of β-catenin, the nuclear T cell-specific transcription factor/lymphoid enhancer factor-1 (TCF/LEF-1)-responsive elements are associated with transcriptional suppressors, such as Groucho (Gro) and Transducin-like enhancer of split-1 (TLE-1), keeping the pathway inactive. (D) When Wnt ligands bind the Frizzled (Fz) family receptors and its coreceptor low density lipoprotein receptor-related protein-5/6 (LRP5/6), Fz recruits Disheveled (Dvl) to inactivate the β-catenin destruction complex. Thus, β-catenin accumulates in the cytoplasm and translocates to the nucleus where replaces Gro/TLE, and acts as a transcriptional co-activator with TCF/LEF-1, inducing transcription of Wnt target genes. (E, F) Planar cell polarity signaling pathway. (E) In the absence of Wnt ligands the pathway is inactive. (F) When a signal is received by the Fz receptor a complex of proteins, including Dvl, is recruited at the plasma membrane. Dvl activates RHO-associated coiled-coil forming kinase (ROCK) and c-Jun N-terminal kinase (JUNK) in parallel, resulting in cytoskeletal organization and regulation of ciliogenesis. This figure was created using Servier Medical Art (available at https://smart.servier.com/).