Aberrant expression of hedgehog molecules, particularly Gli1, is common in
cancers of many tissues and is responsible for their aggressive behavior and chemoresistance. Here we demonstrate a novel and
tumor-specific role for aberrant Gli1 in the regulation of the S-phase checkpoint that suppresses replication stress and resistance to
chemotherapy. Inhibition of Gli1 in
tumor cells induced replication stress-mediated DNA damage response, attenuated their clonogenic potential, abrogated
camptothecin (
CPT)-induced Chk1 phosphorylation, and potentiated its cytotoxicity. However, in normal fibroblasts, Gli1 siRNAs showed no significant changes in
CPT-induced Chk1 phosphorylation. Further analysis of
ataxia telangiectasia and Rad3-related
protein (ATR)/Chk1 signaling cascade genes in
tumor cells revealed an unexpected mechanism whereby Gli1 regulates ATR-mediated Chk1 phosphorylation by transcriptional regulation of the BH3-only
protein Bid. Consistent with its role in DNA damage response, Bid down-regulation in
tumor cells abolished
CPT-induced Chk1 phosphorylation and sensitized them to
CPT. Correspondingly, Gli1 inhibition affected the expression of Bid and the association of
replication protein A (RPA) with the ATR- interacting
protein (ATRIP)-ATR complex, and this compromised the S-phase checkpoint. Conversely, complementation of Bid in Gli1-deficient cells restored
CPT-induced Chk1 phosphorylation. An in silico analysis of the Bid promoter identified a putative Gli1 binding site, and further studies using
luciferase reporter assays confirmed Gli1-dependent promoter activity. Collectively, our studies established a novel connection between aberrant Gli1 and Bid in the survival of
tumor cells and their response to
chemotherapy, at least in part, by regulating the S-phase checkpoint. Importantly, our data suggest a novel
drug combination of Gli1 and Top1 inhibitors as an effective therapeutic strategy in treating
tumors that expresses Gli1.