ATOH1 is essential for the differentiation of secretory cells in the intestine, such as enteroendocrine, Goblet, and Paneth cells . It is also involved in the development of the inner ear, where it is necessary for the formation of hair cells, which are critical for hearing and balance . In the nervous system, ATOH1 is required for the differentiation of specific neuronal subtypes .
Recent studies have highlighted the role of ATOH1 as a tumor suppressor gene. Loss of ATOH1 expression has been associated with the development of various cancers, including colorectal cancer and Merkel cell carcinoma . In colorectal cancer, ATOH1 loss leads to a decrease in secretory cell differentiation and an increase in tumorigenesis . Reactivating ATOH1 in cancer cells has been shown to inhibit cell proliferation and induce apoptosis, suggesting its potential as a therapeutic target .
ATOH1 exerts its effects by regulating the expression of target genes involved in cell differentiation, proliferation, and apoptosis. It is known to activate the Jun N-terminal kinase (JNK) signaling pathway, which plays a role in controlling cell growth and death . Additionally, ATOH1 is regulated by the Notch signaling pathway, which represses its expression to promote the differentiation of absorptive cells in the intestine .
Given its role as a tumor suppressor, ATOH1 has significant clinical implications. Loss of ATOH1 expression is a common feature in colorectal cancer, and restoring its function could provide a novel therapeutic approach . Small chemical compounds that can reactivate ATOH1 expression are being explored as potential treatments for cancers with ATOH1 loss .