Which signaling pathway mutation most commonly leads to cyclopia and midline structure defects?
Mutations disrupting Sonic hedgehog signaling cause cyclopia and holoprosencephaly due to failure of midline patterning. SHH secreted from prechordal plate and notochord suppresses Pax6 centrally and splits single eye field into bilateral domains. Loss of SHH leaves Pax6 expressed across midline, fusing optic vesicles into single central eye and causing midline structure defects including forebrain, nose, and palate. Wingless, Notch, and EGF pathways regulate other embryonic processes but not midline separation, making SHH pathway most common cause of cyclopia documented in humans.
Ref: Gilbert, Developmental Biology, 12th ed., Chapter 12: Eye development – SHH midline patterning and cyclopia.