PT - JOURNAL ARTICLE AU - Giulio Di Minin AU - Charles E. Dumeau AU - Alice Grison AU - Wesley Chan AU - Asun Monfort AU - Loydie A. Jerome-Majewska AU - Anton Wutz TI - <em>Tmed2</em> regulates Smoothened trafficking and Hedgehog signalling AID - 10.1101/2020.04.20.049957 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.04.20.049957 4099 - http://biorxiv.org/content/early/2020/04/20/2020.04.20.049957.short 4100 - http://biorxiv.org/content/early/2020/04/20/2020.04.20.049957.full AB - Hedgehog (HH) signalling plays a key role in embryonic pattering and stem cell differentiation. Compounds that selectively bind Smoothened (SMO) can induce cell death in mouse embryonic stem cells (ESCs). Here we perform a genetic screen in haploid ESCs and discover that SMO inhibits a cell death pathway that resembles dissociation induced death of human ESCs and Anoikis. In mouse ESCs, SMO acts through a G-protein coupled mechanism that is independent of GLI activation. Our screen also identifies the Golgi proteins Tmed2 and Tmed10. We show that TMED2 binds SMO and controls its abundance at the plasma membrane. In neural differentiation and neural tube pattering Tmed2 acts as a repressor of HH signalling strength. We demonstrate that the interaction between SMO and TMED2 is regulated by HH signalling suggesting SMO release form the ER-Golgi is critical for controlling G-protein and GLI mediated functions of mammalian HH signalling.