The Hippo pathway transcriptional co-activator, YAP, is an ovarian cancer oncogene
Abstract:
The Salvador-Warts-Hippo (SWH) pathway was first discovered in Drosophila melanogaster as a potent inhibitor of tissue growth. The SWH pathway is highly conserved between D. melanogaster and mammals, both in function and in the mechanism of signal transduction. The mammalian SWH pathway limits tissue growth by inhibiting the nuclear access and expression of the transcriptional co-activator, Yes-associated protein (YAP). Mutation and altered expression of SWH pathway proteins has been observed in several types of human cancer, but the contribution of these events to tumorigenesis has been unclear. Here we show that YAP can enhance the transformed phenotype of ovarian cancer cell lines and that YAP confers resistance to chemotherapeutic agents that are commonly used to treat ovarian cancer. We find that high nuclear YAP expression correlates with poor patient prognosis in a cohort of 268 invasive epithelial ovarian cancer samples. Segregation by histotype shows that the correlation between nuclear YAP and poor survival is predominantly associated with clear cell tumors, independent of stage. Collectively our findings suggest that YAP derepression contributes to the genesis of ovarian clear cell carcinoma and that the SWH pathway is an attractive therapeutic target.
Insights
The Salvador-Warts-Hippo (SWH) pathway regulates tissue growth. In ovarian cancer, YAP, a key protein in this pathway, promotes tumor growth and chemoresistance, indicating SWH pathway as a therapeutic target.
Area of Science:
- Cell Biology
- Molecular Biology
- Oncology
Background:
- The Salvador-Warts-Hippo (SWH) pathway is a conserved signaling cascade that inhibits tissue growth.
- In mammals, the SWH pathway restricts tissue growth by limiting the nuclear entry and expression of the transcriptional co-activator Yes-associated protein (YAP).
- While SWH pathway alterations are implicated in human cancers, their specific role in tumorigenesis remains unclear.
Purpose of the Study:
- To investigate the role of YAP in ovarian cancer development and chemoresistance.
- To determine the prognostic significance of nuclear YAP expression in ovarian cancer patients.
- To explore the therapeutic potential of targeting the SWH pathway in ovarian cancer.
Main Methods:
- Ovarian cancer cell lines were utilized to assess YAP's effect on transformed phenotypes and chemotherapeutic resistance.
- A cohort of 268 invasive epithelial ovarian cancer samples was analyzed for nuclear YAP expression.
- Immunohistochemistry was employed to correlate YAP levels with patient survival and histotype.
Main Results:
- YAP enhances the transformed phenotype of ovarian cancer cells and confers resistance to common chemotherapeutic agents.
- High nuclear YAP expression is significantly correlated with poor patient prognosis in invasive epithelial ovarian cancer.
- This correlation is particularly pronounced in clear cell ovarian tumors, irrespective of cancer stage.
Conclusions:
- YAP derepression contributes to the pathogenesis of ovarian clear cell carcinoma.
- The SWH pathway represents a promising therapeutic target for ovarian cancer, especially clear cell subtypes.
- Targeting YAP or upstream SWH pathway components may offer new treatment strategies for ovarian cancer.
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