Hippo pathway inhibits Wnt signaling to restrain cardiomyocyte proliferation and heart size
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Updated: Jun 2, 2026

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
Todd Heallen1, Min Zhang, Jun Wang
1Institute of Biosciences and Technology, Texas A&M System Health Science Center, 2121 West Holcombe Boulevard, Houston, TX 77030, USA.
Insights
Hippo signaling restricts mammalian heart size by inhibiting cardiomyocyte proliferation. This pathway interacts with Wnt signaling, revealing a novel mechanism for controlling heart organ growth.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Cell Signaling
Background:
- Mammalian heart size regulation is not well understood.
- Hippo signaling is a known organ-size regulator in Drosophila.
- Its role in mammalian heart development is unexplored.
Purpose of the Study:
- To investigate the role of Hippo signaling in mammalian heart size control.
- To determine if Hippo pathway components regulate cardiomyocyte proliferation.
- To elucidate the interaction between Hippo and Wnt signaling in heart development.
Main Methods:
- Inactivation of Hippo pathway components in developing mouse hearts.
- Analysis of heart size and cardiomyocyte proliferation in mutant embryos.
- Gene expression profiling and chromatin immunoprecipitation.
- Genetic interaction studies with Wnt signaling components (β-catenin).
Main Results:
- Hippo-deficient mouse embryos exhibited overgrown hearts with increased cardiomyocyte proliferation.
- Hippo signaling was found to negatively regulate specific Wnt target genes.
- β-catenin heterozygosity partially rescued the overgrowth phenotype.
- The Hippo effector Yap was shown to interact with β-catenin on specific gene promoters (Sox2, Snai2).
Conclusions:
- Hippo signaling acts as a crucial regulator of mammalian heart size.
- A nuclear interaction between Hippo and Wnt signaling pathways restricts cardiomyocyte proliferation.
- This cross-talk is essential for controlling heart organ growth.
Abstract:
Genetic regulation of mammalian heart size is poorly understood. Hippo signaling represents an organ-size control pathway in Drosophila, where it also inhibits cell proliferation and promotes apoptosis in imaginal discs. To determine whether Hippo signaling controls mammalian heart size, we inactivated Hippo pathway components in the developing mouse heart. Hippo-deficient embryos had overgrown hearts with elevated cardiomyocyte proliferation. Gene expression profiling and chromatin immunoprecipitation revealed that Hippo signaling negatively regulates a subset of Wnt target genes. Genetic interaction studies indicated that β-catenin heterozygosity suppressed the Hippo cardiomyocyte overgrowth phenotype. Furthermore, the Hippo effector Yap interacts with β-catenin on Sox2 and Snai2 genes. These data uncover a nuclear interaction between Hippo and Wnt signaling that restricts cardiomyocyte proliferation and controls heart size.
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