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Updated: May 25, 2026

Monitoring Hippo Signaling Pathway Activity Using a Luciferase-based Large Tumor Suppressor (LATS) Biosensor
Published on: September 13, 2018
TGF-β synergizes with defects in the Hippo pathway to stimulate human malignant mesothelioma growth
Makiko Fujii1, Takeshi Toyoda, Hayao Nakanishi
1Division of Molecular Oncology, Aichi Cancer Center Research Institute, Chikusa-ku, Nagoya 464-8681, Japan. fujiim@aichi-cc.jp
Abstract:
Malignant mesothelioma (MM) is an incurable malignancy that is caused by exposure to asbestos and is accompanied by severe fibrosis. Because MM is usually diagnosed at an advanced stage and clinical identification of early lesions is difficult, its molecular pathogenesis has not been completely elucidated. Nearly 75% of MM cases have inactivating mutations in the NF2 (neurofibromatosis type 2; Merlin) gene or in downstream signaling molecules of the Hippo signaling cascade, which negatively regulates the transcription factor Yes-associated protein (YAP). In this study, we demonstrate a functional interaction between the Hippo and TGF-β pathways in regulating connective tissue growth factor (CTGF). Expression of CTGF in MM cells was induced by the formation of a YAP-TEAD4-Smad3-p300 complex on the CTGF promoter. Knocking down CTGF expression in MM cells prolonged the survival of xenografted mice, and a significant association was seen between CTGF expression and extracellular matrix deposition in MM xenografts and in patient tissue specimens. We further suggest that CTGF may influence the malignancy of mesothelioma because of the different histological expression patterns observed in human MM tissues. These data suggest that CTGF is an important modulator of MM growth and pathology and represents a novel therapeutic target for this disease.
Insights
Connective tissue growth factor (CTGF) drives malignant mesothelioma (MM) progression by interacting with the Hippo and TGF-β pathways. Inhibiting CTGF may offer a new therapeutic strategy for this asbestos-induced cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pathology
Background:
- Malignant mesothelioma (MM) is an aggressive cancer linked to asbestos exposure, often diagnosed late.
- The molecular drivers of MM, particularly early lesions, remain poorly understood.
- Mutations in NF2 and the Hippo signaling pathway (regulating YAP) are common in MM.
Purpose of the Study:
- To investigate the functional interaction between the Hippo and TGF-β pathways in MM.
- To elucidate the role of connective tissue growth factor (CTGF) in MM pathogenesis.
- To identify novel therapeutic targets for malignant mesothelioma.
Main Methods:
- Investigated the YAP-TEAD4-Smad3-p300 complex formation on the CTGF promoter in MM cells.
- Assessed the impact of CTGF knockdown on MM cell survival in xenograft models.
- Analyzed CTGF expression in relation to extracellular matrix deposition in patient samples.
Main Results:
- A YAP-TEAD4-Smad3-p300 complex was found to induce CTGF expression in MM cells.
- CTGF knockdown significantly improved survival in mice with MM xenografts.
- CTGF expression correlated with extracellular matrix deposition in both xenografts and human MM tissues.
Conclusions:
- CTGF is a key mediator of MM growth and pathology, influenced by the Hippo and TGF-β pathways.
- CTGF expression patterns suggest a role in mesothelioma malignancy.
- CTGF represents a promising novel therapeutic target for malignant mesothelioma.
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