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

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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