Hippo/YAP pathway for targeted therapy

Emanuela Felley-Bosco1, Rolf Stahel1

  • 1Laboratory of Molecular Oncology, Clinic of Oncology, University Hospital of Zürich, Häldeliweg 4, 8044 Zürich, Switzerland.

Insights

Malignant pleural mesothelioma (MPM) is linked to NF2 gene mutations, impacting the Hippo pathway and Yes Associated Protein (YAP) activity. Therapies targeting YAP offer new treatment avenues for this asbestos-related cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Malignant pleural mesothelioma (MPM) is characterized by genetic alterations, notably in the neurofibromin 2 (NF2) gene.
  • NF2 mutations disrupt the Hippo pathway, leading to dysregulated Yes Associated Protein (YAP) activity.

Purpose of the Study:

  • To explore the molecular underpinnings of MPM, focusing on the NF2-Hippo-YAP signaling axis.
  • To identify novel therapeutic targets by understanding YAP's role in MPM pathogenesis.

Main Methods:

  • Analysis of genetic mutations in NF2 and their impact on Hippo pathway signaling.
  • Investigating the role of YAP as a transcription co-activator for TEAD transcription factors.
  • Reviewing emerging therapeutic strategies targeting YAP signaling.

Main Results:

  • Loss of NF2 function in MPM leads to increased expression of cell cycling genes, such as survivin.
  • YAP activation, driven by NF2 loss, promotes tumor cell proliferation.
  • Several pathways, including hedgehog, and agents like verteporfin, modulate YAP activity.

Conclusions:

  • Targeting the YAP signaling pathway presents a promising therapeutic strategy for malignant pleural mesothelioma.
  • Interference with YAP-TEAD complex formation or its upstream activators (e.g., LPA, thrombin receptors) could be effective treatments.

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