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Updated: Jan 31, 2026

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Published on: May 30, 2025
YAP1-Mediated CDK6 Activation Confers Radiation Resistance in Esophageal Cancer - Rationale for the Combination of
Purpose:
Esophageal cancer is a lethal disease that is often resistant to therapy. Alterations of YAP1 and CDK6 are frequent in esophageal cancer. Deregulation of both molecules may be responsible for therapy resistance.
Experimental Design:
Expressions of YAP1 and CDK6 were examined in esophageal cancer cells and tissues using immunoblotting and immunohistochemistry. YAP1 expression was induced in esophageal cancer cells to examine YAP1-mediated CDK6 activation and its association with radiation resistance. Pharmacologic and genetic inhibitions of YAP1 and CDK6 were performed to dissect the mechanisms and assess the antitumor effects in vitro and in vivo.
Results:
YAP1 expression was positively associated with CDK6 expression in resistant esophageal cancer tissues and cell lines. YAP1 overexpression upregulated CDK6 expression and transcription, and promoted radiation resistance, whereas treatment with the YAP1 inhibitor, CA3, strongly suppressed YAP1 and CDK6 overexpression, reduced Rb phosphorylation, as well as sensitized radiation-resistant/YAP1high esophageal cancer cells to irradiation. CDK4/6 inhibitor, LEE011, and knock down of CDK6 dramatically inhibited expression of YAP1 and sensitized resistant esophageal cancer cells to irradiation indicating a positive feed-forward regulation of YAP1 by CDK6. In addition, suppression of both the YAP1 and CDK6 pathways by the combination of CA3 and LEE011 significantly reduced esophageal cancer cell growth and cancer stem cell population (ALDH1 and CD133 ), sensitized cells to irradiation, and showed a strong antitumor effect in vivo against radiation-resistant esophageal cancer cells.
Conclusions:
Our results document that a positive crosstalk between the YAP1 and CDK6 pathways plays an important role in conferring radiation resistance to esophageal cancer cells. Targeting both YAP1 and CDK6 pathways could be a novel therapeutic strategy to overcome resistance in esophageal cancer.
Insights
Targeting YAP1 and CDK6 pathways offers a new strategy against therapy-resistant esophageal cancer. Inhibiting both YAP1 and CDK6 overcomes radiation resistance and reduces tumor growth.
Area of Science:
- Oncology
- Molecular Biology
Background:
- Esophageal cancer is a deadly disease with frequent resistance to therapy.
- Alterations in YAP1 and CDK6 are common in esophageal cancer and may drive treatment resistance.
Purpose of the Study:
- To investigate the role of YAP1 and CDK6 in esophageal cancer therapy resistance.
- To explore the therapeutic potential of targeting YAP1 and CDK6 pathways.
Main Methods:
- Examined YAP1 and CDK6 expression in esophageal cancer cells and tissues.
- Investigated YAP1-mediated CDK6 activation and its link to radiation resistance.
- Utilized pharmacologic and genetic inhibition of YAP1 and CDK6 for in vitro and in vivo studies.
Main Results:
- YAP1 and CDK6 expression are positively correlated in resistant esophageal cancer.
- YAP1 upregulation promotes radiation resistance; YAP1 inhibition sensitizes cells to radiation.
- CDK6 inhibition also sensitizes cells to radiation, revealing a feed-forward loop with YAP1.
- Combined inhibition of YAP1 and CDK6 reduced tumor growth, stem cell populations, and enhanced radiosensitivity.
Conclusions:
- A positive crosstalk between YAP1 and CDK6 pathways contributes to esophageal cancer radiation resistance.
- Simultaneous targeting of YAP1 and CDK6 pathways presents a promising therapeutic strategy for overcoming resistance in esophageal cancer.
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