The YAP1 Signaling Inhibitors, Verteporfin and CA3, Suppress the Mesothelioma Cancer Stem Cell Phenotype
Sivaveera Kandasamy1, Gautam Adhikary2, Ellen A Rorke3
1Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
Abstract:
Mesothelioma is an aggressive cancer that has a poor prognosis. Tumors develop in the mesothelial lining of the pleural and peritoneal cavities in response to asbestos exposure. Surgical debulking followed by chemotherapy is initially effective, but this treatment ultimately selects for resistant cells that form aggressive and therapy-resistant recurrent tumors. Mesothelioma cancer stem cells (MCS) are a highly aggressive subpopulation present in these tumors that are responsible for tumor maintenance and drug resistance. In this article, we examine the impact of targeting YAP1/TAZ/TEAD signaling in MCS cells. YAP1, TAZ, and TEADs are transcriptional mediators of the Hippo signaling cascade that activate gene expression to drive tumor formation. We show that two YAP1 signaling inhibitors, verteporfin and CA3, attenuate the MCS cell phenotype. Verteporfin or CA3 treatment reduces YAP1/TEAD level/activity to suppress MCS cell spheroid formation, Matrigel invasion, migration, and tumor formation. These agents also increase MCS cell apoptosis. Moreover, constitutively active YAP1 expression antagonizes inhibitor action, suggesting that loss of YAP1/TAZ/TEAD signaling is required for response to verteporfin and CA3. These agents are active against mesothelioma cells derived from peritoneal (epithelioid) and patient-derived pleural (sarcomatoid) mesothelioma, suggesting that targeting YAP1/TEAD signaling may be a useful treatment strategy. IMPLICATIONS: These studies suggest that inhibition of YAP1 signaling may be a viable approach to treating mesothelioma.
Insights
Targeting YAP1/TAZ/TEAD signaling with verteporfin or CA3 inhibits mesothelioma cancer stem cells. This approach reduces tumor formation and increases apoptosis, offering a potential new treatment strategy for this aggressive cancer.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Medicine
Background:
- Mesothelioma is an aggressive cancer with poor prognosis, often arising from asbestos exposure.
- Current treatments like surgery and chemotherapy are initially effective but lead to therapy-resistant recurrent tumors.
- Mesothelioma cancer stem cells (MCS) drive tumor maintenance and drug resistance.
Purpose of the Study:
- To investigate the therapeutic potential of targeting YAP1/TAZ/TEAD signaling in MCS cells.
- To evaluate the efficacy of YAP1 signaling inhibitors verteporfin and CA3 in preclinical mesothelioma models.
Main Methods:
- Treatment of MCS cells with YAP1 signaling inhibitors verteporfin and CA3.
- Assessment of inhibitor effects on MCS cell phenotype, including spheroid formation, invasion, migration, and apoptosis.
- Evaluation of YAP1/TEAD signaling levels and activity.
- Testing efficacy in both epithelioid and sarcomatoid mesothelioma cell lines.
Main Results:
- Verteporfin and CA3 treatment attenuated the MCS cell phenotype, suppressing spheroid formation, invasion, and migration.
- Inhibitors reduced YAP1/TEAD levels/activity and increased MCS cell apoptosis.
- Constitutively active YAP1 expression counteracted inhibitor effects, confirming YAP1/TAZ/TEAD pathway dependency.
- Agents showed activity against both peritoneal and pleural mesothelioma cells.
Conclusions:
- Inhibition of YAP1/TAZ/TEAD signaling is a promising strategy for overcoming mesothelioma drug resistance.
- Verteporfin and CA3 demonstrate potential as novel therapeutic agents for mesothelioma treatment.
- Targeting this pathway may offer a viable approach for managing aggressive mesothelioma, including resistant subtypes.
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