Laminar flow inhibits the Hippo/YAP pathway via autophagy and SIRT1-mediated deacetylation against atherosclerosis
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Updated: Dec 28, 2025

Monitoring Hippo Signaling Pathway Activity Using a Luciferase-based Large Tumor Suppressor LATS Biosensor
Published on: September 13, 2018
Ping Yuan1, Qiongying Hu2, Xuemei He3
1Department of Neurology, the Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Insights
Laminar blood flow activates autophagy and SIRT1, inhibiting the Hippo/YAP pathway and reducing atherosclerosis. This study reveals how shear stress regulates YAP activity, offering insights into preventing vascular disease.
Area of Science:
- Vascular Biology
- Cellular Mechanotransduction
- Molecular Cardiology
Background:
- Atherosclerosis is a vascular disease influenced by blood flow patterns.
- The Hippo/YAP pathway regulates inflammatory gene expression in response to mechanical cues.
- The precise mechanisms by which blood flow patterns modulate YAP activity are not fully understood.
Purpose of the Study:
- To investigate the role of autophagy and SIRT1 in mediating the effects of shear stress on YAP activity in endothelial cells.
- To elucidate the signaling pathways linking laminar and disturbed blood flow to YAP regulation and inflammatory responses.
Main Methods:
- Examined autophagic markers (BECLIN 1, LC3II/LC3I) under different flow conditions.
- Utilized chemical inhibitors and genetic manipulation to modulate autophagy and SIRT1.
- Assessed YAP nuclear import, transcriptional activity, and acetylation.
- Investigated gene expression of pro-inflammatory markers.
- Studied effects in mouse models of atherosclerosis.
Main Results:
- Laminar flow increased autophagy markers and SIRT1 expression.
- Autophagy blockade under laminar flow prevented YAP degradation.
- Autophagy induction under disturbed flow inhibited YAP nuclear import and activation.
- SIRT1 deacetylated YAP, attenuating its activation and pro-inflammatory gene expression.
- Rapamycin-induced autophagy in mice enhanced SIRT1 and repressed YAP.
Conclusions:
- Endothelial autophagy and SIRT1 induced by laminar flow inhibit Hippo/YAP signaling.
- This mechanism plays a protective role against atherosclerotic plaque formation.
- Targeting autophagy and SIRT1 may offer therapeutic strategies for atherosclerosis.
Abstract:
Atherosclerosis is a multifactorial disease of the vasculature, and shear stress is a crucial regulator of its process. Disturbed flow promotes atherosclerotic effects, while laminar flow has a protective action on the endothelium. Hippo/YAP is a major cascade that senses various mechanical cues and mediates the expression of pro-inflammatory genes. However, the mechanism modulating the transcription factor YAP in response to different patterns of blood flow remains unclear. In this study, we provide evidence that shear stress modulates YAP activity via autophagy in endothelial cells. Laminar flow promoted the expression of the autophagic markers BECLIN 1 and LC3II/LC3I. Autophagy blockade using a chemical inhibitor repressed YAP degradation under laminar flow. Conversely, the induction of autophagy under disturbed flow partially antagonized the nuclear import and transcriptional activation of YAP. In parallel, laminar flow led to the increased expression of SIRT1 protein, a NAD+-dependent deacetylase. Further investigation showed that SIRT1-mediated YAP deacetylation. The forced expression of SIRT1 under disturbed flow effectively attenuated YAP activation and nuclear accumulation, thereby downregulating the expression of pro-inflammatory genes. In atheroprone vessels of mice receiving rapamycin to induce autophagy, the enhanced expression of SIRT1 was observed together with YAP repression. Altogether, these results show that endothelial autophagy and SIRT1 expression induced by laminar flow contribute to the inhibition of Hippo/YAP signaling and interrupt atherosclerotic plaque formation.
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