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Updated: Aug 25, 2025

Monitoring Hippo Signaling Pathway Activity Using a Luciferase-based Large Tumor Suppressor LATS Biosensor
Published on: September 13, 2018
The Impact of the Hippo Pathway and Cell Metabolism on Pathological Complete Response in Locally Advanced Her2+
Eriseld Krasniqi1, Francesca Sofia Di Lisa2, Anna Di Benedetto3
1Division of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Abstract:
The Hippo pathway and its two key effectors, Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), are consistently altered in breast cancer. Pivotal regulators of cell metabolism such as the AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) are relevant modulators of TAZ/YAP activity. In this prospective study, we measured the tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR by immunohistochemistry in 65 Her2+ breast cancer patients who underwent trastuzumab-based neoadjuvant treatment. The aim of the study was to assess the impact of the immunohistochemical expression of the Hippo pathway transducers and cell metabolism regulators on pathological complete response. Low expression of cytoplasmic TAZ, both alone and in the context of a composite signature identified by machine learning including also low nuclear levels of YAP and HMGCR and high cytoplasmic levels of SCD1, was a predictor of residual disease in the univariate logistic regression. This finding was not confirmed in the multivariate model including estrogen receptor > 70% and body mass index > 20. However, our findings were concordant with overall survival data from the TCGA cohort. Our results, possibly affected by the relatively small sample size of this study population, deserve further investigation in adequately sized, ad hoc prospective studies.
Insights
Low expression of cytoplasmic TAZ, YAP, HMGCR, and high SCD1 predicts residual disease in Her2+ breast cancer. This finding requires further validation in larger prospective studies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The Hippo pathway, involving Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), is frequently altered in breast cancer.
- Cell metabolism regulators like AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) influence TAZ/YAP activity.
Purpose of the Study:
- To investigate the association between Hippo pathway transducers (TAZ, YAP) and metabolic regulators (AMPK, SCD1, HMGCR) expression and pathological complete response in Her2+ breast cancer patients undergoing neoadjuvant therapy.
- To assess the predictive value of these markers for treatment outcomes.
Main Methods:
- Prospective study measuring tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR via immunohistochemistry in 65 Her2+ breast cancer patients.
- Univariate and multivariate logistic regression analyses were performed to evaluate predictive significance.
- Machine learning was used to identify a composite signature.
Main Results:
- Low cytoplasmic TAZ expression, alone or as part of a composite signature (low nuclear YAP, low HMGCR, high cytoplasmic SCD1), predicted residual disease in univariate analysis.
- This association was not significant in the multivariate model adjusting for estrogen receptor status and BMI.
- Findings showed concordance with overall survival data from the TCGA cohort.
Conclusions:
- The expression of TAZ, YAP, SCD1, and HMGCR may play a role in predicting treatment response in Her2+ breast cancer.
- The predictive value of these markers requires further investigation in larger, prospective studies due to the current study's sample size limitations.
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