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Published on: April 20, 2018
Integrating Genetic Alterations and the Hippo Pathway in Head and Neck Squamous Cell Carcinoma for Future Precision
Toshinori Ando1, Kento Okamoto2, Tomoaki Shintani1
1Center of Oral Clinical Examination, Hiroshima University Hospital, Hiroshima 734-8551, Japan.
Abstract:
Genetic alterations and dysregulation of signaling pathways are indispensable for the initiation and progression of cancer. Understanding the genetic, molecular, and signaling diversities in cancer patients has driven a dynamic change in cancer therapy. Patients can select a suitable molecularly targeted therapy or immune checkpoint inhibitor based on the driver gene alterations determined by sequencing of cancer tissue. This "precision medicine" approach requires detailed elucidation of the mechanisms connecting genetic alterations of driver genes and aberrant downstream signaling pathways. The regulatory mechanisms of the Hippo pathway and Yes-associated protein/transcriptional co-activator with PDZ binding motif (YAP/TAZ) that have central roles in cancer cell proliferation are not fully understood, reflecting their recent discovery. Nevertheless, emerging evidence has shown that various genetic alterations dysregulate the Hippo pathway and hyperactivate YAP/TAZ in cancers, including head and neck squamous cell carcinoma (HNSCC). Here, we summarize the latest evidence linking genetic alterations and the Hippo pathway in HNSCC, with the aim of contributing to the continued development of precision medicine.
Insights
Genetic alterations drive cancer progression. This study reviews how the Hippo pathway and YAP/TAZ signaling are dysregulated in head and neck squamous cell carcinoma (HNSCC), advancing precision medicine.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer initiation and progression depend on genetic alterations and signaling pathway dysregulation.
- Precision medicine, including targeted therapies and immune checkpoint inhibitors, relies on understanding molecular and signaling diversity in patients.
- The Hippo pathway and its key effectors, Yes-associated protein/transcriptional co-activator with PDZ binding motif (YAP/TAZ), play crucial roles in cancer cell proliferation but their regulatory mechanisms are not fully elucidated.
Purpose of the Study:
- To summarize current evidence connecting genetic alterations with Hippo pathway dysregulation in head and neck squamous cell carcinoma (HNSCC).
- To highlight the role of aberrant Hippo pathway and YAP/TAZ activation in HNSCC development.
- To contribute to the advancement of precision medicine strategies for HNSCC.
Main Methods:
- Literature review of recent evidence on genetic alterations and the Hippo pathway in HNSCC.
- Analysis of studies investigating the link between genetic changes and YAP/TAZ hyperactivation.
- Synthesis of findings to elucidate regulatory mechanisms and therapeutic implications.
Main Results:
- Emerging evidence indicates that various genetic alterations can dysregulate the Hippo pathway in HNSCC.
- These alterations frequently lead to the hyperactivation of YAP/TAZ signaling, promoting cancer cell proliferation.
- Specific genetic drivers and their impact on Hippo pathway components in HNSCC are increasingly being identified.
Conclusions:
- Understanding the interplay between genetic alterations and the Hippo pathway is critical for HNSCC pathogenesis.
- Targeting the Hippo pathway or YAP/TAZ signaling represents a promising avenue for novel HNSCC therapies.
- Continued research in this area will further refine precision medicine approaches for head and neck cancer patients.
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