YAP/TEAD involvement in resistance to paclitaxel chemotherapy in lung cancer

S Brosseau1,2,3, P Abreu1, C Bouchez1

  • 1U830 INSERM "Cancer, Heterogenity, Instability, Plasticity", Team "Stress and Cancer", Institut Curie Research Centre, 26 rue d'Ulm, 75248 Cedex 05, Paris, France.

Insights

Pharmacological inhibition of Yes-associated protein (YAP) and TEAD transcription factors reverses chemotherapy resistance in lung cancer. Targeting YAP/TEAD overcomes paclitaxel resistance and sensitizes cells to MEK inhibitors, offering new therapeutic strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The Yes-associated protein (YAP) oncoprotein is implicated in lung cancer metastasis and resistance to targeted therapies.
  • Understanding YAP's role in chemo-resistance is crucial for developing effective lung cancer treatments.

Purpose of the Study:

  • To investigate the therapeutic potential of pharmacologically inhibiting YAP/TEA domain (TEAD) interactions in chemo-resistant lung cancer cells.
  • To evaluate the impact of YAP inhibition on YAP activity, cell migration, and transcriptional activity in lung cancer models.

Main Methods:

  • Utilized YAP/TEAD interaction inhibitors (e.g., IV#6) in lung cancer cell lines with varying YAP expression and chemo-resistance.
  • Assessed YAP subcellular localization, cell migration (wound healing assays), and TEAD transcriptional activity.
  • Employed transcriptomic analysis, drug sensitivity assays (IC50 determination), and a 3D microfluidic culture system with patient-derived cells.

Main Results:

  • YAP activity was significantly elevated in paclitaxel-resistant lung cancer cells.
  • YAP/TEAD inhibition reduced YAP activity, nuclear localization, and cell motility in multiple lung cancer and mesothelioma cell lines.
  • Combination therapy with a YAP/TEAD inhibitor and MEK inhibitor (trametinib) demonstrated synthetic lethality in K-Ras mutated cells, while the YAP/TEAD inhibitor restored paclitaxel sensitivity in resistant cells, even in a 3D microfluidic system with patient samples.

Conclusions:

  • The YAP/TEAD transcriptional program plays a significant role in driving chemotherapy resistance in lung cancer.
  • Pharmacological inhibition of YAP/TEAD interactions represents a promising therapeutic strategy to overcome chemo-resistance and enhance treatment efficacy.
  • Targeting YAP/TEAD offers a viable approach for developing novel lung cancer therapies, potentially in combination with existing treatments.