FOXP4 Is a Direct YAP1 Target That Promotes Gastric Cancer Stemness and Drives Metastasis
Xiaoli Liu1,2,3, Bonan Chen1,2,3, Fuda Xie1,2,3
1Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Sir Y.K. Pao Cancer Center, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Abstract:
The Hippo-YAP1 pathway is an evolutionally conserved signaling cascade that controls organ size and tissue regeneration. Dysregulation of Hippo-YAP1 signaling promotes initiation and progression of several types of cancer, including gastric cancer. As the Hippo-YAP1 pathway regulates expression of thousands of genes, it is important to establish which target genes contribute to the oncogenic program driven by YAP1 to identify strategies to circumvent it. In this study, we identified a vital role of forkhead box protein 4 (FOXP4) in YAP1-driven gastric carcinogenesis by maintaining stemness and promoting peritoneal metastasis. Loss of FOXP4 impaired gastric cancer spheroid formation and reduced stemness marker expression, whereas FOXP4 upregulation potentiated cancer cell stemness. RNA sequencing analysis revealed SOX12 as a downstream target of FOXP4, and functional studies established that SOX12 supports stemness in YAP1-induced carcinogenesis. A small-molecule screen identified 42-(2-tetrazolyl) rapamycin as a FOXP4 inhibitor, and targeting FOXP4 suppressed gastric cancer tumor growth and enhanced the efficacy of 5-fluorouracil chemotherapy in vivo. Collectively, these findings revealed that FOXP4 upregulation by YAP1 in gastric cancer regulates stemness and tumorigenesis by upregulating SOX12. Targeting the YAP1-FOXP4-SOX12 axis represents a potential therapeutic strategy for gastric cancer. Significance: Hippo-YAP1 signaling maintains stemness in gastric cancer by upregulating FOXP4, identifying FOXP4 as a stemness biomarker and therapeutic target that could help improve patient outcomes.
Insights
The Hippo-YAP1 pathway drives gastric cancer by upregulating forkhead box protein 4 (FOXP4), which maintains cancer stemness and promotes metastasis. Targeting FOXP4 offers a new therapeutic strategy for gastric cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The Hippo-YAP1 pathway is crucial for organ size and regeneration.
- Its dysregulation is implicated in gastric cancer initiation and progression.
- Identifying YAP1 target genes is key to understanding and circumventing oncogenic programs.
Purpose of the Study:
- To investigate the role of forkhead box protein 4 (FOXP4) in YAP1-driven gastric carcinogenesis.
- To identify downstream targets of FOXP4 that contribute to cancer stemness.
- To explore therapeutic strategies targeting the YAP1-FOXP4 axis.
Main Methods:
- RNA sequencing to identify downstream targets.
- Functional studies to assess stemness and spheroid formation.
- Small-molecule screening to identify FOXP4 inhibitors.
- In vivo studies to evaluate therapeutic efficacy.
Main Results:
- FOXP4 is vital for YAP1-driven gastric cancer, maintaining stemness and promoting metastasis.
- Loss of FOXP4 impairs cancer stemness; its upregulation potentiates it.
- SOX12 was identified as a downstream target of FOXP4, supporting stemness.
- A FOXP4 inhibitor suppressed tumor growth and enhanced chemotherapy efficacy in vivo.
Conclusions:
- YAP1 upregulates FOXP4 in gastric cancer, which in turn upregulates SOX12 to maintain stemness and tumorigenesis.
- The YAP1-FOXP4-SOX12 axis is a potential therapeutic target for gastric cancer.
- FOXP4 serves as a stemness biomarker and therapeutic target for improving patient outcomes.
Related Concept Videos
Induced Pluripotent Stem Cells
Somatic...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Abnormal Proliferation


