YAP-TEAD inhibition is associated with upregulation of an androgen receptor mediated transcription program providing therapeutic escape
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Updated: Jun 12, 2025

Identification of Transcription Factor Regulators using Medium-Throughput Screening of Arrayed Libraries and a Dual-Luciferase-Based Reporter
Published on: March 27, 2020
Roberto Alva-Ruiz1, Ryan D Watkins1, Jennifer L Tomlinson1
1Division of Hepatobiliary & Pancreas Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Abstract:
Cholangiocarcinoma (CCA) is a highly aggressive form of liver cancer and is an increasing cause of cancer-related death worldwide. Despite its increasing incidence globally and alarming mortality, treatment options for CCA have largely remained unchanged, stressing the importance of developing new effective therapies. YAP activation is common in CCA, and its major transcriptional signaling partners are the TEAD proteins. CA3 is a small-molecule YAP-TEAD disrupter discovered utilizing a TEAD reporter assay. Utilizing CCA, gastric cancer cell lines, and patient-derived xenograft models (PDX), we demonstrate that CA3 is effective in inducing cell death and delaying tumor growth in both FGFR2 fusion and wild-type models. CA3 was associated with on-target decreases in YAP-TEAD target gene expression, TEAD reporter activity, and overall TEAD levels. Hippo pathway signaling was not altered as there was no change in YAP phosphorylation status in the cells exposed to CA3. RNA sequencing of gastric cancer and CCA models demonstrated upregulation of an androgen receptor-mediated transcriptional program following exposure to CA3 in five unique models tested. Consistent with this upstream regulator analysis, CA3 exposure in CCA cells was associated with increased AR protein levels, and combinatorial therapy with CA3 and androgen receptor blockade was associated with increased cancer cell death. CA3 behaves functionally as a YAP-TEAD disrupter in the models tested and demonstrated therapeutic efficacy. Exposure to CA3 was associated with compensatory androgen receptor signaling and dual inhibition improved the therapeutic effect.
Insights
A novel YAP-TEAD disrupter, CA3, effectively reduces cholangiocarcinoma growth by targeting YAP-TEAD signaling. This therapy also activates compensatory androgen receptor signaling, suggesting dual inhibition as a promising treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Cholangiocarcinoma (CCA) is an aggressive liver cancer with limited treatment options.
- YAP-TEAD signaling is frequently activated in CCA, presenting a therapeutic target.
- Developing novel therapies for CCA is crucial due to increasing incidence and mortality.
Purpose of the Study:
- To evaluate the efficacy of CA3, a small-molecule YAP-TEAD disrupter, in preclinical models of CCA.
- To investigate the molecular mechanisms underlying CA3's action in cancer cells.
- To explore the potential of combining CA3 with androgen receptor blockade.
Main Methods:
- Utilized CCA and gastric cancer cell lines and patient-derived xenograft (PDX) models.
- Assessed CA3's effects on cell death, tumor growth, YAP-TEAD target gene expression, and protein levels.
- Performed RNA sequencing to identify molecular pathways affected by CA3.
- Investigated the impact of combined CA3 and androgen receptor blockade therapy.
Main Results:
- CA3 induced cell death and delayed tumor growth in both FGFR2 fusion and wild-type CCA models.
- CA3 decreased YAP-TEAD target gene expression, reporter activity, and TEAD levels without altering Hippo pathway signaling.
- RNA sequencing revealed upregulation of androgen receptor-mediated transcription following CA3 exposure.
- Combined therapy with CA3 and androgen receptor blockade enhanced cancer cell death.
Conclusions:
- CA3 functions as a YAP-TEAD disrupter and demonstrates therapeutic efficacy in CCA models.
- CA3 treatment leads to compensatory activation of androgen receptor signaling.
- Dual inhibition of YAP-TEAD and androgen receptor pathways represents a potential therapeutic strategy for CCA.
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