Targeting the Hippo pathway in cancer: kidney toxicity as a class effect of TEAD inhibitors?

Sayantanee Paul1, Jessica Sims2, Trang Pham1

  • 1Department of Discovery Oncology, Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080.

Trends in Cancer
|November 9, 2024
PubMed

Insights

The Hippo pathway and TEAD inhibitors show promise in cancer treatment but require further kidney safety studies. This review examines their role in cancer and kidney development for better clinical translation.

Area of Science:

  • Oncology
  • Molecular Biology
  • Nephrology

Background:

  • The Hippo pathway is crucial in cancer development and resistance to targeted therapies.
  • TEAD inhibitors are emerging as a promising class of anticancer drugs, with several in clinical trials.
  • Understanding the Hippo pathway's role in kidney development is essential for assessing potential toxicities.

Purpose of the Study:

  • To review the involvement of the Hippo pathway in various cancers.
  • To discuss the therapeutic potential of TEAD inhibitors in oncology.
  • To evaluate the safety profile of Hippo pathway inhibition, focusing on renal effects, and to guide clinical translation.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of the Hippo pathway's role in cancer pathogenesis and drug resistance.
  • Examination of the Hippo pathway's function in kidney development and homeostasis.

Main Results:

  • The Hippo pathway regulates cell proliferation, survival, and tissue growth, making it a key target in cancer.
  • TEAD inhibitors have demonstrated efficacy in preclinical cancer models.
  • Preliminary data suggest potential renal side effects associated with Hippo pathway inhibition, necessitating careful evaluation.

Conclusions:

  • TEAD inhibitors represent a significant advancement in cancer therapy.
  • Further research is required to fully understand and mitigate the potential kidney-related toxicities of Hippo pathway-targeted drugs.
  • Optimizing therapeutic strategies is crucial for maximizing patient benefit and ensuring the long-term safety of these novel agents.