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Updated: May 29, 2025

Identification of Transcription Factor Regulators using Medium-Throughput Screening of Arrayed Libraries and a Dual-Luciferase-Based Reporter
Published on: March 27, 2020
PI3K regulates TAZ/YAP and mTORC1 axes that can be synergistically targeted
Purpose:
Sarcomas are a heterogeneous group of cancers with few shared therapeutic targets. PI3K signaling is activated in various subsets of sarcomas, representing a shared oncogenic signaling pathway. Oncogenic PI3K signaling has been challenging to target therapeutically. An integrated view of PI3K and Hippo pathway signaling is examined to determine if this could be leveraged therapeutically.
Experimental Design:
A tissue microarray containing sarcomas of various histological types was evaluated for PTEN loss and correlated with levels of activated TAZ and YAP. PI3K and Hippo pathways were dissected in sarcoma cell lines. The role of TAZ and YAP were evaluated in a PI3K-driven mouse model. The efficacy of mTORC1 inhibition and TEAD inhibition were evaluated in sarcoma cell lines and in vivo .
Results:
PI3K signaling is frequently activated in sarcomas due to PTEN loss (in 30-60%), representing a common therapeutic target. TAZ and YAP are transcriptional co-activators regulated by PI3K and drive a transcriptome necessary for tumor growth in a PI3K-driven sarcoma mouse model. Combination therapy using IK-930 (TEAD inhibitor) and everolimus (mTORC1 inhibitor) synergistically diminished proliferation and anchorage independent growth of PI3K-activated sarcoma cell lines at low, physiologically achievable doses. Furthermore, this combination therapy showed a synergistic effect in vivo , reducing tumor proliferation and size.
Conclusions:
TAZ and YAP are transcriptional co-activators downstream of PI3K signaling, a pathway that has lacked a well-defined oncogenic transcription factor. This PI3K-TAZ/YAP axis exists in parallel to the known PI3K-Akt-mTORC1 axis allowing for synergistic combination therapy targeting the TAZ/YAP-TEAD interaction and mTORC1 in sarcomas.
Insights
Targeting the PI3K-TAZ/YAP pathway with combination therapy, including TEAD and mTORC1 inhibitors, shows promise for treating PI3K-activated sarcomas. This approach synergistically reduces tumor growth and proliferation in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Sarcomas are a diverse cancer group with limited targeted therapies.
- Phosphoinositide 3-kinase (PI3K) signaling is frequently activated in sarcomas, often due to PTEN loss, presenting a potential therapeutic vulnerability.
- Targeting PI3K signaling has been clinically challenging.
Purpose of the Study:
- To investigate the interplay between PI3K and Hippo pathway signaling in sarcomas.
- To explore the therapeutic potential of targeting the PI3K-TAZ/YAP axis in sarcomas.
Main Methods:
- Evaluated PTEN loss and TAZ/YAP activation in sarcoma tissue microarrays.
- Dissected PI3K and Hippo pathway signaling in sarcoma cell lines.
- Assessed TAZ and YAP roles in a PI3K-driven mouse model.
- Tested the efficacy of mTORC1 and TEAD inhibitors, alone and in combination, in vitro and in vivo.
Main Results:
- PI3K signaling, activated by PTEN loss in 30-60% of sarcomas, was linked to TAZ and YAP transcriptional co-activators.
- TAZ and YAP drive tumor growth in PI3K-activated sarcomas.
- Combination therapy with a TEAD inhibitor (IK-930) and an mTORC1 inhibitor (everolimus) demonstrated synergistic anti-proliferative effects in vitro and reduced tumor growth in vivo.
Conclusions:
- The PI3K-TAZ/YAP axis represents a critical oncogenic pathway in sarcomas, acting parallel to the PI3K-Akt-mTORC1 axis.
- This axis provides a novel therapeutic target.
- Combined inhibition of TAZ/YAP-TEAD interaction and mTORC1 offers a promising synergistic strategy for treating PI3K-activated sarcomas.
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