Pharmacological regulators of Hippo pathway: Advances and challenges of drug development

Zhaobai Lao1, Xin Chen1, Bin Pan1

  • 1Department of Orthopedics Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, China.

Insights

The Hippo signaling pathway regulates organ size and tissue repair. New drugs targeting this pathway, including those for TEAD, show promise for treating diseases like cancer and bone disorders.

Area of Science:

  • Cellular signaling
  • Molecular biology
  • Developmental biology

Background:

  • The Hippo signaling pathway is a critical regulator of organ size, tissue regeneration, and bone homeostasis.
  • Dysregulation of this pathway, leading to YAP/TAZ activation, is implicated in tumor progression and impaired tissue repair.
  • Despite its importance, developing targeted therapies for the Hippo pathway has been historically challenging.

Purpose of the Study:

  • To review recent advancements in Hippo signaling pathway modulators.
  • To analyze the mechanisms, properties, and in vivo applications of Hippo agonists and antagonists.
  • To highlight the therapeutic potential of targeting the Hippo pathway and its downstream effectors like TEAD.

Main Methods:

  • Literature review of preclinical and clinical studies on Hippo pathway modulators.
  • Analysis of drug discovery efforts targeting YAP/TAZ and TEAD.
  • Synthesis of data on regulatory mechanisms and pharmacological profiles of agonists and antagonists.

Main Results:

  • Significant progress has been made in developing Hippo signaling pathway agonists and antagonists.
  • Several drugs targeting TEAD, a key downstream effector, are in clinical trials with promising results.
  • These therapies demonstrate potential for treating cancers, promoting tissue regeneration, and maintaining bone stability.

Conclusions:

  • Targeting the Hippo signaling pathway represents a promising therapeutic strategy for various diseases.
  • Ongoing research and clinical trials for TEAD inhibitors are advancing the field.
  • Further investigation into Hippo pathway modulators could unlock new treatments for organ size control and regenerative medicine.

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