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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.
Abstract:
The Hippo signaling pathway is crucial in regulating organ size, tumor progression, tissue regeneration, and bone homeostasis. Inactivation of the Hippo pathway results in the nuclear translocation and activation of YAP/TAZ. This activation not only promotes tumor progression but also enhances tissue regeneration, wound healing, and maintenance of bone stability Although its discovery occurred over two decades ago, developing effective inhibitors or activators for the Hippo pathway remains challenging. Recently, however, the pace of advancements in developing Hippo signaling-related agonists and antagonists has accelerated, with some drugs that target TEAD advancing to clinical trials and showing promise for treating related diseases. This review summarizes the progress in research on Hippo signaling-related agonists and inhibitors, offering an in-depth analysis of their regulatory mechanisms, pharmacological properties, and potential in vivo applications.
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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