EDNRA Forms a Positive Feedback Loop with the Hippo/YAP Axis to Drive Triple-Negative Breast Cancer Progression

Zehao Hong1, Boyang Li1, Jiahui Xu1

  • 1Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Insights

Researchers identified endothelin receptor type A (EDNRA) as a key driver in triple-negative breast cancer (TNBC) by activating Hippo/Yes-associated protein (YAP) signaling. Blocking EDNRA with atrasentan shows promise for treating YAP-driven TNBC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Sustained Hippo/Yes-associated protein (YAP) activation is crucial for triple-negative breast cancer (TNBC) progression.
  • Identifying druggable upstream regulators of YAP in TNBC is a critical unmet need.

Purpose of the Study:

  • To investigate G protein-coupled receptors (GPCRs) as potential upstream regulators of YAP in TNBC.
  • To identify and characterize the role of EDNRA in YAP-driven TNBC.

Main Methods:

  • Bioinformatic analysis of TCGA data for Hippo/YAP signatures.
  • siRNA screening to identify GPCRs involved in connective tissue growth factor (CTGF) signaling.
  • Experimental validation using cell lines and xenografts involving EDNRA manipulation and atrasentan treatment.
  • Molecular analyses including immunoblotting, RT-qPCR, reporter assays, and ChIP-qPCR to elucidate signaling pathways.

Main Results:

  • EDNRA expression positively correlated with Hippo/YAP signatures, adverse clinical features, and poor outcomes in TNBC.
  • EDNRA depletion or atrasentan blockade inhibited TNBC cell proliferation, migration, stemness, and xenograft growth.
  • EDNRA signaling activates YAP/TEAD through Gαq/11-Rho/ROCK-LATS pathway, forming a positive feedback loop with YAP/TEAD4 enhancing EDNRA transcription.
  • Atrasentan demonstrated synergistic effects with paclitaxel in TNBC.

Conclusions:

  • EDNRA is a druggable upstream regulator of YAP in TNBC.
  • Targeting EDNRA represents a promising therapeutic strategy for YAP-driven TNBC.
  • The identified EDNRA-YAP feedback loop offers a novel therapeutic vulnerability.

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