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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.
Abstract:
Sustained Hippo/Yes-associated protein (YAP) activation drives triple-negative breast cancer (TNBC), but druggable upstream regulators remain unclear. We investigated G protein-coupled receptors (GPCRs) as membrane inputs for YAP activation. TCGA-based Hippo/YAP signature analysis, marketed-drug GPCR annotation, and siRNA screening using connective tissue growth factor (CTGF) identified endothelin receptor type A (EDNRA). EDNRA function was tested by knockdown, overexpression, endothelin-1 (ET-1) stimulation, and atrasentan blockade in TNBC cells and xenografts. YAP regulation was examined by immunoblotting, RT-qPCR, TEAD reporter assays, subcellular localization, docking, co-immunoprecipitation, mutagenesis, ChIP-qPCR, and CRISPRi. EDNRA correlated with Hippo/YAP signatures, adverse clinical features, and poor outcome. EDNRA depletion or atrasentan suppressed proliferation, migration, stem-like populations, and xenograft growth, whereas EDNRA overexpression or ET-1 had opposite effects. Mechanistically, EDNRA reduced YAP Ser127 phosphorylation, promoted nuclear YAP accumulation, and enhanced TEAD transcription through Gαq/11-Rho/ROCK-LATS signaling. Mutating predicted EDNRA-Gαq/11 interface residues impaired YAP activation and tumor-promoting activity. Reciprocally, YAP/TEAD4 enhanced EDNRA transcription through an enhancer-associated region. Atrasentan also sensitized TNBC cells to paclitaxel and produced positive zero interaction potency (ZIP) synergy scores. EDNRA establishes a druggable positive feedback loop with Hippo/YAP signaling and represents a potential therapeutic vulnerability in YAP-driven TNBC.
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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