Abstract
Aside from the high prevalence of incidents of breast cancer, the high grade of heterogeneity and the dearth of standard treatment guidelines make triple-negative breast cancer (TNBC) the most refractory subtype. Though still in its infancy, the Hippo pathway has been known to play a critical role in tumorigenesis. However, the molecular mechanics through which the pathway exploits the breast cancer (BC) cell vulnerability are largely unexplored. In this study, we observed a relatively higher expression of the Hippo effector, yes-associated protein (YAP), in TNBC patients compared to non-TNBC patients. Thus, we sought to investigate the contribution of Hippo signaling in TNBC by focusing particularly on transducers of the pathway. Impeding YAP transactivation by means of RNA interference or pharmacological inhibition was carried out, followed by evaluation of the subsequent biological changes at the molecular level. We successfully translated the observed data into a TNBC patient-derived xenograft cell line (PDXC). We discovered that nuclear translocation of YAP was associated with TNBC aggressive characteristics and activated the EGFR-AKT axis. Here, we explored the putative role of the Hippo transducer in enhancing cancer hostility and observed that YAP transduction drives proliferation, migration, and survival of TNBC by preventing cellular apoptosis through mediating EGFR activation. These observations suggest that YAP represents a major vulnerability in TNBC cells that may be exploited therapeutically.
Similar content being viewed by others
Data availability
All data included in this study will be available from the corresponding author on reasonable request.
References
Pareja F, Geyer FC, Marchiò C, Burke KA, Weigelt B, Reis-Filho JS. Triple-negative breast cancer: the importance of molecular and histologic subtyping, and recognition of low-grade variants. NPJ breast cancer. 2016;2:1–11. https://doi.org/10.1038/npjbcancer.2016.36.
Lehmann BD, Pietenpol JA. Identification and use of biomarkers in treatment strategies for triple-negative breast cancer subtypes. J Pathol. 2014;232:142–50. https://doi.org/10.1002/path.4280.
Thakur KK, Bordoloi D, Kunnumakkara AB. Alarming burden of triple-negative breast cancer in India. Clin Breast Cancer. 2018;18:e393–9. https://doi.org/10.1016/j.clbc.2017.07.013.
Kulkarni A, Kelkar DA, Parikh N, Shashidhara LS, Koppiker CB, Kulkarni MJ. Meta-analysis of prevalence of triple-negative breast cancer and its clinical features at incidence in Indian patients with breast cancer. JCO Glob Oncol. 2020;6:1052–62. https://doi.org/10.1200/GO.20.00054.
Dong J, Feldmann G, Huang J, Wu S, Zhang N, Comerford SA, et al. Elucidation of a universal size-control mechanism in Drosophila and mammals. Cell. 2007;130:1120–33. https://doi.org/10.1016/j.cell.2007.07.019.
Pan D. The hippo signaling pathway in development and cancer. Dev Cell. 2010;19:491–505. https://doi.org/10.1016/j.devcel.2010.09.011.
Piccolo S, Dupont S, Cordenonsi M. The biology of YAP/TAZ: hippo signaling and beyond. Physiol Rev. 2014. https://doi.org/10.1152/physrev.00005.2014.
Meng Z, Moroishi T, Guan K-L, Development. Mechanisms of Hippo pathway regulation. Genes Dev. 2016;30:1–17. https://doi.org/10.1101/gad.274027.115.
Zhao B, Wei X, Li W, et al. Inactivation of YAP oncoprotein by the Hippo pathway is involved in cell contact inhibition and tissue growth control. Genes Dev. 2007;21:2747–61. https://doi.org/10.1101/gad.1602907.
Overholtzer M, Zhang J, Smolen GA, et al. Transforming properties of YAP, a candidate oncogene on the chromosome 11q22 amplicon. PNAS. 2006;103:12405–10. https://doi.org/10.1073/pnas.0605579103.
Cordenonsi M, Zanconato F, Azzolin L, et al. The Hippo transducer TAZ confers cancer stem cell-related traits on breast cancer cells. Cell. 2011;147:759–72. https://doi.org/10.1016/j.cell.2011.09.048.
Liu-Chittenden Y, Huang B, Shim JS, et al. Genetic and pharmacological disruption of the TEAD–YAP complex suppresses the oncogenic activity of YAP. Genes Dev. 2012;26:1300–5.
Yuan M, Tomlinson V, Lara R, et al. Yes-associated protein (YAP) functions as a tumor suppressor in breast. Cell Death Differ. 2008;15:1752–9.
Kim HM, Jung WH, Koo JS. Expression of Yes-associated protein (YAP) in metastatic breast cancer. Int J Clin Exp Pathol. 2015;8:11248.
Wang C, Zhu X, Feng W, et al. Verteporfin inhibits YAP function through up-regulating 14-3-3σ sequestering YAP in the cytoplasm. Am J Cancer. 2016;6:27.
Wei C, Li X. Verteporfin inhibits cell proliferation and induces apoptosis in different subtypes of breast cancer cell lines without light activation. BMC Cancer. 2020;20:1–8. https://doi.org/10.1186/s12885-020-07555-0.
Gibault F, Bailly F, Corvaisier M, et al. Molecular features of the YAP inhibitor verteporfin: synthesis of hexasubstituted dipyrrins as potential inhibitors of YAP/TAZ, the downstream effectors of the hippo pathway. ChemMedChem. 2017;12:954–61. https://doi.org/10.1002/cmdc.201700063.
Nielsen TO, Hsu FD, Jensen K, et al. Immunohistochemical and clinical characterization of the basal-like subtype of invasive breast carcinoma. Clin Cancer Res. 2004;10:5367–74. https://doi.org/10.1158/1078-0432.CCR-04-0220.
Lev S. Targeted therapy and drug resistance in triple-negative breast cancer: the EGFR axis. Biochem Soc Trans. 2020;48:657–65. https://doi.org/10.1042/BST20191055.
Corkery B, Crown J, Clynes M, O’Donovan N. Epidermal growth factor receptor as a potential therapeutic target in triple-negative breast cancer. Ann Oncol. 2009;20:862–7. https://doi.org/10.1093/annonc/mdn710.
Nogi H, Kobayashi T, Suzuki M, et al. EGFR as paradoxical predictor of chemosensitivity and outcome among triple-negative breast cancer. Oncol Rep. 2009;21:413–7. https://doi.org/10.3892/or_00000238.
Zinatizadeh MR, Miri SR, Zarandi PK, Chalbatani GM, Rapôso C, Mirzaei HR, Akbari ME, Mahmoodzadeh H. The hippo tumor suppressor pathway (yap/taz/tead/mst/lats) and egfr-ras-raf-mek in cancer metastasis. Genes Dis. 2021;8:48–60. https://doi.org/10.1016/j.gendis.2019.11.003.
Schmid P, Abraham J, Chan S, et al. Capivasertib plus paclitaxel versus placebo plus paclitaxel as first-line therapy for metastatic triple-negative breast cancer: the PAKT trial. J Clin Oncol. 2020;38:423–33. https://doi.org/10.1200/jco.19.00368.
Xu W, Yang Z, Xie C, et al. PTEN lipid phosphatase inactivation links the hippo and PI3K/Akt pathways to induce gastric tumorigenesis. J Exp Clin Cancer Res. 2018;37:1–16. https://doi.org/10.1186/s13046-018-0795-2.
Wei C, Wang Y, Li X, Therapy. The role of Hippo signal pathway in breast cancer metastasis. OncoTargets Ther. 2018;11:2185. https://doi.org/10.2147/OTT.S157058.
Lamar JM, Stern P, Liu H, Schindler JW, Jiang Z-G, Hynes RO. The Hippo pathway target, YAP, promotes metastasis through its TEAD-interaction domain. PNAS. 2012;109:E2441–50. https://doi.org/10.1073/pnas.1212021109.
Miller E, Yang J, DeRan M, et al. Identification of serum-derived sphingosine-1-phosphate as a small molecule regulator of YAP. Chem Biol. 2012;19:955–62. https://doi.org/10.1016/j.chembiol.2012.07.005.
Yu F-X, Mo J-S, Guan K-L. Upstream regulators of the Hippo pathway. Cell Cycle. 2012;11:4097. https://doi.org/10.4161/cc.22322.
Yu F-X, Zhao B, Panupinthu N, et al. Regulation of the Hippo-YAP pathway by G-protein-coupled receptor signaling. Cell. 2012;150:780–91. https://doi.org/10.1016/j.cell.2012.06.037.
Funding
This work was supported by grant from Department of biotechnology- Government of India (BT/PR1/8812/COE/34/01/2017), and S.T.P received fellowship from Indian council of medical research (2020-7548/CMB-BMS).
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Sulfath Thottungal Parambil, Ajeesh Babu Littleflower, and Gisha Rose Antony. The TNBC-PDXC was developed by Santhosh Kumar T. R. Patient biopsy samples were provided by Paul Augustine, and histopathological analysis was performed by Thara Somanathan. The first draft of the manuscript was written by Sulfath Thottungal Parambil and Lakshmi Subhadradevi, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Competing interests
None.
Ethical approval
This study is approved by the Institutional Review Board of Regional Cancer Centre, Trivandrum-India.
Consent to participations
Informed consent was obtained from all the individuals participated in this study.
Consent to publications
The consent to publish the generated data is approved by all authors.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Parambil, S.T., Thankayyan, S.R., Antony, G.R. et al. YAP transduction drives triple-negative breast cancer aggressiveness through modulating the EGFR‒AKT axis in patient-derived xenograft cells. Med Oncol 40, 137 (2023). https://doi.org/10.1007/s12032-023-02007-8
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12032-023-02007-8