Department of Respiratory Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Division for Health Service Promotion, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Int J Mol Sci. 2018 Nov 20;19(11):3674. doi: 10.3390/ijms19113674.
Tissue fibrosis is a pathological condition that is associated with impaired epithelial repair and excessive deposition of extracellular matrix (ECM). Fibrotic lesions increase the risk of cancer in various tissues, but the mechanism linking fibrosis and cancer is unclear. Yes-associated protein (YAP) and the transcriptional coactivator with PDZ-binding motif (TAZ) are core components of the Hippo pathway, which have multiple biological functions in the development, homeostasis, and regeneration of tissues and organs. YAP/TAZ act as sensors of the structural and mechanical features of the cell microenvironment. Recent studies have shown aberrant YAP/TAZ activation in both fibrosis and cancer in animal models and human tissues. In fibroblasts, ECM stiffness mechanoactivates YAP/TAZ, which promote the production of profibrotic mediators and ECM proteins. This results in tissue stiffness, thus establishing a feed-forward loop of fibroblast activation and tissue fibrosis. In contrast, in epithelial cells, YAP/TAZ are activated by the disruption of cell polarity and increased ECM stiffness in fibrotic tissues, which promotes the proliferation and survival of epithelial cells. YAP/TAZ are also involved in the epithelial⁻mesenchymal transition (EMT), which contributes to tumor progression and cancer stemness. Importantly, the crosstalk with transforming growth factor (TGF)-β signaling and Wnt signaling is essential for the profibrotic and tumorigenic roles of YAP/TAZ. In this article, we review the latest advances in the pathobiological roles of YAP/TAZ signaling and their function as a molecular link between fibrosis and cancer.
组织纤维化是一种与上皮修复受损和细胞外基质(ECM)过度沉积有关的病理状况。纤维化病变增加了各种组织中癌症的风险,但纤维化和癌症之间的联系机制尚不清楚。Yes 相关蛋白(YAP)和 PDZ 结合基序转录共激活因子(TAZ)是 Hippo 通路的核心组成部分,该通路在组织和器官的发育、稳态和再生中具有多种生物学功能。YAP/TAZ 作为细胞微环境结构和机械特征的传感器发挥作用。最近的研究表明,在动物模型和人类组织中,纤维化和癌症中都存在异常的 YAP/TAZ 激活。在成纤维细胞中,细胞外基质的刚性机械激活 YAP/TAZ,促进致纤维化介质和 ECM 蛋白的产生。这导致组织硬度增加,从而建立了成纤维细胞激活和组织纤维化的正反馈循环。相比之下,在上皮细胞中,YAP/TAZ 通过细胞极性的破坏和纤维化组织中 ECM 硬度的增加而被激活,从而促进上皮细胞的增殖和存活。YAP/TAZ 还参与上皮⁃间充质转化(EMT),这有助于肿瘤的进展和癌症干性。重要的是,与转化生长因子(TGF)-β信号和 Wnt 信号的串扰对于 YAP/TAZ 的致纤维化和致瘤作用是必不可少的。本文综述了 YAP/TAZ 信号在病理生物学中的最新进展及其作为纤维化和癌症之间分子联系的功能。
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