Laboratory of Translational Research, Azienda USL- IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Department of Pharmacy and Biotechnogies (FaBit), University of Bologna, Italy.
Biochim Biophys Acta Rev Cancer. 2020 Jan;1873(1):188341. doi: 10.1016/j.bbcan.2020.188341. Epub 2020 Jan 10.
Understanding the molecular mechanisms driving resistance to anti-cancer drugs is both a crucial step to define markers of response to therapy and a clinical need in many cancer settings. YAP and TAZ transcriptional cofactors behave as oncogenes in different cancer types. Deregulation of YAP/TAZ expression or alterations in components of the multiple signaling pathways converging on these factors are important mechanisms of resistance to chemotherapy, target therapy and hormone therapy. Moreover, response to immunotherapy may also be affected by YAP/TAZ activities in both tumor and microenvironment cells. For these reasons, various compounds inhibiting YAP/TAZ function by different direct and indirect mechanisms have been proposed as a mean to counter-act drug resistance in cancer. A particularly promising approach may be to simultaneously target both YAP/TAZ expression and their transcriptional activity through BET inhibitors.
了解导致抗癌药物耐药的分子机制不仅是确定治疗反应标志物的关键步骤,也是许多癌症治疗环境中的临床需求。YAP 和 TAZ 转录共激活因子在不同类型的癌症中表现为癌基因。YAP/TAZ 表达的失调或多种信号通路中作用于这些因子的成分的改变是化疗、靶向治疗和激素治疗耐药的重要机制。此外,免疫治疗的反应也可能受到肿瘤和微环境细胞中 YAP/TAZ 活性的影响。出于这些原因,已提出了多种通过不同直接和间接机制抑制 YAP/TAZ 功能的化合物,作为对抗癌症耐药性的一种手段。一种特别有前途的方法可能是通过 BET 抑制剂同时靶向 YAP/TAZ 的表达及其转录活性。