Pirri Carmelo
Department of Neuroscience, Institute of Human Anatomy, University of Padova, 35121 Padova, Italy.
Biomolecules. 2025 Jan 10;15(1):96. doi: 10.3390/biom15010096.
Cellular behavior is strongly influenced by mechanical signals in the surrounding microenvironment, along with external factors such as temperature fluctuations, changes in blood flow, and muscle activity, etc. These factors are key in shaping cellular states and can contribute to the development of various diseases. In the realm of rehabilitation physical therapies, therapeutic exercise and manual treatments, etc., are frequently employed, not just for pain relief but also to support recovery from diverse health conditions. However, the detailed molecular pathways through which these therapies interact with tissues and influence gene expression are not yet fully understood. The identification of YAP has been instrumental in closing this knowledge gap. YAP is known for its capacity to perceive and translate mechanical signals into specific transcriptional programs within cells. This insight has opened up new perspectives on how physical and rehabilitation medicine may exert its beneficial effects. The review investigates the involvement of the Hippo/YAP signaling pathway in various diseases and considers how different rehabilitation techniques leverage this pathway to aid in healing. Additionally, it examines the therapeutic potential of modulating the Hippo/YAP pathway within the context of rehabilitation, while also addressing the challenges and controversies that surround its use in physical and rehabilitation medicine.
细胞行为受到周围微环境中机械信号的强烈影响,同时也受到外部因素的影响,如温度波动、血流变化和肌肉活动等。这些因素是塑造细胞状态的关键,可能导致各种疾病的发生。在康复物理治疗领域,经常采用治疗性运动和手法治疗等方法,不仅用于缓解疼痛,还用于支持从各种健康状况中恢复。然而,这些疗法与组织相互作用并影响基因表达的详细分子途径尚未完全了解。YAP的发现有助于填补这一知识空白。YAP以其感知机械信号并将其转化为细胞内特定转录程序的能力而闻名。这一见解为物理和康复医学如何发挥其有益作用开辟了新的视角。该综述研究了Hippo/YAP信号通路在各种疾病中的作用,并考虑了不同的康复技术如何利用该通路来促进愈合。此外,它还探讨了在康复背景下调节Hippo/YAP通路的治疗潜力,同时也解决了围绕其在物理和康复医学中应用的挑战和争议。