Jul 2026· Cancer Management and Research· Vol 18, pp. 1-18· 0 citations· 80 references
Medicine
TL;DR
The molecular architecture and regulatory mechanisms of the Hippo pathway are summarized, its dysregulation and functional significance in major hematological malignancies are discussed, and recent advances in Hippo-targeted therapeutic strategies are highlighted.
Abstract
Abstract The Hippo signaling pathway represents an evolutionarily conserved regulatory network. It plays a central role in controlling cell proliferation, apoptosis, differentiation, and tissue homeostasis. Increasing evidence indicates that dysregulation of this pathway promotes the development and progression of hematological malignancies. This includes leukemia, lymphoma, and multiple myeloma. Notably, aberrant activation of downstream effectors—Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ)—plays a central role in this process. Abnormal YAP/TAZ signaling promotes malignant cell survival, proliferation, therapeutic resistance, and disease aggressiveness through extensive crosstalk with multiple oncogenic pathways, such as Phosphatidylinositol 3-kinase (PI3K)/ Protein kinase B (AKT), Transforming growth factor-beta (TGF-β), Wnt/β-catenin, and metabolic signaling networks. Notably, the biological functions of YAP/TAZ appear to be highly context-dependent, with both oncogenic and tumor-suppressive roles reported in different hematopoietic lineages and tumor microenvironments. In this review, we summarize the molecular architecture and regulatory mechanisms of the Hippo pathway, discuss its dysregulation and functional significance in major hematological malignancies, and highlight recent advances in Hippo-targeted therapeutic strategies, including YAP/TEA domain transcription factor (TEAD) inhibitors, upstream pathway modulators, and combination treatment approaches. We further outline current challenges and future opportunities for translating Hippo-based precision therapies into clinical practice. Despite promising preclinical findings, hematological malignancy-specific clinical evidence remains limited. Future studies are required to validate Hippo-targeted therapeutic strategies and establish clinically actionable biomarkers. A deeper understanding of Hippo signaling may provide novel insights into disease biology and accelerate the development of precision medicine approaches for hematological malignancies.
This work discusses recent advances in understanding how this pathway modulates the immune landscape, cancer-associated fibroblasts, and tumor vasculature and outlines how YAP/TAZ drives fibroblast activation, matrix stiffening, and promotes cancer-associated fibrosis.
The Wnt/β-catenin signaling pathway is a deeply conserved regulatory network that governs embryonic development, stem cell maintenance, and tissue homeostasis. Aberrant activation of the Wingless/Integrated protein (Wnt) signaling is a hallmark of numerous human diseases, most prominently in colorectal cancer, where it cooperates with additional oncogenic pathways to drive tumor initiation, progression, and therapeutic resistance (See Supplementary Table 1 for a list of the abbreviations used in this manuscript and their definitions.). Increasing evidence indicates that Wnt signaling does not function as an isolated linear cascade but rather as an integrative signaling hub that dynamically interfaces with major signaling pathways, including the RAS-RAF-MAPK and PI3K-AKT-mTOR pathways. Rat Sarcoma protein (RAS)- Rapidly Accelerated Fibrosarcoma protein (RAF)- Mitogen-Activated Protein Kinase (MAPK) and Phosphoinositide 3-Kinase (PI3K)- Ak strain transforming protein (AKT)- Mechanistic Target of Rapamycin (mTOR) pathways. These interactions occur at multiple molecular levels, encompassing shared kinases, transcriptional regulators, metabolic nodes, and cytoskeletal components, thereby coordinating proliferative, metabolic, and migratory programs. In this review, we synthesize current mechanistic and clinical insights into the crosstalk between Wnt signaling and the RAS-RAF-MAPK and PI3K-AKT-mTOR pathways, with particular emphasis on colorectal cancer. We discuss how these signaling networks converge to regulate β-catenin stability, transcriptional activity, cell adhesion, and metabolic reprogramming, thereby generating oncogenic phenotypes that cannot be explained by activation of individual pathways alone. To illustrate the evolutionary conservation and biological significance of these interactions, we integrate developmental paradigms from early Xenopus embryogenesis, where Wnt signaling governs zygotic genome activation, body axis formation, and the regulation of cell growth, protein stability, and biomass accumulation. Finally, we examine how an improved understanding of Wnt-centered signaling networks is informing emerging therapeutic strategies, including combinatorial pathway inhibition and nanoparticle-based drug delivery. Collectively, this review highlights Wnt signaling as a central integrator of developmental and oncogenic programs, providing a conceptual framework for understanding signaling network crosstalk and identifying new therapeutic opportunities in cancer.
E. Flores-Hernández, G. Binder, Hui Chen et al.· Cells and Development· 0 citations
As the core transcriptional co-activators of the Hippo signaling pathway, YAP and TAZ play essential roles in maintaining tissue homeostasis and in tumorigenesis. Their aberrant activation is frequently observed in human malignancies, and accumulating evidence has identified them as crucial drivers of tumor initiation and progression. YAP/TAZ have been recently recognized as key regulators of cellular metabolic reprogramming, a hallmark of cancer that fuels tumor cell proliferation by rewiring glucose, lipid, amino acid, and nucleotide metabolism. Conversely, the activity of YAP/TAZ is modulated by metabolites such as glucose and lipids, establishing a complex bidirectional regulatory circuit. Therefore, deciphering this intricate crosstalk is of great importance for cancer therapy and drug discovery. In this review, we systematically clarify the interplay between YAP/TAZ and metabolic reprogramming in cancer, delineate the core molecular networks through which YAP/TAZ govern each metabolic pathway, and summarize the current pharmacological inhibitors targeting YAP/TAZ-regulated metabolic networks. Collectively, these findings pave the way for therapeutic approaches targeting YAP/TAZ-driven metabolic vulnerabilities in cancer.
Yin-Huang Gao, Ming-Hong Chen, Songxia Lin et al.· International Journal of Mol...· 0 citations
A review summarizes the close link between Hippo-YAP1 dysregulation and drug resistance, and highlights intervention strategies with the potential to serve as novel treatment strategies.
Jiahui Zhao, Wanjie Zheng, Yan Zhang et al.· Critical reviews in oncology...· 0 citations
The evolutionarily conserved Hippo signaling pathway is crucial for regulating organ size, tissue homeostasis, and regeneration. Mammalian Yes-associated protein (YAP)/transcriptional coactivator with PDZ-binding motif (TAZ) and its interaction with transcriptional enhanced associate domain 1-4 (TEAD1-4) are vital for transcriptional outputs linked to cell proliferation and apoptosis. Dysregulation of Hippo signaling is associated with various aspects of cancer biology. The convergence of the Hippo signaling network with diverse oncogenic pathways places it at the center of tumorigenic adaptation, maintenance of stemness, and the development of drug resistance. Modulating YAP/TAZ-TEAD signaling offers broad therapeutic potential, from cancer treatment to regenerative medicine. Several small-molecule TEAD inhibitors are at various stages of clinical development, with increasing efforts focused on monotherapy and combination therapies targeting YAP/TAZ hyperactivation caused by standard-of-care (SOC) drugs (best available disease-specific treatments used in clinics), particularly targeted therapies.
Ramesh Kumar, Zebin Hong, S. R. Bharath et al.· Cold Spring Harbor Perspecti...· 0 citations