Hippo pathway mediates resistance to cytotoxic drugs
Open accessAbstract
Significance: Cytotoxic therapy is still the backbone of effective chemotherapy, although most current pharmaceutical interest is in targeted therapy. Our findings concern a general adaptive response of cells that causes resistance to gemcitabine and 15 other FDA-approved cytotoxic drugs when cells are grown at high density. Although on the surface cell confluence seems like it could be an irrelevant property of cells in culture, our work shows that it is very relevant to tumors in mice and retrospectively to the success of chemotherapy in humans. On a fundamental cell biological level, these studies identify a previously unappreciated function of the enigmatic Hippo pathway, which controls this response. “Switching-off” this pathway could present an opportunity to overcome drug resistance in pancreatic cancer.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
2 retracted
Wang, F., Xue, X., Wei, J., An, Y., Yao, J. J., Cai, H., Wu, J., Dai, C., Qian, Z., Xu, Z., et al. (2010) · British Journal of Cancer · doi:10.1038/sj.bjc.6605724 · Cited by 135 · see citing works
RetractedChen, D., Niu, M. Y., Jiao, X., Zhang, K., Liang, J., & Zhang, D. (2012) · International Journal of Molecular Sciences · doi:10.3390/ijms13011186 · Cited by 35 · see citing works
RetractedFOLFIRINOX versus Gemcitabine for Metastatic Pancreatic Cancer
Conroy, T., Desseigne, F., Ychou, M., Bouché, O., Guimbaud, R., Bécouarn, Y., Adenis, A., Raoul, J.-L., Gourgou-Bourgade, S., de la Fouchardière, C., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1011923 · Cited by 7,810 · see citing works
Spencer, P. M., Cameron, J. L., & Lin, L. (2000) · Cited by 7,202 · see citing works
Increased Survival in Pancreatic Cancer with nab-Paclitaxel plus Gemcitabine
Von Hoff, D. D., Ervin, T., Arena, F. P., Chiorean, E. G., Infante, J., Moore, M., Seay, T., Tjulandin, S. A., Ma, W. W., Saleh, M. N., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1304369 · Cited by 6,712 · see citing works
Burris, H. A., Moore, M. J., Andersen, J., Green, M. R., Rothenberg, M. L., Modiano, M., Cripps, M. C., Portenoy, R. K., Storniolo, A. M., Tarassoff, P. G., et al. (1997) · Journal of Clinical Oncology · doi:10.1200/jco.1997.15.6.2403 · Cited by 5,895 · see citing works
Cancer drug resistance: an evolving paradigm
Holohan, C., Van Schaeybroeck, S., Longley, D. B., & Johnston, P. G. (2013) · Nature Reviews Cancer · doi:10.1038/nrc3599 · Cited by 4,681 · see citing works
Olive, K. P., Jacobetz, M. A., Davidson, C. J., Gopinathan, A., McIntyre, D., Honess, D., Madhu, B., Goldgraben, M. A., Caldwell, M. E., Allard, D., et al. (2009) · Science · doi:10.1126/science.1171362 · Cited by 3,170 · see citing works
Zhao, B., Wei, X., Li, W., Udan, R. S., Yang, Q., Kim, J., Xie, J., Ikenoue, T., Yu, J., Li, L., et al. (2007) · Genes & Development · doi:10.1101/gad.1602907 · Cited by 3,092 · see citing works
Systematic identification of genomic markers of drug sensitivity in cancer cells
Garnett, M. J., Edelman, E. J., Heidorn, S. J., Greenman, C. D., Dastur, A., Lau, K. W., Greninger, P., Thompson, I. R., Luo, X., Soares, J., et al. (2012) · Nature · doi:10.1038/nature11005 · Cited by 2,456 · see citing works
The ENCODE (ENCyclopedia Of DNA Elements) Project
(2004) · Science · doi:10.1126/science.1105136 · Cited by 2,390 · see citing works
The Hippo pathway and human cancer
Harvey, K. F., Zhang, X., & Thomas, D. M. (2013) · Nature reviews. Cancer · doi:10.1038/nrc3458 · Cited by 1,852 · see citing works
Tumour micro-environment elicits innate resistance to RAF inhibitors through HGF secretion
Straussman, R., Morikawa, T., Shee, K., Barzily-Rokni, M., Qian, Z. R., Du, J., Davis, A., Mongare, M. M., Gould, J., Frederick, D. T., et al. (2012) · Nature · doi:10.1038/nature11183 · Cited by 1,771 · see citing works
Patient-Derived Xenograft Models: An Emerging Platform for Translational Cancer Research
Hidalgo, M. M., Amant, F. C., Biankin, A. V., Budínská, E., Byrne, A. T., Caldas, C., Clarke, R. B., de Jong, S., Jonkers, J., Mælandsmo, G. M., et al. (2014) · Cancer Discovery · doi:10.1158/2159-8290.cd-14-0001 · Cited by 1,759 · see citing works
Li, D., Xie, K., Wolff, R. A., & Abbruzzese, J. L. (2004) · The Lancet · doi:10.1016/s0140-6736(04)15841-8 · Cited by 1,715 · see citing works
Liu-Chittenden, Y., Huang, B., Shim, J. S., Chen, Q., Lee, S.-J., Anders, R. A., Liu, J. O., & Pan, D. (2012) · Genes & Development · doi:10.1101/gad.192856.112 · Cited by 1,452 · see citing works
Patient-derived tumour xenografts as models for oncology drug development
Tentler, J. J., Tan, A. C., Weekes, C. D., Jimeno, A., Leong, S., Pitts, T. M., Arcaroli, J. J., Messersmith, W. A., & Eckhardt, S. G. (2012) · Nature Reviews Clinical Oncology · doi:10.1038/nrclinonc.2012.61 · Cited by 1,277 · see citing works
YAP1 increases organ size and expands undifferentiated progenitor cells
Camargo, F. D., Gokhale, S., Johnnidis, J. B., Fu, D., Bell, G. W., Jaenisch, R., & Brummelkamp, T. R. (2007) · Current Biology · doi:10.1016/j.cub.2007.10.039 · Cited by 1,252 · see citing works
The Hippo–YAP pathway in organ size control and tumorigenesis: an updated versionPreprint
Zhao, B., Li, L., Lei, Q., & Guan, K. (2010) · Genes & Development · doi:10.1101/gad.1909210 · Cited by 1,140 · see citing works
Hyaluronan impairs vascular function and drug delivery in a mouse model of pancreatic cancer
Jacobetz, M. A., Chan, D. S., Neesse, A., Bapiro, T. E., Cook, N., Frese, K. K., Feig, C., Nakagawa, T., Caldwell, M. E., Zecchini, H. I., et al. (2013) · Gut · doi:10.1136/gutjnl-2012-302529 · Cited by 1,120 · see citing works
The economics of reproducibility in preclinical research
Freedman, L. P., Cockburn, I. M., & Simcoe, T. S. (2015) · PLOS Biology · doi:10.1371/journal.pbio.1002165 · Cited by 1,055 · see citing works
Disruption of p53 in human cancer cells alters the responses to therapeutic agents.
Bunz, F., Hwang, P. M., Torrance, C., Waldman, T., Zhang, Y., Dillehay, L., Williams, J., Lengauer, C., Kinzler, K. W., & Vogelstein, B. (1999) · Journal of Clinical Investigation · doi:10.1172/jci6863 · Cited by 1,044 · see citing works
DeRose, Y. S., Wang, G., Lin, Y.-C., Bernard, P. S., Buys, S. S., Ebbert, M., Factor, R. E., Matsen, C. B., Milash, B. A., Nelson, E. W., et al. (2011) · Nature Medicine · doi:10.1038/nm.2454 · Cited by 1,006 · see citing works
Zhang, N., Bai, H., David, K. K., Dong, J., Zheng, Y., Cai, J., Giovannini, M., Liu, P., Anders, R. A., & Pan, D. (2010) · Developmental Cell · doi:10.1016/j.devcel.2010.06.015 · Cited by 804 · see citing works
Tumor Suppressor LATS1 Is a Negative Regulator of Oncogene YAP
Hao, Y., Chun, A., Cheung, K. J., Rashidi, B., & Yang, X. (2007) · Journal of Biological Chemistry · doi:10.1074/jbc.m709037200 · Cited by 780 · see citing works
Multidrug Resistance: Retrospect and Prospects in Anti-Cancer Drug Treatment
Pérez‐Tomás, R. (2006) · Current Medicinal Chemistry · doi:10.2174/092986706777585077 · Cited by 509 · see citing works
Inconsistency in large pharmacogenomic studies
Haibe-Kains, B., El-Hachem, N., Birkbak, N. J., Jin, A. C., Beck, A. H., Aerts, H. J. W. L., & Quackenbush, J. (2013) · Nature · doi:10.1038/nature12831 · Cited by 499 · see citing works
BRCA1 functions as a differential modulator of chemotherapy-induced apoptosis.
Quinn, J. E., Kennedy, R. D., Mullan, P. B., Gilmore, P. M., Carty, M., Johnston, P. G., & Harkin, D. P. (2003) · PubMed · Cited by 401 · see citing works
Zhang, W., Nandakumar, N., Shi, Y., Manzano, M., Smith, A., Graham, G., Gupta, S., Vietsch, E. E., Laughlin, S. Z., Wadhwa, M., et al. (2014) · Science Signaling · doi:10.1126/scisignal.2005049 · Cited by 360 · see citing works
Pancreatic cancer: why is it so hard to treat?
Oberstein, P. E., & Olive, K. P. (2013) · Therapeutic Advances in Gastroenterology · doi:10.1177/1756283x13478680 · Cited by 334 · see citing works
A genetic screen identifies an LKB1–MARK signalling axis controlling the Hippo–YAP pathway
Mohseni, M., Sun, J., Lau, A., Curtis, S., Goldsmith, J., Fox, V. L., Wei, C., Frazier, M., Samson, O., Wong, K.-K., et al. (2014) · Nature Cell Biology · doi:10.1038/ncb2884 · Cited by 294 · see citing works
LATS2 Is a Tumor Suppressor Gene of Malignant Mesothelioma
Murakami, H., Mizuno, T., Taniguchi, T., Fujii, M., Ishiguro, F., Fukui, T., Akatsuka, S., Horio, Y., Hida, T., Kondo, Y., et al. (2011) · Cancer Research · doi:10.1158/0008-5472.can-10-2164 · Cited by 260 · see citing works
Herschkowitz, J. I., He, X., Fan, C., & Perou, C. M. (2008) · Breast Cancer Research · doi:10.1186/bcr2142 · Cited by 255 · see citing works
Polli, J. W., Humphreys, J. E., Harmon, K. A., Castellino, S., O'Mara, M., Olson, K. L., John‐Williams, L. S., Koch, K. M., & Serabjit‐Singh, C. J. (2008) · Drug Metabolism and Disposition · doi:10.1124/dmd.107.018374 · Cited by 245 · see citing works
211 BRCA1 functions as a differential modulator of chemotherapy induced apoptosis
Quinn, J. E., Kennedy, R. D., Mullan, P. B., Johnston, P. G., & Harkin, D. P. (2004) · European Journal of Cancer Supplements · doi:10.1016/s1359-6349(04)80219-2 · Cited by 215 · see citing works
Metabolic regulator LKB1 is crucial for Schwann cell–mediated axon maintenance
Beirowski, B., Babetto, E., Golden, J. P., Chen, Y., Yang, K., Gross, R. W., Patti, G. J., & Milbrandt, J. (2014) · Nature Neuroscience · doi:10.1038/nn.3809 · Cited by 197 · see citing works
König, J., Hartel, M., Nies, A. T., et al. (2005) · International Journal of Cancer · doi:10.1002/ijc.20831 · Cited by 194 · see citing works
Lessons from patient-derived xenografts for better in vitro modeling of human cancer
Choi, S. Y. C., Lin, D., Gout, P. W., Collins, C. C., Xu, Y., & Wang, Y. Z. (2014) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2014.09.009 · Cited by 174 · see citing works
Leontieva, O. V., Demidenko, Z. N., & Blagosklonny, M. V. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1405723111 · Cited by 150 · see citing works
Achiwa, H., Oguri, T., Sato, S., et al. (2004) · Cancer Science · doi:10.1111/j.1349-7006.2004.tb03257.x · Cited by 146 · see citing works
von Eyß, B., Jaenicke, L. A., Kortlever, R. M., Royla, N., Wiese, K. E., Letschert, S., McDuffus, L., Sauer, M., Rosenwald, A., Evan, G. I., et al. (2015) · Cancer Cell · doi:10.1016/j.ccell.2015.10.013 · Cited by 140 · see citing works
From Human to Mouse and Back: 'Tumorgraft' Models Surge in Popularity
Garber, K. (2008) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djn481 · Cited by 134 · see citing works
Hagmann, W., Jesnowski, R., & Löhr, M. J. (2010) · Neoplasia · doi:10.1593/neo.10576 · Cited by 126 · see citing works
The pharmacology of cancer resistance.
O'Connor, R. A. (2007) · PubMed · Cited by 121 · see citing works
Persistence of side population cells with high drug efflux capacity in pancreatic cancer
Zhou, J. (2008) · World Journal of Gastroenterology · doi:10.3748/wjg.14.925 · Cited by 111 · see citing works
Hauswald, S., Duque‐Afonso, J., Wagner, M. M., et al. (2009) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-08-2048 · Cited by 110 · see citing works
Boven, E., Schipper, H., Erkelens, C., et al. (1993) · British Journal of Cancer · doi:10.1038/bjc.1993.285 · Cited by 108 · see citing works
He, X., Wang, J., Wei, W., Shi, M., Xin, B., Zhang, T., & Shen, X. (2016) · Cancer Biology & Therapy · doi:10.1080/15384047.2016.1139228 · Cited by 104 · see citing works
Magnesium: The missing element in molecular views of cell proliferation control
Rubin, H. (2005) · BioEssays · doi:10.1002/bies.20183 · Cited by 102 · see citing works
New insights into the pharmacology and cytotoxicity of gemcitabine and 2′,2′-difluorodeoxyuridine
Veltkamp, S. A., Pluim, D., van Eijndhoven, M. A. J., et al. (2008) · Molecular Cancer Therapeutics · doi:10.1158/1535-7163.mct-08-0137 · Cited by 98 · see citing works
Treré, D., Brighenti, E., Donati, G., Ceccarelli, C., Santini, D., Taffurelli, M., Montanaro, L., & Derenzini, M. (2009) · Annals of Oncology · doi:10.1093/annonc/mdp209 · Cited by 94 · see citing works
Ratner, E., Keane, F. K., Lindner, R. M., Tassi, R. A., Paranjape, T., Glasgow, M. A., Nallur, S. V., Deng, Y., Lu, L., Steele, L., et al. (2011) · Oncogene · doi:10.1038/onc.2011.539 · Cited by 81 · see citing works
ABCC3 as a marker for multidrug resistance in non-small cell lung cancer
Zhao, Y., Lu, H., An, Y., et al. (2013) · Scientific Reports · doi:10.1038/srep03120 · Cited by 78 · see citing works
Pharmacogenomic Importance of ABCG2
Cusatis, G., & Sparreboom, A. (2008) · Pharmacogenomics · doi:10.2217/14622416.9.8.1005 · Cited by 71 · see citing works
Search for “Indicators” of Neoplastic Conversion In Vitro
Sanford, K. K., Barker, B. E., Woods, M. W., et al. (1967) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/39.4.705 · Cited by 63 · see citing works
Lung Resistance-Related Protein: Determining Its Role in Multidrug Resistance
Dalton, W. S., & Scheper, R. J. (1999) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/91.19.1604 · Cited by 60 · see citing works
Mining the genomes of exceptional responders
Chang, D. K.-F., Grimmond, S. M., Evans, T. R. J., & Biankin, A. V. (2014) · Nature reviews. Cancer · doi:10.1038/nrc3723 · Cited by 40 · see citing works
Retinoblastoma Deficiency Increases Chemosensitivity in Lung Cancer
Zagórski, W., Knudsen, E. S., & Reed, M. F. (2007) · Cancer Research · doi:10.1158/0008-5472.can-06-4753 · Cited by 39 · see citing works
Griffiths, J. B. (1972) · Experimental Cell Research · doi:10.1016/0014-4827(72)90518-6 · Cited by 39 · see citing works
Gemcitabine Cytotoxicity: Interaction of Efflux and Deamination
Rudin, D., Li, L., Niu, N., Kalari, K. R., & Gilbert, J. A. (2011) · Journal of Drug Metabolism & Toxicology · doi:10.4172/2157-7609.1000107 · Cited by 39 · see citing works
Gardini, A., Corti, B., Fiorentino, M., et al. (2005) · Digestive and Liver Disease · doi:10.1016/j.dld.2004.11.001 · Cited by 36 · see citing works
Isolation and characterization of gemcitabine-resistant human non-small cell lung cancer A549 cells
Kolesar (2010) · International Journal of Oncology · doi:10.3892/ijo.2010.866 · Cited by 32 · see citing works
Precision medicine in oncology drug development: a pharma perspective
Hollingsworth, S. J. (2015) · Drug Discovery Today · doi:10.1016/j.drudis.2015.10.005 · Cited by 26 · see citing works
Genomic analyses to select patients for adjuvant chemotherapy: trials and tribulations
Weigelt, B., Reis-Filho, J. S., & Swanton, C. (2012) · Annals of Oncology · doi:10.1093/annonc/mds323 · Cited by 24 · see citing works
Kirschner, M. (2011) · Nature Reviews Drug Discovery · doi:10.1038/nrd3613 · Cited by 14 · see citing works
Self-citationLiver kinase B1 enhances chemoresistance to gemcitabine in breast cancer MDA-MB-231 cells
Chen, X., YE, F., Hu, X., Li, Z., Jiang, B., Fu, Y., Cheng, X., Shao, Z., & Zhuang, Z. (2014) · Oncology Letters · doi:10.3892/ol.2014.2446 · Cited by 11 · see citing works
Damaraju, D., Damaraju, V. L., Brun, M. M., et al. (2008) · Biochemical Pharmacology · doi:10.1016/j.bcp.2008.02.006 · Cited by 8 · see citing works
Rohde, D., Hayn, H., Blatter, J., et al. (1998) · International Journal of Oncology · doi:10.3892/ijo.12.6.1361 · Cited by 7 · see citing works
Damaraju, V. L., Damaraju, D., Mowles, D., et al. (2006) · Cancer Research · Cited by 2 · see citing works
Yang, C. (2014) · Digital Commons-TMC (Texas Medical Center) · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Targeting the Hippo pathway in cancer, fibrosis, wound healing and regenerative medicine
Dey, A., Varelas, X., & Guan, K.-L. (2020) · Nature Reviews Drug Discovery · doi:10.1038/s41573-020-0070-z · Cited by 860 · see citing works
YAP/TAZ Signaling and Resistance to Cancer Therapy
Nguyen, C. D. K., & Yi, C. (2019) · Trends in Cancer · doi:10.1016/j.trecan.2019.02.010 · Cited by 437 · see citing works
Toyokuni, S. (2019) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2018.10.401 · Cited by 102 · see citing works
Zhang, B., Zhang, Y., Zhang, J., Liu, P., Jiao, B., Wang, Z., & Ren, R. (2021) · Advanced Science · doi:10.1002/advs.202100250 · Cited by 83 · see citing works
The Hippo Signaling Pathway in Drug Resistance in Cancer
Zeng, R., & Dong, J. (2021) · Cancers · doi:10.3390/cancers13020318 · Cited by 89 · see citing works
The Hippo pathway modulates resistance to BET proteins inhibitors in lung cancer cells
Gobbi, G., Donati, B., Do Valle, I. F., Reggiani, F., Torricelli, F., Remondini, D., Castellani, G., Ambrosetti, D. C., Ciarrocchi, A., & Sancisi, V. (2019) · Oncogene · doi:10.1038/s41388-019-0924-1 · Cited by 69 · see citing works
- Authors
- Gujral, T. S., & Kirschner, M. W.
- Affiliations
- Harvard University (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2017-04-17
- Volume
- 114
- Issue
- 18
- Pages
- E3729-E3738
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5422801
- OpenAlex
- W2605515821
- Cited by
- 91
- References
- 70
- Citations by year
- 2026: 11 · 2025: 7 · 2024: 11 · 2023: 11 · 2022: 11 · 2021: 12 · 2020: 12 · 2019: 11 · 2018: 4
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | National Institutes of Health (R01 HD073104, R01 GM103785)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hippo pathway signaling and YAP/TAZ
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Microtubule and mitosis dynamics
- Keywords
- Hippo signaling pathway, YAP, gemcitabine, chemoresistance, cell density, multidrug transporter, intracellular drug accumulation, tumor spheroids, patient-derived xenografts, cancer cell lines, drug repurposing
- MeSH terms
- Hippo Signaling Pathway, YAP-Signaling Proteins, Gemcitabine, Animals, Cell Line, Cytotoxins, Deoxycytidine, Humans, Neoplasms, Phosphoproteins, Transcription Factors, Signal Transduction, Protein Serine-Threonine Kinases, Drug Resistance, Neoplasm, Xenograft Model Antitumor Assays, Adaptor Proteins, Signal Transducing, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review