Cardiac-Specific YAP Activation Improves Cardiac Function and Survival in an Experimental Murine MI Model
Open accessAbstract
Rationale : Yes-associated protein (YAP), the terminal effector of the Hippo signaling pathway, is crucial for regulating embryonic cardiomyocyte proliferation. Objective : We hypothesized that YAP activation after myocardial infarction (MI) would preserve cardiac function and improve survival. Methods and Results : We used a cardiac-specific, inducible expression system to activate YAP in adult mouse heart. Activation of YAP in adult heart promoted cardiomyocyte proliferation and did not deleteriously affect heart function. Furthermore, YAP activation after MI preserved heart function and reduced infarct size. Using adeno-associated virus subtype 9 (AAV9) as a delivery vector, we expressed human YAP (hYAP) in the adult murine myocardium immediately after MI. We found that AAV9:hYAP significantly improved cardiac function and mouse survival. AAV9:hYAP did not exert its salutary effects by reducing cardiomyocyte apoptosis. Rather, AAV9:hYAP stimulated adult cardiomyocyte proliferation. Gene expression profiling indicated that AAV9:hYAP stimulated expression of cell cycle genes and promoted a less mature cardiac gene expression signature. Conclusions : Cardiac-specific YAP activation after MI mitigated myocardial injury, improved cardiac function, and enhanced survival. These findings suggest that therapeutic activation of YAP or its downstream targets, potentially through AAV-mediated gene therapy, may be a strategy to improve outcome after MI.
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In a mouse model of myocardial infarction, forcing human YAP expression in the heart via adeno-associated virus delivery increases cardiomyocyte proliferation and improves cardiac function and survival.
“Finally, in a mouse model of myocardial infarction, forcing human YAP expression in the heart using adeno-associated virus delivery increases cardiomyocyte proliferation and improves cardiac function as well as survival (85).”
From The Hippo signal transduction network for exercise physiologists (2016) · cites this paper as [85]
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- Authors
- Lin, Z., von Gise, A., Zhou, P., Gu, F., Ma, Q., Jiang, J., Yau, A. L., Buck, J. N., Gouin, K. A., van Gorp, P. R. R., Zhou, B., Chen, J., Seidman, J. G., Wang, D.-Z., & Pu, W. T.
- Affiliations
- Boston Children's Hospital (US)
- From the Departments of Cardiology, Boston Children’s Hospital (Z.L., A.v.G., P.Z., F.G., Q.M., A.L.Y., J.N.B., K.A.G., P.R.R.v.G., B.Z., J.C., D.-Z.W., W.T.P.) and Genetics (J.J., J.G.S.), Harvard Medical School, Boston, MA; Department of Pediatric Cardiology and Intensive Care, MHH-Hannover Medical School, Hannover, Germany (A.v.G.); Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands (P.R.R.v.G.); Harvard Stem Cell Institute, Harvard University, Cambridge, MA (D.-Z...
- ORCID
- Venue
- Circulation Research
- Published
- 2014-07-18
- Volume
- 115
- Issue
- 3
- Pages
- 354-363
- ISSN
- 0009-7330 (ISSN-L)
- 1524-4571
- PMC
- PMC4104149
- OpenAlex
- W2129466238
- Cited by
- 403
- References
- 36
- Citations by year
- 2026: 18 · 2025: 26 · 2024: 44 · 2023: 41 · 2022: 41 · 2021: 41 · 2020: 46 · 2019: 45 · 2018: 22 · 2017: 23 · 2016: 30 · 2015: 18 · 2014: 8
- FWCI
- 10.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Universiteit Leiden
- National Institutes of Health (5u01hl100401-07)
- National Heart, Lung, and Blood Institute (HL116461, HL100401, U01-HL-100401, R01HL116461)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hippo pathway signaling and YAP/TAZ
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Keywords
- YAP, Hippo signaling pathway, myocardial infarction, cardiomyocyte proliferation, cardiac function, infarct size, AAV9 gene therapy, cardiac-specific gene expression, cell cycle genes, cardiomyocyte apoptosis
- MeSH terms
- YAP-Signaling Proteins, Dependovirus, Animals, Cell Survival, Disease Models, Animal, Cardiomegaly, Humans, Mice, Transgenic, Myocardial Contraction, Myocardial Infarction, Phosphoproteins, Regeneration, Transcription Factors, Survival Rate, Apoptosis, Myosin Heavy Chains, Myocytes, Cardiac, Adaptor Proteins, Signal Transducing, Cell Proliferation, Mice, Transcriptome
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