Review Article

How Hippo Signaling Pathway Modulates Cardiovascular Development and Diseases

Table 1

Role of the Hippo tumor suppressor pathway in cardiovascular disease.

EffecterMethodsOutcomesRef.

Cardiovascular developmentMST1/2Cardiac-specific knockout of MST1/2Enlarged hearts; without alteration of cell size[15]
LATS2Cardiac-specific knockout of LATS2Enlarged hearts; without alteration of cell size[15]
SAV1Cardiac-specific knockout of SAV1Enlarged ventricular chambers; thickened ventricular walls; without alteration of cell size[15]
YAPDeplete YAP with Nkx2.5-CreReduced cardiomyocyte proliferative ability; embryonic death at embryonic stage 10.5[14]
Overexpress YAP with adenovirusCardiomyocytes number increased significantly in newborn mice[14]
Cardiac/vascular smooth muscle cell-specific ablation of YAPVascular malformations like ventricular septal defect etc.; might result in perinatal fatality[16]
Epicardial-specific deletion of YAP/TAZ with Sema3dGFPCre+/−Attenuated differentiation of the epicardial cell into coronary endothelial cells; embryonic death between E11.5 and E12.5[17]

Cardiomyocyte hypertrophy and apoptosisRASSF1AGenerated RASSF1A transgenic (TG)/(L308P) RASSF1A TG mice with adenoviral system; subjected them to pressure overloadIncreased MST1 phosphorylation; promotes cardiomyocyte apoptosis; reduced the proliferation ability of fibroblast and cardiac hypertrophy[19]
MST1Upregulation of MST1Enhanced cardiomyocyte apoptosis[18]
MST2MST2 knockoutAttenuated cardiac hypertrophy[20]
MST2 overexpressionIncreased cardiac hypertrophy[20]
LATS1Mutation of LATS1 using siRNAEncouraged cardiac hypertrophy[22]
LATS2Transduced Ad-LATS2 or Ad-LacZ into cultured myocytes; generated LATS2 and DN-LATS2 TG mice using the α-myosin heavy chain promoterDose dependently increased apoptosis and reduced cardiac myocyte size in vitro; negatively regulated ventricular chamber size in vivo[21]

Cardiomyocyte hypertrophy and apoptosisYAPCardiac-specific activation of YAP using adenoassociated virus subtype 9 (AAV9) after MIImproved cardiac function without causing hypertrophy; enhanced survival[24]
Cardiac-specific inactivation of YAP1 using α-MHC Cre recombinase transgenic mice; transduced cardiomyocytes with YAP1 or LacZ adenovirusCaused increased cardiomyocyte apoptosis in YAP(−/−) at baseline; YAP expression induced cardiomyocyte hypertrophy[25]

AngiogenesisLATS1/2Coinjection of mRNAs encoding Angiomotin p130 and mRNAs encoding LATS2Induced angiogenesis defects in zebrafish embryos[30]
YAPKnock-down of YAP by siRNASignificantly reduced the tube formation or sprouting ability of endothelial cells[28]
Upregulation of YAPInduce robust angiogenesis[28]

Heart regenerationYAPCardiac-specific YAP knockout in MI miceThe infract area was broader and cardiomyocytes were less robust[32]
Cardiac-specific upregulation of YAP in MI mice with adenoassociated virus serotype 9Rescued the cardiomyocyte number and cardiac function[33]
Compared Pitx2-deficient mice and Pitx2-overexpressing mice when subjected to apex dissectionPitx2-deficient mice fail to repair while Pitx2-overexpressing mice showed functional recovery[35]

Cardiomyocyte autophagyMST1/2Inhibition of MST1 phosphorylation with Melatonin, oncostatin M etc.Promoted cardiac function, enhanced autophagy, and weakened apoptosis[4650]
Phosphorylation of LC3 by MST1/2Promoted the fusion step of autophagy[51]
NDR1Interact with Beclin1Function in the early stage of autophagy[52]