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March 28, 2026Molecular Oncology3 citationsOpen Access

Hippo pathway at the crossroads of stemness and therapeutic resistance in breast cancer

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GSGiulia SchiavoniAPAntonella PalmeseSSStefano Scalera

Key Points

  • The aim is to explore the role of the Hippo pathway in stemness and therapeutic resistance in breast cancer.
  • Reviewed existing literature on the Hippo pathway in breast cancer.
  • Analyzed its regulation and effects on stem cell properties.
  • Discussed implications for therapeutic resistance in various breast cancer subtypes.
  • Hippo pathway deregulation correlates with increased stem cell-like properties in breast cancer.
  • Activation of Yap and Taz is linked to therapeutic resistance across breast cancer types.
  • Triple-negative breast cancer shows significant stemness related to Hippo pathway dysregulation.

Abstract

Breast cancer, the most frequently diagnosed cancer in women globally, is a heterogeneous disease with distinct subtypes requiring distinct therapeutic approaches. Regardless of molecular subtyping, breast cancer stem cells significantly contribute to tumor heterogeneity, distant dissemination, and therapeutic resistance. The Hippo pathway is a key regulator of organogenesis and tissue development, and its deregulation is common in breast cancer and linked to cancer stem cell features across several cancer types. Dysfunctional pathway activity leads to the aberrant activation of Hippo downstream effectors, the Yes‐associated protein (YAP) and its paralog transcriptional co‐activator with PDZ‐binding motif (TAZ), which promote epithelial‐to‐mesenchymal transition, growth factor‐independent proliferation, and maintenance of the breast cancer stem cells' niche. This review summarizes the regulation of the Hippo pathway, emphasizing its significant role in coordinating stemness‐related mechanisms in breast cancer. An overview of how the Hippo pathway fuels stemness in triple‐negative breast cancer, the most aggressive BC subtype, is then provided. We also discuss how the activation of stem cell‐like properties, driven by dysregulation of the Hippo pathway, contributes to the development of resistance to current therapies across the spectrum of breast cancer subtypes.

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Cite This Study

Schiavoni et al. (2026) studied this question.

synapsesocial.com/papers/69c7722a8bbfbc51511e2670https://doi.org/10.1002/1878-0261.70232
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