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July 4, 2026Journal of Clinical Investigation0 citationsOpen Access

Extracellular matrix reprogramming by the YAP/TAZ– TGF-ß2 axis drives immune exclusion in cholangiocarcinoma models

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MJMarco JessenKKKyungMok KimMTMarie Tollot-Wegner

Key Points

  • This research aims to explore how YAP/TAZ affects the tumor microenvironment and immune responses in cholangiocarcinoma.
  • Used translational mouse models to study the effects of YAP/TAZ depletion and inhibition.
  • Examined the role of Tgfb2 as a target gene facilitating tumor growth.
  • Combined YAP/TAZ inhibition with immune checkpoint blockade to assess effects on T cell response.
  • Sustained YAP/TAZ depletion led to severe side effects but pulsed inhibition significantly suppressed tumor growth.
  • YAP/TAZ activation contributed to T cell exclusion and promoted immune cell exhaustion.
  • Combining YAP/TAZ inhibition with immune checkpoint blockade reversed T cell exhaustion and enhanced anti-tumor immunity.

Abstract

YAP and TAZ, key effectors of the Hippo pathway, are often hyperactivated in cancer, promoting tumor progression and therapy resistance. Their oncogenic role depends on interaction with TEAD transcription factors, making the TEAD-YAP/TAZ complex a promising therapeutic target. Using translational mouse models, we showed here that sustained systemic YAP/TAZ depletion caused severe side effects. These could be avoided through pulsed inhibition, which effectively suppressed tumor growth, even at advanced stages. We identified Tgfb2 as a critical YAP/TAZ target gene for tumor formation and demonstrated that YAP/TAZ drove T cell exclusion via activation of tissue remodeling genes. Consequently, YAP/TAZ inhibition enhanced immune cell infiltration. However, infiltrating T cells rapidly underwent exhaustion. Combining YAP/TAZ inhibition with immune checkpoint blockade (ICB) reversed this exhaustion and sensitized resistant tumors to immunotherapy. This combination reshaped the tumor microenvironment to support immune cell infiltration and activation, representing a therapeutic strategy that maximizes anti-tumor immunity while minimizing toxicity.

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Cite This Study

Jessen et al. (2026) studied this question.

synapsesocial.com/papers/6a48a3cb89561a0c2d78d765https://doi.org/10.1172/jci201579
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