Abstract
Background/Aim: Brain metastases from the most common primary sites – lung carcinoma, breast carcinoma, and melanoma – are more frequent than primary brain tumors. YAP1/TAZ are regulators of tissue growth and epithelial-mesenchymal transition (EMT) within the hippo pathway. The aim of the study was the evaluation of the role of YAP1/TAZ in brain metastasis.
Materials and Methods: Expression levels of YAP1 and TAZ were measured in samples of primary and relapsed brain metastases from patients with melanoma, breast carcinoma, and bronchial carcinoma using qPCR and western blot.
Results: Expression of YAP1 and TAZ was highest in melanoma followed by bronchial carcinoma and lowest in breast carcinoma. For YAP1, expression in primary metastasis was higher than in relapsed metastasis.
Conclusion: Because of the important role of YAP1/TAZ in EMT, targeting these genes could be a promising approach to reduce the risk of metastasis.
Introduction
There are more than 200,000 cases of brain metastases each year in the US (1) originating from the most common primary sites lung carcinoma (40-50%), breast cancer (15-20%) and skin (5-10%) (2). Due to neurological deterioration and limited treatment options, these patients have a poor prognosis, with a median survival of only a few weeks (3).
Yes-associated protein 1 (YAP1) and its homolog transcriptional activator with PDZ-binding motif (TAZ) are transcriptional co-activators of the hippo pathway which play an important role in the regulation of tissue growth during organ growth and regeneration as well as in epithelial-mesenchymal transition (EMT). Alterations in YAP1- and TAZ-expression levels have been found in solid tumors like lung cancer, breast cancer, and melanoma, as well as in primary brain tumors (4). This study aimed to analyze the expression of YAP1 and TAZ in brain metastases of these tumors.
Materials and Methods
Patient samples. Samples of metastasis of melanoma (n=13), breast cancer (n=20) and bronchial carcinoma (n=32) were obtained during neurosurgical resection at the Department of Neurosurgery of the University Hospital of Cologne, Germany. Immediately after surgery they were frozen in liquid nitrogen and long-time stored at −80°C. The ethics committee of the University Hospital Cologne approved the study in accordance with the Declaration of Helsinki (application no. 03-170).
PCR. Twenty-five mg of each specimen was homogenized with TissueLyser LT (Qiagen, Hilden, Germany) for RNA isolation. For RNA extraction, the RNeasy Mini Kit (#74104, Qiagen) was used, followed by the QuantiTect Reverse Transcription Kit (#20531, Qiagen) for cDNA synthesis using 1 μg of RNA. qPCR was performed with Rotor Gene SYBR Green PCR Kit (Qiagen) and 5 μl of the synthesized cDNA (concentration 1:50). We used non-template control and beta-actin for normalization; each sample was measured three times using Rotor Gene Q (Qiagen) starting with the denaturation for 5 min at 95°C followed by 50 cycles of a two-step protocol (95°C for 5 s and 60°C for 10 s). The nucleotide sequences of the primers were the following: TAZ-FW 5′-GGCTGGGAGATGACCTTCAC-3′, TAZ-RV 5′-CTGAGTGGGGTGGTTCTCGT-3′, YAP1-FW 5′-CACAGCTCAGC ATCTTCGAC-3′, YAP1-RV 5′-TATTCTGCTGCACTGGTGGA-3′ (all by Eurofins Genomics, Ebersberg, Germany).
Western blot. For protein isolation, samples of melanoma (n=13), breast cancer (n=9) and bronchial carcinoma (n=13) were suspended for one hour in RIPA buffer on ice followed by centrifugation (15 min, max. speed, 4°C). They were stored at −80°C until usage. A total of 50 μg of each sample was mixed with NuPAGE SDS Sample Buffer and NuPAGE Sample reducing agent (both from Thermo Fisher Scientific, Waltham, MA, USA). After 10 min of denaturation at 70°C, proteins were separated with Tris/Glycine/SDS Buffer and prefabricated Mini PROTEAN TGX stain-free gels using the Bio-Rad system at 200 mV for 28 min (Bio-Rad Laboratories GmbH, Feldkirchen, Germany). Precision Plus Protein™ All Blue Prestained Protein Standards (#1610373, Bio-Rad Laboratories GmbH) was used as protein standard. Gels were blotted on nitrocellulose blotting membranes (#10600002, Cytiva Europe GmbH, Freiburg, Germany) with the Trans-Blot Turbo Transfer System (Bio-Rad Laboratories GmbH) at 25 mV for 10 min. Membranes were blocked in 5% dry non-fat milk with 3% BSA dissolved in TBST for 90 min. Melanoma samples were bleached in 10% H2O2 for 15 min. Membranes were incubated with the following primary antibodies: TAZ 1:500 in 5% dry non-fat milk with 3% BSA dissolved in TBST for 2 h (#83669, Cell Signaling Technology, Danvers, MA, USA), YAP1 1:1,000 in 5% dry non-fat milk with 3% BSA dissolved in TBST for 2 h (#ab39361, abcam, Cambridge, UK), beta-actin 1:10,000 in TBST for 30 min (#A1978, Sigma-Aldrich, St. Louis, MO, USA). The membranes were incubated in anti-mouse-antibody (#7076, Cell Signaling Technology, Danvers, MA, USA) for YAP1 and beta-actin and in anti-rabbit-antibody (#7074, Cell Signaling Technology) for TAZ, each in a concentration of 1:10,000 in TBST for 30 min. For visualization of bands, Clarity Western ECL Substrate (Bio-Rad Laboratories GmbH) and ChemiDoc imaging system (Bio-Rad Laboratories GmbH) was used. Bands were analyzed with ImageLab software (Bio-Rad Laboratories GmbH).
Statistical analysis. Statistical analysis was performed using Prism 9 software (GraphPad software, San Diego, CA, USA). Kruskal–Wallis test was used for comparison of expression levels of different metastases. For analysis of paired patient samples, the Wilcoxon test was performed.
Results
Expression of YAP1/TAZ. In qPCR, TAZ expression was significantly higher in melanoma than in breast carcinoma (p<0.0001; Kruskal–Wallis test) and bronchial carcinoma (p=0.0009, Kruskal–Wallis test). Additionally, TAZ expression was higher in bronchial carcinoma than in breast carcinoma (p=0.0009, Kruskal–Wallis test) (Figure 1A). For YAP1, expression was significantly higher in melanoma than in bronchial carcinoma (p<0.0001, Kruskal–Wallis test) and breast carcinoma (p=0.0014, Kruskal–Wallis test). There was no significant difference in YAP1-expression between bronchial and breast carcinoma (p>0.999, Kruskal–Wallis test) (Figure 1B).
Expression of TAZ/YAP1 in brain metastases of melanoma (n=13), breast (n=10) and bronchial carcinoma (n=32) detected using qPCR. TAZ-Expression is highest in melanoma (1A; melanoma: mean 0.1201, 95%CI=0.04936-0.1908; breast: mean 0.001652, 95%CI=0.0003808-0,002923; bronchial: mean 0.01785, 95%CI=0.01174-0.02395). YAP1 expression is highest in melanoma, as well (1B; melanoma: mean 1,413, 95%CI=0.7864-2.039; breast: 0.1625, 95%CI=0.07878-0.2462; bronchial: mean 0.1599, 95%CI=0.06537-0.2543).
In western blotting, expression of TAZ was twice as high in melanoma than in bronchial carcinoma (p=0.028, Unpaired t-test). Expression was lowest in breast carcinoma (vs. melanoma p<0.0001, Kruskal–Wallis test; vs. bronchial p=0.0032, Kruskal–Wallis test) (Figure 2A). YAP1-expression was statistically significantly higher in bronchial carcinoma than in melanoma (p=0.0003; Kruskal–Wallis test) and higher in breast cancer than in melanoma (p=0.0541, Kruskal–Wallis test). Expression of YAP1 was higher in bronchial carcinoma than in breast carcinoma, but the difference was not statistically significant (p=0.8207, Kruskal–Wallis test) (Figure 2B).
Expression of TAZ/YAP1 in brain metastases of melanoma (n=13), breast (n=9) and bronchial carcinoma (n=13) detected using western blot. TAZ expression is highest in melanoma (A; melanoma: mean 0.9723, 95%CI=0.5229-1.422; breast: mean 0.06050, 95%CI=0.03526-0.08574; bronchial: mean 0.4310, 95%CI=0.2511-0.6109). YAP1 expression is highest in bronchial carcinoma (B; melanoma: mean 0.1509, 95%CI=−0.05086-0.3528; breast: mean 0.6061, 95%CI=0.2492-0.9630; bronchial: mean 1.153, 95%CI=0.6213-1685). Expression of TAZ/YAP1 as western blot stains (C).
Expression of YAP1/TAZ in paired samples. Comparison of TAZ expression in paired tumor samples using qPCR indicated no difference between primary and relapsed samples (p=0.615, Wilcoxon-test) (Figure 3A). For YAP1 expression, there was no statistically significant difference as well (p=0.8314, Wilcoxon-test) (Figure 3B).
Expression of TAZ/YAP1 in paired metastases examined using qPCR (n=25) and western blot (n=17). Expression level of TAZ and YAP1 is not different between primary and relapsed metastasis according to qPCR (TAZ: A; primary: mean 0.03339, 95%CI=0.008226-0.05855; relapsed: mean 0.0489, 95%CI=0.01206-0.08575; p=0.6150, Wilcoxon test; YAP1: B; primary: mean 0.005508, 95%CI=0.1398-0.6586; relapsed: mean 0.5139, 95%CI=0.1929-0.8348; p=0.8314, Wilcoxon test). Western blot analysis for TAZ shows no different level of expression (C; primary: mean 0.6586, 95%CI=0.2727-1.044; relapsed: mean 0.42, 95%CI=0.1611-0.6789; p=0.9399, Wilcoxon test) while YAP1 is significantly higher expressed in primary metastases (D; primary: mean 0.8123, 95%CI=0.3187-1.306; relapsed: mean 0.3949, 95%CI=0.1459-0.644; p=0.0129, Wilcoxon test).
In western blot, TAZ was not expressed differently in primary compared to relapsed metastasis (p=0.6150, Wilcoxon-test) (Figure 3C). YAP1 expression was twice as high in primary metastasis than in relapsed metastasis (p= 0.0129, Wilcoxon-test) (Figure 3D).
Discussion
Our qPCR analysis showed that melanoma has higher expression levels of YAP1/TAZ than breast and lung carcinoma. Additionally, expression levels differ between primary and relapsed brain metastases. There are hints that the incidence of brain metastases is increasing because of better treatment options of visceral tumors but a poor permeability of these agents through the brain blood barrier (3). High YAP1/TAZ have been linked to poorer survival rates and more aggressiveness in glioblastoma (5). In melanoma and breast cancer, higher YAP1-expression can be linked to more metastases (6) and more resistance to immunotherapy (7). Knockdown of YAP1/TAZ resulted in less migration and invasion in cell culture and can re-sensitize tumor cells to chemotherapy especially to cisplatin (8). In breast and lung cancer, YAP1/TAZ seem to up-regulate PD-L1 expression, which results in less response to PD-L1 inhibitors (9). It is assumed that when tumors metastasize, their cells undergo EMT before they can dissociate from the primary site (10). Because of YAP1/TAZ are drivers of EMT, it is likely that tumors with high expression levels form more metastases, which is supported by findings that in high-grade metastatic breast cancer, YAP1 and TAZ activity is increased (11, 12).
Targeting YAP1 or TAZ could be a promising approach for treating not only primary site carcinomas but also brain metastasis in patients with relapsed tumors who have already been treated with various lines of therapy and may have developed resistance. Because of the important role of YAP1/TAZ in EMT, which seems to be necessary for tumor cells before forming metastases, inhibition of these genes could reduce metastatic potential. Thus, the inhibition of EMT-activating proteins using a flavonoid derivative has already been shown to negatively impact the migration and invasion behavior of pancreatic tumor cells (13). It would be interesting to further examine the difference in YAP1/TAZ-expression between tumor samples from primary carcinoma sites and brain metastasis and to relate them to the different therapy regimes.
Acknowledgements
Jill Dicke was supported by a fellowship of ‘Köln Fortune’.
Footnotes
Authors’ Contributions
JD, experimental work, wrote manuscript, statistics; LH, edited manuscript, statistics; SK, experimental work, wrote manuscript; RG, correction of manuscript; MT, idea, manuscript, statistics.
Conflicts of Interest
The Authors have no conflicts of interest to declare in relation to this study.
- Received January 29, 2025.
- Revision received March 21, 2025.
- Accepted March 24, 2025.
- Copyright © 2025 The Author(s). Published by the International Institute of Anticancer Research.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY-NC-ND) 4.0 international license (https://creativecommons.org/licenses/by-nc-nd/4.0).









