Poster Presentation 28th Lorne Cancer Conference 2016

YAP is a promising target in cutaneous melanoma (#260)

JIAN ZHONG TANG 1 , Xiaomeng Zhang 1 , Ismael Vergara 1 , Anthony Papenfus 1 , Kieran Harvey 1 , Mark Shackleton 1
  1. Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia

The transcriptional regulator YAP (Yes-associated protein) has been implicated in tissue development and homeostasis and in cancer growth (Harvey et al. 2013). In uveal melanoma, YAP mediates oncogenic signalling of mutated G-proteins, driving tumor growth in a therapeutically exploitable manner (Yu et al. & Feng et al. 2014). The role of YAP in cutaneous melanoma (CM) is less well defined, although previous studies implicating YAP in metastasis and disease maintenance/progression (Nallet-Staub et al. 2014; Menzel et al. 2014), and encouraging data suggesting synergism between combination targeting of YAP and the Mitogen-Activated Protein Kinase (MAPK) pathway (Lin et al. 2015). Here we show that YAP is a critical mediator of disease maintenance and progression in some but not all CMs. In a primary CM we identified novel YAP mutations, which are rare in human cancer but are predicted to relieve YAP from inhibition by the Hippo pathway. By quantifying YAP expression by immunofluorescence, we found YAP was increased early in human melanocytic transformation, being elevated in nevi and in over 50% of primary CMs. Gene targeting of YAP with inducible shRNAs induced profound proliferative arrest and death in cultured CM cells. The dependency on YAP of melanoma maintenance was validated in vivo using xenograft models of cell lines and of early passage patient-derived melanomas. Further, efficacy of YAP targeting synergized with MAPK inhibition in BRAF mutant CMs. However, some CMs were resistant to YAP targeting independent of BRAF/NRAS genotype and of levels of YAP protein expression or activation.These data compel the development of anti-YAP therapies in CM and the identification of biomarkers that predict response to YAP targeting.