Ewing sarcoma (EwS) is a highly metastatic
bone cancer characterized by the ETS fusion
oncoprotein EWS-FLI1. EwS cells are phenotypically highly
plastic and switch between functionally distinct cell states dependent on
EWS-FLI1 fluctuations. Whereas EWS-FLI1high cells proliferate, EWS-FLI1low cells are migratory and invasive. Recently, we reported activation of MRTFB and TEAD, effectors of RhoA and Hippo signalling, upon low
EWS-FLI1, orchestrating key steps of the EwS migratory gene expression program. TEAD and its co-activators YAP and TAZ are commonly overexpressed in
cancer, providing attractive therapeutic targets. We find TAZ levels to increase in the migratory EWS-FLI1low state and to associate with adverse prognosis in EwS patients. We tested the effects of the potent YAP/TAZ/TEAD complex inhibitor
verteporfin on EwS cell migration in vitro and on
metastasis in vivo.
Verteporfin suppressed expression of
EWS-FLI1 regulated cytoskeletal genes involved in actin signalling to the extracellular matrix, effectively blocked
F-actin and focal-adhesion assembly and inhibited EwS cell migration at submicromolar concentrations. In a mouse EwS xenograft model,
verteporfin treatment reduced relapses at the surgical site and delayed lung
metastasis. These data suggest that YAP/TAZ pathway inhibition may prevent EwS cell dissemination and
metastasis, justifying further preclinical development of YAP/TAZ inhibitors for EwS treatment.