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The Hippo Terminal Effector Yap Boosts Enterovirus Replication in Type 1 Diabetes Publisher Pubmed



Geravandi S ; Liu H ; Pahwa H ; Madduri MK ; Atawneh F ; Miraki Feriz A ; Rafizadeh S ; Kruf AE ; Khazaei M ; Bahrami P ; Gotti D ; Elawour M ; Elgamal RM ; Grasso AM Show All Authors
Authors
  1. Geravandi S
  2. Liu H
  3. Pahwa H
  4. Madduri MK
  5. Atawneh F
  6. Miraki Feriz A
  7. Rafizadeh S
  8. Kruf AE
  9. Khazaei M
  10. Bahrami P
  11. Gotti D
  12. Elawour M
  13. Elgamal RM
  14. Grasso AM
  15. Bund D
  16. Lupse B
  17. Azizi Z
  18. Zabad O
  19. Bouzakri K
  20. Horwitz M
  21. Pugliese A
  22. Maedler K
  23. Ardestani A

Source: Nature Communications Published:2025


Abstract

Type 1 diabetes (T1D) risk has been associated with enteroviral infections, particularly coxsackieviruses B (CVB). Cellular host factors contributing to virus-induced islet autoimmunity remain unclear. We show that the Hippo pathway effector Yes-associated Protein (YAP) is markedly upregulated in the exocrine and endocrine pancreas of T1D and at-risk autoantibody-positive (AAb+) donors, along with its target CTGF. YAP expression correlates with CVB RNA presence, often in or near infected cells. YAP overexpression enhances CVB replication, islet inflammation, and β-cell apoptosis, whereas its inhibition halts viral replication in primary and immortalized pancreatic cells. In exocrine-islet co-cultures, CVB triggers YAP and target gene expression. In mice, chronic β-cell YAP expression impairs glucose tolerance, abolishes insulin secretion, and promotes β-cell dedifferentiation. Mechanistically, YAP, in complex with its transcription factor TEAD, induces its own negative regulator MST1. MST1 inhibition boosts viral replication and reduces β-cell apoptosis, constituting a negative feedback loop in which the reciprocal antagonism between YAP and MST1 balances viral replication and β-cell death during CVB infections. YAP is thus an important host factor for enteroviral amplification, offering a potential antiviral target in T1D. © 2025 Elsevier B.V., All rights reserved.