Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (17): 2708-2715.doi: 10.12307/2023.443

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The regulatory role of Hippo-YAP signaling pathway in exercise-induced cardiac hypertrophy

Fan Qinghua, Qi Jie, Zhang Jun   

  1. Institute of Physical Education, Shanghai Normal University, Shanghai 200234, China
  • Received:2022-05-30 Accepted:2022-07-06 Online:2023-06-18 Published:2022-10-25
  • Contact: Zhang Jun, PhD, Professor, Institute of Physical Education, Shanghai Normal University, Shanghai 200234, China Qi Jie, PhD, Associate professor, Institute of Physical Education, Shanghai Normal University, Shanghai 200234, China
  • About author:Fan Qinghua, Master candidate, Institute of Physical Education, Shanghai Normal University, Shanghai 200234, China
  • Supported by:
    the National Natural Science Foundation of China, No. 32071170 (to ZJ)

Abstract: BACKGROUND: The Hippo-YAP signaling pathway is a signaling cascade that is highly conserved across species and has attracted widespread attention in the study of physiological cardiac hypertrophy. Studies have found that many pathways such as mechanical force, autophagy, and energy metabolism are involved in the regulation of exercise-induced cardiac hypertrophy. These pathways may interact with the Hippo-YAP signaling pathway after exercise, thereby affecting the formation and development of exercise-induced cardiac hypertrophy. 
OBJECTIVE: To summarize the effects of exercise on Hippo-YAP signaling pathway, and describe the potential mechanism of Hippo-YAP signaling pathway in regulating exercise-induced cardiac hypertrophy. 
METHODS: “Hippo-YAP signaling pathway, YAP/TAZ, exercise-induced cardiac hypertrophy, heart, exercise” were used as keywords in Chinese and English. Relevant literatures included in CNKI, PubMed, and Web of Science databases from 1983 to 2022 were retrieved, and 70 articles that met the screening criteria were reviewed.  
RESULTS AND CONCLUSION: Hippo-YAP signaling pathway is affected by exercise and has a certain regulatory role in exercise-induced physiological cardiac hypertrophy. (1) Hippo-YAP signaling pathway induces mechanical stimulation triggered by exercise, which leads to changes in the activity and expression of YAP/TAZ, and mediates the response of cardiomyocytes to mechanical signals. (2) Hippo-YAP signaling pathway regulates autophagy in cardiomyocytes and maintains the homeostasis, normal structures and physiological functions of cardiomyocytes during exercise. (3) Hippo-YAP signaling pathway may mediate the oxidation and glycolysis of energy substances during exercise-induced cardiac hypertrophy, and may also be affected by energy changes during exercise. (4) Hippo-YAP signaling pathway may strengthen the connection with some non-coding RNAs related to physiological cardiac hypertrophy under the action of exercise, and multiple non-coding RNAs may jointly regulate Hippo-YAP signaling. (5) Hippo-YAP signaling pathway interacts with the classic pathways of exercise-induced cardiac hypertrophy. Exercise promotes the signaling interaction between them and participates in the regulation of exercise-induced cardiac hypertrophy. (6) To deeply study the regulatory role of Hippo-YAP signaling pathway in exercise-induced cardiac hypertrophy will help deepen the understanding of exercise-promoting heart health, and provide new ideas and strategies for the clinical prevention and treatment of cardiac diseases and myocardial tissue construction. 

Key words: Hippo-YAP signaling pathway, kinase cascade, YAP/TAZ, exercise-induced cardiac hypertrophy, cardiomyocyte, heart, exercise, review

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