Evidence map›Paper›PMID 42460855›Full record

ArticleHistopathology2026

Hippo pathway disruption and YAP1 activation in anogenital papillary squamous intraepithelial lesion.

Gloria Zhang, Karen L Talia, W Glenn McCluggage, Robert A Soslow, Bin Yang

Abstract read
In one paragraph

Article in Histopathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gloria ZhangDivision of Pathology, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0003-1977-5239
Karen L TaliaDepartment of Pathology, Royal Children's and Royal Women's Hospital, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-4500-6679
W Glenn McCluggageDepartment of Pathology, Belfast Health and Social Care Trust, Belfast, UK.ORCID https://orcid.org/0000-0001-9178-4370
Robert A SoslowDivision of Pathology, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-7269-5898
Bin YangDivision of Pathology, Diagnostic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-6217-6402

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPapillary squamous intraepithelial lesion (PSIL), also known as papillary immature metaplasia, is a rare anogenital lesion associated with low-risk human papillomavirus (HPV) infection. The molecular pathogenesis of PSIL remains unclear. This study aims to investigate the activation of YAP1, a Hippo pathway co-activator, in PSIL and compare it to condyloma and papillary HSIL. METHODS AND

resultsYAP1 activation was evaluated by immunohistochemistry using an antibody specific for activated/unphosphorylated YAP1 (act-YAP1) in 36 PSIL cases, 20 condyloma and 2 papillary HSIL cases. HPV genotyping and chromogenic in situ hybridization (CISH) were performed to determine HPV status. Low-risk HPV, predominantly HPV6, was detected in 78.6% of PSILs. CISH revealed a diffuse fine punctate distribution of low-risk HPV E6/E7 transcripts in PSIL, distinct from the large focal clusters seen in condyloma, but similar to high-risk HPV in HSIL. All PSILs showed non-block p16 expression. Act-YAP1 immunostaining demonstrated YAP1 activation in 86.1% of PSILs (72.2% diffuse, 13.9% focal), resembling the pattern in papillary HSIL but differing from condyloma, which exhibited nuclear act-YAP1 only in basal and granular layers. No significant associations were found between YAP1 activation and HPV status or immunoprofiles of p16, p53, Rb1 and CK7.

conclusionsPSILs demonstrate prominent YAP1 activation, implicating Hippo pathway disruption as a potential driver of PSIL pathogenesis. These findings support a distinct molecular profile of PSIL and provide insight into the biological mechanisms underlying this rare lesion.

Indexed as

Adaptor Proteins, Signal TransducingPapillomavirus InfectionsProtein Serine-Threonine KinasesSquamous Intraepithelial LesionsAdultAgedCondylomata AcuminataFemaleHippo Signaling PathwayHuman Papillomavirus VirusesHumansImmunohistochemistryMiddle AgedSignal TransductionTranscription FactorsYAP-Signaling ProteinsAdaptor Proteins, Signal TransducingProtein Serine-Threonine KinasesTranscription FactorsYAP1 protein, humanYAP-Signaling ProteinsanogenitalcervixHippo signalling pathwayHPVpapillary immature metaplasiapapillary squamous intraepithelial lesionYAP1

Identifiers

PMID42460855
PMCPMC13643616

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.