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Published on: November 10, 2017
The aurora kinases in cell cycle and leukemia
1Division of Hematology/Oncology, Northwestern University, Chicago, IL, USA.
Abstract:
The Aurora kinases, which include Aurora A (AURKA), Aurora B (AURKB) and Aurora C (AURKC), are serine/threonine kinases required for the control of mitosis (AURKA and AURKB) and meiosis (AURKC). Since their discovery nearly 20 years ago, Aurora kinases have been studied extensively in cell and cancer biology. Several early studies found that Aurora kinases are amplified and overexpressed at the transcript and protein level in various malignancies, including several types of leukemia. These discoveries and others provided a rationale for the development of small-molecule inhibitors of Aurora kinases as leukemia therapies. The first generation of Aurora kinase inhibitors did not fare well in clinical trials, owing to poor efficacy and high toxicity. However, the creation of second-generation, highly selective Aurora kinase inhibitors has increased the enthusiasm for targeting these proteins in leukemia. This review will describe the functions of each Aurora kinase, summarize their involvement in leukemia and discuss inhibitor development and efficacy in leukemia clinical trials.
Insights
Aurora kinases are crucial for cell division and are implicated in leukemia. While early inhibitors showed limited success, newer, selective Aurora kinase inhibitors offer promising leukemia treatment strategies.
Area of Science:
- Molecular Biology
- Cell Biology
- Oncology
Background:
- Aurora kinases (A, B, and C) are serine/threonine kinases vital for mitosis and meiosis.
- These kinases are frequently amplified and overexpressed in various cancers, including leukemia.
- This overexpression suggests Aurora kinases as potential therapeutic targets in leukemia.
Purpose of the Study:
- To review the functions of Aurora A, B, and C kinases.
- To summarize the role of Aurora kinases in the development and progression of leukemia.
- To discuss the development and clinical efficacy of Aurora kinase inhibitors for leukemia treatment.
Main Methods:
- Literature review of studies on Aurora kinase function, leukemia involvement, and inhibitor development.
- Analysis of preclinical and clinical trial data for Aurora kinase inhibitors in leukemia.
- Synthesis of information on kinase biology, cancer mechanisms, and therapeutic strategies.
Main Results:
- Aurora kinases play essential roles in cell cycle regulation, and their dysregulation is common in leukemia.
- First-generation Aurora kinase inhibitors demonstrated significant toxicity and limited efficacy.
- Second-generation inhibitors exhibit improved selectivity and are being investigated for enhanced therapeutic outcomes in leukemia.
Conclusions:
- Targeting Aurora kinases remains a viable strategy for novel leukemia therapies.
- Selective Aurora kinase inhibitors show potential for improved efficacy and reduced toxicity in leukemia treatment.
- Further clinical evaluation of advanced Aurora kinase inhibitors is warranted for leukemia patients.
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