Aurora kinases as targets in drug-resistant neuroblastoma cells

Martin Michaelis1, Florian Selt2, Florian Rothweiler2

  • 1Institut für Medizinische Virologie, Klinikum der Goethe-Universität, Frankfurt am Main, Germany; Centre for Molecular Processing and School of Biosciences, University of Kent, Canterbury, United Kingdom.

Plos One
|October 1, 2014
PubMed

Insights

Aurora kinase inhibitors like tozasertib and alisertib show promise against neuroblastoma, particularly in drug-resistant and p53 wild-type cases. These inhibitors target key cell signaling pathways, offering new therapeutic avenues for difficult-to-treat neuroblastoma.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Neuroblastoma is a pediatric cancer with limited treatment options for refractory cases.
  • Aurora kinases are crucial for cell division and are implicated in cancer progression.
  • Acquired drug resistance remains a significant challenge in neuroblastoma treatment.

Purpose of the Study:

  • To evaluate the efficacy of tozasertib and alisertib in neuroblastoma cell lines with acquired drug resistance.
  • To elucidate the mechanisms of action of these aurora kinase inhibitors.
  • To explore potential combination therapies for enhanced anti-neuroblastoma effects.

Main Methods:

  • Testing tozasertib and alisertib on a panel of neuroblastoma cell lines.
  • Assessing drug sensitivity in the nanomolar range.
  • Analyzing effects on aurora kinase signaling, cell cycle, apoptosis, and p53 response.
  • Investigating the role of ABCB1 expression and combination with nutlin-3.

Main Results:

  • Both tozasertib and alisertib demonstrated significant anti-neuroblastoma activity.
  • Inhibition of aurora kinase signaling, G2/M cell cycle arrest, and apoptosis were observed.
  • ABCB1 expression influenced alisertib's activity, but not tozasertib's.
  • Combination with nutlin-3 enhanced inhibitor activity in p53 wild-type cells.

Conclusions:

  • Aurora kinases represent viable therapeutic targets for therapy-refractory neuroblastoma.
  • The findings support further investigation of aurora kinase inhibitors, especially in p53 wild-type neuroblastoma.
  • Combination strategies, including with MDM2 inhibitors, may overcome resistance mechanisms.

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