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Updated: Apr 23, 2026

Real-Time Monitoring of Aurora kinase A Activation using Conformational FRET Biosensors in Live Cells
Published on: July 30, 2020
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.
Abstract:
Aurora kinase inhibitors displayed activity in pre-clinical neuroblastoma models. Here, we studied the effects of the pan-aurora kinase inhibitor tozasertib (VX680, MK-0457) and the aurora kinase inhibitor alisertib (MLN8237) that shows some specificity for aurora kinase A over aurora kinase B in a panel of neuroblastoma cell lines with acquired drug resistance. Both compounds displayed anti-neuroblastoma activity in the nanomolar range. The anti-neuroblastoma mechanism included inhibition of aurora kinase signalling as indicated by decreased phosphorylation of the aurora kinase substrate histone H3, cell cycle inhibition in G2/M phase, and induction of apoptosis. The activity of alisertib but not of tozasertib was affected by ABCB1 expression. Aurora kinase inhibitors induced a p53 response and their activity was enhanced in combination with the MDM2 inhibitor and p53 activator nutlin-3 in p53 wild-type cells. In conclusion, aurora kinases are potential drug targets in therapy-refractory neuroblastoma, in particular for the vast majority of p53 wild-type cases.
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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