VHL loss predicts response to Aurora kinase A inhibitor in renal cell carcinoma cells
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Updated: Feb 9, 2026

Real-Time Monitoring of Aurora kinase A Activation using Conformational FRET Biosensors in Live Cells
Published on: July 30, 2020
Xiao-Fei Ding1, Jun Zhou2, Guang Chen3
1Department of Pharmacology, Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, P.R. China.
Abstract:
The majority of molecular targets of anticancer agents are limited to a subset of patients, and therefore identification of more specific biomarkers that can be used to improve clinical outcomes is of increasing interest. The present study showed that von Hippel‑Lindau tumor suppressor (VHL) tumor‑suppressor activity may influence the therapeutic response to Aurora kinase A (AURKA) inhibitors in human renal cell carcinoma (RCC). VHL protein (pVHL) expression was evaluated by immunoblotting in the human RCC cell lines CAKI, ACHN, 786‑O, 769‑P and A498. The anti‑tumor activities of alisertib, an AURKA‑specific chemical inhibitor, were detected by Cell Counting Kit‑8 assay in vitro and mouse xenograft model in vivo. Additionally, the VHL‑mediated anti‑tumor activity was assessed in 769‑P and CAKI cells via the loss or gain of VHL. The results revealed that VHL‑deficient 786‑O, 769‑P and A498 cells were sensitive to alisertib. By contrast, alisertib‑resistant CAKI and ACHN cells expressed the wild type VHL gene. In addition, rescue or knockdown of VHL was observed to increase or decrease alisertib anti‑proliferation activity, respectively, in RCC cells. The inverse correlation between the VHL gene expression profile and alisertib sensitivity was further confirmed in human cancer xenografts models. Taken together, these results suggested that VHL loss could potentially serve as a biomarker for predicting the efficacy of AURKA inhibitors.
Insights
Von Hippel-Lindau (VHL) tumor suppressor activity influences response to Aurora kinase A (AURKA) inhibitors in renal cell carcinoma (RCC). VHL loss predicts sensitivity to AURKA inhibitors, offering a potential biomarker for treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Biomarker Discovery
Background:
- Identifying specific biomarkers is crucial for improving anticancer agent efficacy, as current molecular targets benefit only a subset of patients.
- The von Hippel-Lindau (VHL) tumor suppressor's role in therapeutic response to Aurora kinase A (AURKA) inhibitors in renal cell carcinoma (RCC) is under investigation.
Purpose of the Study:
- To investigate the influence of VHL tumor suppressor activity on the therapeutic response to AURKA inhibitors in human RCC.
- To determine if VHL expression can serve as a predictive biomarker for AURKA inhibitor efficacy in RCC.
Main Methods:
- Evaluated VHL protein (pVHL) expression in human RCC cell lines (CAKI, ACHN, 786-O, 769-P, A498) using immunoblotting.
- Assessed the anti-tumor activity of alisertib (an AURKA inhibitor) in vitro (Cell Counting Kit-8 assay) and in vivo (mouse xenograft model).
- Investigated VHL-mediated anti-tumor activity by manipulating VHL expression (loss or gain) in 769-P and CAKI cells.
Main Results:
- VHL-deficient RCC cells (786-O, 769-P, A498) showed sensitivity to alisertib.
- Conversely, alisertib-resistant RCC cells (CAKI, ACHN) expressed wild-type VHL.
- VHL knockdown decreased and VHL rescue increased alisertib's anti-proliferation activity in RCC cells.
- An inverse correlation between VHL gene expression and alisertib sensitivity was confirmed in xenograft models.
Conclusions:
- VHL loss is associated with sensitivity to AURKA inhibitors in RCC.
- VHL deficiency may serve as a predictive biomarker for the efficacy of AURKA inhibitors in renal cell carcinoma treatment.
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