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Updated: Jun 30, 2025

Real-Time Monitoring of Aurora kinase A Activation using Conformational FRET Biosensors in Live Cells
Published on: July 30, 2020
AURKA emerges as a vulnerable target for KEAP1-deficient non-small cell lung cancer by activation of asparagine
Bing Deng1, Fang Liu1, Nana Chen1
1State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Abstract:
AURKA is an established target for cancer therapy; however, the efficacy of its inhibitors in clinical trials is hindered by differential response rates across different tumor subtypes. In this study, we demonstrate AURKA regulates amino acid synthesis, rendering it a vulnerable target in KEAP1-deficient non-small cell lung cancer (NSCLC). Through CRISPR metabolic screens, we identified that KEAP1-knockdown cells showed the highest sensitivity to the AURKA inhibitor MLN8237. Subsequent investigations confirmed that KEAP1 deficiency heightens the susceptibility of NSCLC cells to AURKA inhibition both in vitro and in vivo, with the response depending on NRF2 activation. Mechanistically, AURKA interacts with the eIF2α kinase GCN2 and maintains its phosphorylation to regulate eIF2α-ATF4-mediated amino acid biosynthesis. AURKA inhibition restrains the expression of asparagine synthetase (ASNS), making KEAP1-deficient NSCLC cells vulnerable to AURKA inhibitors, in which ASNS is highly expressed. Our study unveils the pivotal role of AURKA in amino acid metabolism and identifies a specific metabolic indication for AURKA inhibitors. These findings also provide a novel clinical therapeutic target for KEAP1-mutant/deficient NSCLC, which is characterized by resistance to radiotherapy, chemotherapy, and targeted therapy.
Insights
Aurora Kinase A (AURKA) inhibition targets amino acid synthesis vulnerabilities in KEAP1-deficient non-small cell lung cancer (NSCLC). This study identifies a new therapeutic strategy for difficult-to-treat NSCLC by linking AURKA to amino acid metabolism.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metabolism
Background:
- Aurora Kinase A (AURKA) is a validated cancer target, but its inhibitors show variable efficacy across tumor types.
- KEAP1-deficient non-small cell lung cancer (NSCLC) presents therapeutic challenges due to resistance to standard treatments.
Purpose of the Study:
- To investigate the role of AURKA in amino acid synthesis and its therapeutic potential in KEAP1-deficient NSCLC.
- To identify specific metabolic vulnerabilities associated with AURKA inhibition in NSCLC.
Main Methods:
- CRISPR metabolic screening to identify drug sensitivities.
- In vitro and in vivo experiments to assess the efficacy of AURKA inhibitor MLN8237.
- Mechanistic studies involving protein interactions and phosphorylation.
- Analysis of amino acid biosynthesis pathways, including ASNS expression.
Main Results:
- KEAP1-knockdown NSCLC cells exhibit heightened sensitivity to the AURKA inhibitor MLN8237.
- AURKA regulates amino acid synthesis via the GCN2-eIF2α-ATF4 pathway.
- AURKA inhibition suppresses asparagine synthetase (ASNS) expression, crucial for KEAP1-deficient NSCLC survival.
- NRF2 activation mediates the response to AURKA inhibition in KEAP1-deficient NSCLC.
Conclusions:
- AURKA plays a critical role in regulating amino acid metabolism, particularly in KEAP1-deficient NSCLC.
- The study identifies a novel metabolic vulnerability and a specific indication for AURKA inhibitors in NSCLC.
- Targeting AURKA offers a promising therapeutic strategy for KEAP1-mutant/deficient NSCLC, addressing resistance to existing therapies.
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