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Aurkin-A, a TPX2-Aurora A small molecule inhibitor disrupts Alisertib-induced polyploidy in aggressive diffuse large
Patrick J Conway1, Bárbara De La Peña Avalos2, Jonathan Dao3
1Department of Molecular Immunology & Microbiology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas, USA; Department of Biomedical Sciences, Keiser University, 2600 N Military Trl, West Palm Beach, Florida, USA.
Abstract:
Chemotherapy induced polyploidy is a mechanism of inherited drug resistance resulting in an aggressive disease course in cancer patients. Alisertib, an Aurora Kinase A (AK-A) ATP site inhibitor, induces cell cycle disruption resulting in polyaneuploidy in Diffuse Large B Cell Lymphoma (DLBCL). Propidium iodide flow cytometry was utilized to quantify alisertib induced polyploidy in U2932 and VAL cell lines. In U2932 cells, 1µM alisertib generated 8n+ polyploidy in 48% of the total cell population after 5 days of treatment. Combination of Aurkin A an AK-A/TPX2 site inhibitor, plus alisertib disrupted alisertib induced polyploidy in a dose-dependent manner with associated increased apoptosis. We generated a stable FUCCI U2932 cell line expressing Geminin-clover (S/G2/M) and cdt1-mKO (G1), to monitor cell cycle progression. Using this system, we identified alisertib induces polyploidy through endomitosis, which was eliminated with Aurkin A treatment. In a VAL mouse xenograft model, we show polyploidy generation in alisertib treated mice versus vehicle control or Aurkin A. Aurkin A plus alisertib significantly reduced polyploidy to vehicle control levels. Our in vitro and in vivo studies show that Aurkin A synergizes with alisertib and significantly decreases the alisertib dose needed to disrupt polyploidy while increasing apoptosis in DLBCL cells.
Insights
Alisertib, a cancer drug, can cause polyploidy, a form of drug resistance. Combining it with Aurkin A disrupts this polyploidy, increasing cancer cell death in Diffuse Large B Cell Lymphoma.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Chemotherapy can induce polyploidy, a mechanism of inherited drug resistance leading to aggressive cancer.
- Alisertib, an Aurora Kinase A (AK-A) inhibitor, causes cell cycle disruption and polyaneuploidy in Diffuse Large B Cell Lymphoma (DLBCL).
Purpose of the Study:
- To investigate the mechanism of alisertib-induced polyploidy in DLBCL.
- To evaluate the efficacy of combining alisertib with Aurkin A, an AK-A/TPX2 inhibitor, in overcoming polyploidy and enhancing apoptosis.
Main Methods:
- Quantification of alisertib-induced polyploidy using propidium iodide flow cytometry in U2932 and VAL cell lines.
- Generation of a stable FUCCI U2932 cell line for monitoring cell cycle progression (Geminin-clover for S/G2/M, cdt1-mKO for G1).
- Assessment of polyploidy and apoptosis in vitro and in vivo using a VAL mouse xenograft model.
Main Results:
- Alisertib (1µM) induced 8n+ polyploidy in 48% of U2932 cells after 5 days.
- Combination therapy with Aurkin A and alisertib dose-dependently disrupted alisertib-induced polyploidy and increased apoptosis.
- Alisertib was found to induce polyploidy via endomitosis, a process reversed by Aurkin A treatment.
- In vivo studies showed Aurkin A plus alisertib significantly reduced polyploidy in a VAL mouse xenograft model.
Conclusions:
- Alisertib induces polyploidy in DLBCL through endomitosis, contributing to drug resistance.
- Aurkin A synergizes with alisertib, reducing the required alisertib dose to disrupt polyploidy and increasing apoptosis.
- Combination therapy with Aurkin A and alisertib presents a promising strategy to overcome chemoresistance in DLBCL.
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