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.

Neoplasia (New York, N.Y.)
|June 14, 2024
PubMed

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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