High-throughput screening identifies Aurora kinase B as a critical therapeutic target for Merkel cell carcinoma

Tara Gelb1, Khalid A Garman1, Daniel Urban2

  • 1Dermatology Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 20892, USA.

Nature Communications
|February 12, 2025
PubMed

Insights

Researchers screened compounds to find new Merkel cell carcinoma (MCC) treatments. Aurora kinase B (AURKB) inhibitors, like AZD2811, show promise, particularly for virus-positive MCC, reducing tumor growth in mice.

Area of Science:

  • Oncology
  • Dermatology
  • Virology

Background:

  • Merkel cell carcinoma (MCC) is a rare, aggressive skin cancer.
  • Most MCC cases are linked to Merkel cell polyomavirus (VP-MCC), while others are virus-negative (VN-MCC).
  • Current treatments like immune checkpoint inhibitors have limited durable response rates in metastatic MCC.

Purpose of the Study:

  • To identify novel therapeutic targets and treatments for both VP-MCC and VN-MCC.
  • To investigate the distinct response profiles of VP-MCC and VN-MCC to compound screening.
  • To evaluate the efficacy of Aurora kinase inhibitors, specifically targeting AURKB, in MCC treatment.

Main Methods:

  • Screened approximately 4,000 compounds for MCC cell viability reduction.
  • Utilized RNA interference (RNAi) screening to identify essential genes for MCC survival.
  • Tested the selective Aurora B kinase (AURKB) inhibitor AZD2811 and its nanoparticle formulation (AZD2811NP) in MCC cell lines and mouse xenograft models.

Main Results:

  • VP-MCC and VN-MCC demonstrated distinct responses to compound screening.
  • Aurora kinase inhibitors selectively reduced VP-MCC viability.
  • RNAi screening identified AURKB as crucial for MCC survival, especially in VP-MCC.
  • AZD2811 induced mitotic disruption and apoptosis in MCC cells, with higher efficacy in VP-MCC.
  • AZD2811NP significantly inhibited tumor growth and improved survival in both VP-MCC and VN-MCC mouse models.

Conclusions:

  • AURKB is a promising therapeutic target for Merkel cell carcinoma.
  • AZD2811 nanoparticles represent a potential treatment strategy for both virus-positive and virus-negative MCC.
  • Unbiased compound and RNAi screening effectively identified novel therapeutic avenues for aggressive skin cancers.

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