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Updated: May 28, 2025

Identification of Kinase-substrate Pairs Using High Throughput Screening
Published on: August 29, 2015
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.
Abstract:
Merkel cell carcinoma (MCC) is a rare, aggressive skin cancer. Most MCCs contain Merkel cell polyomavirus (virus-positive MCC; VP-MCC), and the remaining are virus-negative (VN-MCC). Immune checkpoint inhibitors are the first-line treatment for metastatic MCC, but durable responses are achieved in less than 50% of patients. To identify new treatments, we screen ~4,000 compounds for their ability to reduce MCC viability and demonstrate that VP-MCC and VN-MCC exhibit distinct response profiles. Aurora kinase inhibitors selectively reduce VP-MCC viability, with RNAi screening independently identifying AURKB as an essential gene for MCC survival, especially in VP-MCC. AZD2811, a selective AURKB inhibitor, induces mitotic dysregulation and apoptosis in MCC cells, with greater efficacy in VP-MCC. In mice, AZD2811 nanoparticles inhibit tumor growth and increase survival in both VP-MCC and VN-MCC xenograft models. Overall, our unbiased screens identify AURKB as a promising therapeutic target and AZD2811NP as a potential treatment for MCC.
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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