Abstract. Aurora kinase B (AURKB) inhibitors are regarded as potential molecular-targeting drugs for cancer therapy. The present study evaluated the cytotoxic effect of a combination of AZD1152-hQPA, an AURKB inhibitor, and various anticancer agents on the HeLa human cervical cancer cell line, as well as its cisplatin-resistant equivalent HCP4 cell line. It was demonstrated that AZD1152-hQPA had an antagonistic effect on the cytotoxicity of cisplatin, etoposide and doxorubicin, but had a synergistic effect on that of all-trans-retinoic acid (ATRA), Am80 and TAC-101, when tested on HeLa cells. Cisplatin, etoposide and doxorubicin were shown to increase the cellular expression of AURKB, while ATRA, Am80 and TAC-101 downregulated its expression. These results suggested that AURKB expression is regulated by these anticancer agents at the transcriptional level, and that the level of expression of AURKB may influence the cytotoxic effect of AZD1152-hQPA. Therefore, when using anticancer agents, decreasing the expression of AURKB using a molecular-targeting drug may be an optimal therapeutic strategy.
IntroductionThe human aurora kinase (AURK) family consists of three genes, including AURKA, AURKB and AURKC. Their gene products are located in different parts of the nucleus and have been suggested to function independently during the mitotic phase (M-phase) of the cell cycle (1-3). AURKB appears in the nucleus at the initial synthesis phase, and is involved in the regulation of cytokinesis by binding to several proteins containing the inhibitor Survivin (4,5). It has been reported that AURKs are overexpressed in tumor cells and, therefore, they are thought to be potential molecular targets for the treatment of malignant tumors (6-9). A number of inhibitors of AURK (ZM447439, VX-680, AT9283, AZD1152, MLN8054 and MLN8237) have been developed (6). These agents inhibit AURKA and AURKB to varying degrees, and some are currently in phase I clinical trials (10). The previously described inhibitor AZD1152 is a prodrug that changes to the active form AZD1152-hQPA in the cytoplasm, which has a dominant effect on AURKB (11).Chemotherapy using anticancer drugs, such as platinum-based therapies or taxanes, and radiotherapy are the most commonly employed strategies for the treatment of gynecological malignant tumors (12,13). AURK inhibitors are thought to be an effective molecular-targeting drug for gynecological malignant tumors (6), and clinical trials for their use against leukemia and other cancers are underway (10). In the future, there is a possibility that ARUK inhibitors may be used in combination with anticancer agents. However, it is unknown which anticancer agents would function most effectively in combination with AURK inhibitors. Sun et al (14) reported that the AURKB inhibitor, VX-680, downregulated nuclear factor (NF)-ÎşB expression and increased the sensitivity of tumor cells to anticancer agents. Therefore, evaluation of the cellular expression or activity of NF-ÎşB may emerge as an important basis for the use of AURK...