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Blood, 15 September 2007, Vol. 110, No. 6, pp. 2034-2040.
Prepublished online as a Blood First Edition Paper on May 10, 2007; DOI 10.1182/blood-2007-02-073700.


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NEOPLASIA

AZD1152, a novel and selective aurora B kinase inhibitor, induces growth arrest, apoptosis, and sensitization for tubulin depolymerizing agent or topoisomerase II inhibitor in human acute leukemia cells in vitro and in vivo

Jing Yang1, Takayuki Ikezoe1, Chie Nishioka1, Taizo Tasaka2, Ayuko Taniguchi1, Yoshio Kuwayama1, Naoki Komatsu1, Kentaro Bandobashi1, Kazuto Togitani1, H. Phillip Koeffler3, Hirokuni Taguchi1, and Akihito Yokoyama1

1 Department of Hematology and Respiratory Medicine, Kochi University, Nankoku, Kochi, Japan; 2 Division of Hematology, Department of Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan; 3 Department of Hematology and Oncology, Cedars-Sinai Medical Center, University of California, Los Angeles (UCLA) School of Medicine

Aurora kinases play an important role in chromosome alignment, segregation, and cytokinesis during mitosis. We have recently shown that hematopoietic malignant cells including those from acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) aberrantly expressed Aurora A and B kinases, and ZM447439, a potent inhibitor of Aurora kinases, effectively induced growth arrest and apoptosis of a variety of leukemia cells. The present study explored the effect of AZD1152, a highly selective inhibitor of Aurora B kinase, on various types of human leukemia cells. AZD1152 inhibited the proliferation of AML lines (HL-60, NB4, MOLM13), ALL line (PALL-2), biphenotypic leukemia (MV4-11), acute eosinophilic leukemia (EOL-1), and the blast crisis of chronic myeloid leukemia K562 cells with an IC50 ranging from 3 nM to 40 nM, as measured by thymidine uptake on day 2 of culture. These cells had 4N/8N DNA content followed by apoptosis, as measured by cell-cycle analysis and annexin V staining, respectively. Of note, AZD1152 synergistically enhanced the antiproliferative activity of vincristine, a tubulin depolymerizing agent, and daunorubicin, a topoisomerase II inhibitor, against the MOLM13 and PALL-2 cells in vitro. Furthermore, AZD1152 potentiated the action of vincristine and daunorubicin in a MOLM13 murine xenograft model. Taken together, AZD1152 is a promising new agent for treatment of individuals with leukemia. The combined administration of AZD1152 and conventional chemotherapeutic agent to patients with leukemia warrants further investigation.


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