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Blood, 1 March 2008, Vol. 111, No. 5, pp. 2854-2865.
Prepublished online as a Blood First Edition Paper on December 26, 2007; DOI 10.1182/blood-2007-07-099325.


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NEOPLASIA

Aurora kinase inhibitory VX-680 increases Bax/Bcl-2 ratio and induces apoptosis in Aurora-A-high acute myeloid leukemia

Xue-Fei Huang1,2, Shao-Kai Luo2, Jie Xu1, Juan Li2, Duo-Rong Xu2, Li-Hui Wang1, Min Yan1, Xian-Ren Wang1, Xiang-Bo Wan1, Fei-Meng Zheng1, Yi-Xin Zeng1, and Quentin Liu1

1 State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-Sen University, Guangzhou; and 2 Department of Hematology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China

Previously, we and others showed that mitotic Aurora-A kinase (Aur-A) was required for accurate mitotic entry and proper spindle assembly. In this study, we found that expression of Aur-A was markedly elevated in bone marrow mononuclear cells (BMMCs) obtained from a significant portion of de novo acute myeloid leukemia (AML) patients. Targeting human primary AML cells with Aur-A kinase inhibitory VX-680 led to apoptotic cell death in a dose-dependent manner. Importantly, VX-680–induced cell death was preferentially higher in Aur-A-high primary leukemic blasts compared with Aur-A-low AML (P < .001) or normal BMMCs (P < .001), suggesting the possible pharmacologic window in targeting Aurora kinase among Aur-A-high VX-680–sensitive leukemia patients. VX-680–induced cell death in AML cell lines was accompanied by formation of monopolar mitotic spindles, G2/M phase arrest, decreased phosphorylated(p)-Akt-1, and increased proteolytic cleavage of procaspase-3 and poly(ADP)ribose polymerase. Notably, VX-680 increased Bax/Bcl-2 expression ratio, a favorable proapoptotic predictor for drug response and survival in AML. Lastly, VX-680 enhanced the cytotoxic effect of the chemotherapeutic agent etoposide (VP16) on AML cells. Together, we concluded that Aurora kinases were potentially therapeutic targets for AML and that Aur-A-high expression may serve as a differential marker for selective treatment.


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