Abstract
ABL tyrosine kinase inhibitors (TKI) like Imatinib, Dasatinib and Nilotinib are the gold standard in conventional treatment of CML. However, the emergence of resistance remains a major problem. Alternative therapeutic strategies of ABL TKI-resistant CML are urgently needed. We asked whether dual inhibition of BCR-ABL and Aurora kinases A-C could overcome resistance mediated by ABL kinase mutations. We therefore tested the dual ABL and Aurora kinase inhibitors PHA-739358 and R763/AS703569 in Ba/F3- cells ectopically expressing wild type (wt) or TKI-resistant BCR-ABL mutants. We show that both compounds exhibited strong anti-proliferative and pro-apoptotic activity in ABL TKI resistant cell lines including cells expressing the strongly resistant T315I mutation. Cell cycle analysis indicated polyploidisation, a consequence of continued cell cycle progression in the absence of cell division by Aurora kinase inhibition. Experiments using drug resistant variants of Aurora B indicated that PHA-739358 acts on both, BCR-ABL and Aurora Kinase B, whereas Aurora kinase B inhibition might be sufficient for the anti-proliferative activity observed with R763/AS703569. Taken together, our data demonstrate that dual ABL and Aurora kinase inhibition might be used to overcome ABL TKI resistant CML.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Antineoplastic Agents / pharmacology*
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Apoptosis / drug effects
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Aurora Kinase B / antagonists & inhibitors*
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Aurora Kinase B / chemistry
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Aurora Kinase B / genetics
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Aurora Kinase B / metabolism
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B-Lymphocytes / drug effects
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B-Lymphocytes / metabolism
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B-Lymphocytes / pathology
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Base Sequence
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Benzamides / pharmacology*
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Cell Cycle / drug effects
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Cell Line, Transformed
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Cell Proliferation / drug effects
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Cell Survival / drug effects
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Dose-Response Relationship, Drug
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Fusion Proteins, bcr-abl / antagonists & inhibitors*
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Fusion Proteins, bcr-abl / chemistry
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Fusion Proteins, bcr-abl / genetics
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Fusion Proteins, bcr-abl / metabolism
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Gene Expression
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Humans
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Mice
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Molecular Docking Simulation
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Molecular Sequence Data
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Norbornanes / pharmacology*
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Protein Kinase Inhibitors / pharmacology*
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Pyrazoles / pharmacology*
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Pyrimidines / pharmacology*
Substances
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Antineoplastic Agents
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Benzamides
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MSC1992371A
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Norbornanes
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Protein Kinase Inhibitors
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Pyrazoles
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Pyrimidines
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Fusion Proteins, bcr-abl
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AURKB protein, human
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Aurora Kinase B
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danusertib
Grants and funding
This work was supported by a grant to JD and NVB from the Bundesministerium für Bildung und Forschung (NGFNplus), and from the Wilhelm-Sander Stiftung, by a grant to JD from the Deutsche Forschungsgemeinschaft (SFB 684/A11), and by a grant to NVB by the Gertrud-und-Erwin-Ruppert-Stiftung München. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.