AurkA inhibitors enhance the effects of B-RAF and MEK inhibitors in melanoma treatment
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  • 作者:Emilia Caputo (1)
    Roberta Miceli (2)
    Maria Letizia Motti (3)
    Rosarita Tat茅 (1)
    Federica Fratangelo (2)
    Gerardo Botti (2)
    Nicola Mozzillo (2)
    Maria Vincenza Carriero (2)
    Ernesta Cavalcanti (2)
    Giuseppe Palmieri (4)
    Gennaro Ciliberto (2)
    Giuseppe Pirozzi (2)
    Paolo Antonio Ascierto (2)

    1. Institute of Genetics and Biophysics 鈥揑.G.B.
    ; A. Buzzati-Traverso鈥? CNR ; Via Pietro Castellino ; 111 ; I-80131 ; Naples ; Italy
    2. Istituto Nazionale Tumori Fondazione G. Pascale
    ; Via M. Semmola ; I-80131 ; Naples ; Italy
    3. Dipartimento di Scienze Motorie e del Benessere
    ; Universit脿 degli Studi di Napoli 鈥楶arthenope鈥? Via Ammiraglio Ferdinando Acton ; 38 ; I-80133 ; Naples ; Italy
    4. Unit of Cancer Genetics
    ; Institute of Biomolecular Chemistry (ICB-CNR) ; Traversa La Crucca ; 3 - Baldinca Li Punti ; I-07100 ; Sassari ; Italy
  • 关键词:Melanoma ; Aurora A kinase ; Targeted therapy ; Combined therapy ; 3D ; human skin reconstruction model
  • 刊名:Journal of Translational Medicine
  • 出版年:2014
  • 出版时间:December 2014
  • 年:2014
  • 卷:12
  • 期:1
  • 全文大小:1,969 KB
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  • 刊物主题:Biomedicine general; Medicine/Public Health, general;
  • 出版者:BioMed Central
  • ISSN:1479-5876
文摘
Background Aurora kinase A (AurkA) is over-expressed in melanoma and its inhibition has been observed to limit tumor growth, suggesting a potential role in melanoma treatment. Methods A human melanoma cell line with the B-RAF (V600E) mutation (A375mel) was exposed to B-RAF inhibitor (GSK2118436), MEK inhibitor (GSK1120212) and AurkA inhibitor (MLN8054) as single agents or in various combinations (BRAF plus AurkA inhibitor, MEK plus AurkA inhibitor or triple combination BRAF plus MEK plus AurkA inhibitor). Cell proliferation was assessed using xCELLigence technology. Total protein extracts were examined for p53 and c-Myc protein expression by Western blot analysis. Drug anti-tumor effects were further assessed using a 3D-human melanoma skin reconstruction model, in which tissues were incubated with serum-free medium containing control, B-RAF plus MEK inhibitor, MEK plus AurkA inhibitor or the triple combination. Results AurkA inhibitor plus B-RAF inhibitor, AurkA inhibitor plus MEK inhibitor or triple combination had a markedly greater anti-proliferative effect on A375 (BRAFV600E) melanoma cells than single agents. In the 3D human skin model, the triple combination had a greater anti-tumor effect at the epidermal/dermal junction than control or either double combination. However, S-100 and Ki-67 positively stained spindle-shaped cells were detected in the dermal stratum, suggesting the presence of alive and proliferating melanoma cells. Conclusions These findings provide new prospects for melanoma research, including combined B-RAF/AurkA inhibition for B-RAF mutated melanomas and MEK/AurkA inhibitor combination for patients without B-RAF mutations. Moreover, for the first time, we have shown that a B-RAF, MEK and AurkA inhibitor triple drug combination offers increased efficacy against melanoma cell growth and might be considered as a potential treatment strategy for enhancing clinical response in melanoma. However, although this triple drug combination was more effective at the epidermal/dermal junction, the suggested presence of alive and proliferating melanoma cells in the dermal stratum could result in drug resistance and disease recurrence. Molecular characterization of these dermal cells may be critical for the development of novel therapeutic strategies.

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