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以极光激酶为靶点作为小儿急性淋巴细胞白血病潜在的预后和治疗生物标志物。

Targeting aurora kinases as a potential prognostic and therapeutical biomarkers in pediatric acute lymphoblastic leukaemia.

机构信息

Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceará, Coronel Nunes de Melo st, n 1000, Rodolfo Teófilo, Fortaleza, CE, CEP: 60416-000, Brazil.

Molecular Biology Laboratory, Ophir Loyola Hospital, Belém, PA, Brazil.

出版信息

Sci Rep. 2020 Dec 4;10(1):21272. doi: 10.1038/s41598-020-78024-8.

Abstract

Aurora kinases (AURKA and AURKB) are mitotic kinases with an important role in the regulation of several mitotic events, and in hematological malignancies, AURKA and AURKB hyperexpression are found in patients with cytogenetic abnormalities presenting a unfavorable prognosis. The aim of this study was evaluated the mRNA expression profile of pediatric Acute Lymphoblastic Leukaemia (ALL) patients and the efficacy of two AURKA and AURKB designed inhibitors (GW809897X and GW806742X) in a leukemia cell line as a potential novel therapy for ALL patients. Cellular experiments demonstrated that both inhibitors induced cell death with caspase activation and cell cycle arrest, however only the GW806742X inhibitor decreased with more efficacy AURKA and AURKB expression in K-562 leukemia cells. In ALL patients both AURKA and AURKB showed a significant overexpression, when compared to health controls. Moreover, AURKB expression level was significant higher than AURKA in patients, and predicted a poorer prognosis with significantly lower survival rates. No differences were found in AURKA and AURKB expression between gene fusions, immunophenotypic groups, white blood cells count, gender or age. In summary, the results in this study indicates that the AURKA and AURKB overexpression are important findings in pediatric ALL, and designed inhibitor, GW806742X tested in vitro were able to effectively inhibit the gene expression of both aurora kinases and induce apoptosis in K-562 cells, however our data clearly shown that AURKB proves to be a singular finding and potential prognostic biomarker that may be used as a promising therapeutic target to those patients.

摘要

极光激酶(AURKA 和 AURKB)是有丝分裂激酶,在调节多种有丝分裂事件中具有重要作用,在血液系统恶性肿瘤中,存在细胞遗传学异常且预后不良的患者中发现 AURKA 和 AURKB 过度表达。本研究旨在评估儿科急性淋巴细胞白血病(ALL)患者的 mRNA 表达谱,以及两种极光激酶 AURKA 和 AURKB 设计抑制剂(GW809897X 和 GW806742X)在白血病细胞系中的疗效,作为 ALL 患者的潜在新型治疗方法。细胞实验表明,两种抑制剂均通过半胱天冬酶激活和细胞周期停滞诱导细胞死亡,但只有 GW806742X 抑制剂能够更有效地降低 K-562 白血病细胞中 AURKA 和 AURKB 的表达。与健康对照相比,ALL 患者的 AURKA 和 AURKB 均表现出明显的过表达。此外,与 AURKA 相比,AURKB 在患者中的表达水平更高,并且预测预后较差,生存率显著降低。在基因融合、免疫表型组、白细胞计数、性别或年龄方面,未发现 AURKA 和 AURKB 表达存在差异。总之,本研究结果表明,AURKA 和 AURKB 的过表达是儿科 ALL 的重要发现,并且在体外测试的设计抑制剂 GW806742X 能够有效抑制两种极光激酶的基因表达并诱导 K-562 细胞凋亡,然而,我们的数据清楚地表明,AURKB 被证明是一个独特的发现和潜在的预后生物标志物,可作为这些患者有前途的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbed/7718893/307d9ebca895/41598_2020_78024_Fig1_HTML.jpg

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