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Aurora A kinase inhibition compromises its antitumor efficacy by elevating PD-L1 expression
Wang, Xiaobo1; Huang, Jing2,3; Liu, Fenglin4; Yu, Qian1; Wang, Ruina1; Wang, Jiaqi1; Zhu, Zewen1; Yu, Juan5; Hou, Jun5; Shim, Joong Sup6; Jiang, Wei1; Li, Zengxia1; Zhang, Yuanyuan2,3; Dang, Yongjun1,7
2023-03-16
Source PublicationJournal of Clinical Investigation
ISSN0021-9738
Volume133Issue:9Pages:e161929
Abstract

Aurora A plays a critical role in G/M transition and mitosis, making it an attractive target for cancer treatment. Aurora A inhibitors showed remarkable antitumor effects in preclinical studies, but unsatisfactory outcomes in clinical trials have greatly limited their development. In this study, the Aurora A inhibitor alisertib upregulated programmed death ligand 1 (PD-L1) expression in a panel of tumor cells both in vitro and in vivo. Upregulation of the checkpoint protein PD-L1 reduced antitumor immunity in immune-competent mice, paradoxically inhibiting the antitumor effects of alisertib. Mechanistically, Aurora A directly bound to and phosphorylated cyclic GMP-AMP synthase (cGAS), suppressing PD-L1 expression in tumor cells. Aurora A inhibition by alisertib activated the cGAS/stimulator of IFN genes (STING)/NF-κB pathway and promoted PD-L1 expression. Combining alisertib with anti-PD-L1 antibody improved antitumor immunity and enhanced the antitumor effects of alisertib in immune-competent mice. Our results, which reveal the immunomodulatory functions of Aurora A inhibitors and provide a plausible explanation for the poor clinical outcomes with their use, offer a potential approach to improve the antitumor efficacy of these inhibitors.

DOI10.1172/JCI161929
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaResearch & Experimental Medicine
WOS SubjectMedicine, Research & Experimental
WOS IDWOS:000996388600002
PublisherAMER SOC CLINICAL INVESTIGATION INC, 2015 MANCHESTER RD, ANN ARBOR, MI 48104
Scopus ID2-s2.0-85158906327
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionCancer Centre
Faculty of Health Sciences
DEPARTMENT OF PHARMACEUTICAL SCIENCES
Corresponding AuthorJiang, Wei; Li, Zengxia; Zhang, Yuanyuan; Dang, Yongjun
Affiliation1.Key Laboratory of Metabolism and Molecular Medicine, The Ministry of Education, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai, China
2.Drug Discovery and Design Center, The Center for Chemical Biology, State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China
3.China University of Chinese Academy of Sciences, Beijing, China
4.Department of General Surgery, Fudan University, Shanghai, China
5.Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China
6.Department of Pharmaceutical Sciences and Cancer Centre, Faculty of Health Science, University of Macau, Taipa, Macao
7.Center for Novel Target and Therapeutic Intervention, Institute of Life Sciences, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China
Recommended Citation
GB/T 7714
Wang, Xiaobo,Huang, Jing,Liu, Fenglin,et al. Aurora A kinase inhibition compromises its antitumor efficacy by elevating PD-L1 expression[J]. Journal of Clinical Investigation, 2023, 133(9), e161929.
APA Wang, Xiaobo., Huang, Jing., Liu, Fenglin., Yu, Qian., Wang, Ruina., Wang, Jiaqi., Zhu, Zewen., Yu, Juan., Hou, Jun., Shim, Joong Sup., Jiang, Wei., Li, Zengxia., Zhang, Yuanyuan., & Dang, Yongjun (2023). Aurora A kinase inhibition compromises its antitumor efficacy by elevating PD-L1 expression. Journal of Clinical Investigation, 133(9), e161929.
MLA Wang, Xiaobo,et al."Aurora A kinase inhibition compromises its antitumor efficacy by elevating PD-L1 expression".Journal of Clinical Investigation 133.9(2023):e161929.
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