AURKA overexpression accompanies dysregulation of DNA-damage response genes in invasive urothelial cell carcinoma

Cell Cycle. 2008 Nov 15;7(22):3525-33. doi: 10.4161/cc.7.22.7042. Epub 2008 Nov 18.

Abstract

Invasive urothelial cell carcinoma (UCC) is characterized by increased chromosomal instability and follows an aggressive clinical course in contrast to non-invasive disease. To identify molecular processes that confer and maintain an aggressive malignant phenotype, we used a high-throughput genome-wide approach to interrogate a cohort of high and low clinical risk UCC tumors. Differential expression analyses highlighted cohesive dysregulation of critical genes involved in the G(2)/M checkpoint in aggressive UCC. Hierarchical clustering based on DNA Damage Response (DDR) genes separated tumors according to a pre-defined clinical risk phenotype. Using array-comparative genomic hybridization, we confirmed that the DDR was disrupted in tumors displaying high genomic instability. We identified DNA copy number gains at 20q13.2-q13.3 (AURKA locus) and determined that overexpression of AURKA accompanied dysregulation of DDR genes in high risk tumors. We postulated that DDR-deficient UCC tumors are advantaged by a selective pressure for AURKA associated override of M phase barriers and confirmed this in an independent tissue microarray series. This mechanism that enables cancer cells to maintain an aggressive phenotype forms a rationale for targeting AURKA as a therapeutic strategy in advanced stage UCC.

Publication types

  • Review

MeSH terms

  • Aurora Kinase A
  • Aurora Kinases
  • Cell Cycle Proteins / genetics
  • Chromosomes, Human, Pair 20
  • Cohort Studies
  • DNA Repair / genetics*
  • Gene Dosage
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic*
  • Genomics
  • Humans
  • Neoplasm Invasiveness
  • Phenotype
  • Protein Serine-Threonine Kinases / genetics*
  • Urologic Neoplasms / genetics*
  • Urologic Neoplasms / pathology*
  • Urothelium / pathology

Substances

  • Cell Cycle Proteins
  • AURKA protein, human
  • Aurora Kinase A
  • Aurora Kinases
  • Protein Serine-Threonine Kinases