The novel concept of anticancer treatment termed "G(2) checkpoint abrogation" aims to target p53-deficient
tumor cells and is currently explored in clinical trials. The anticancer
drug UCN-01 is used to abrogate
a DNA damage-induced G(2) cell cycle arrest leading to mitotic entry and subsequent cell death, which is poorly defined as "mitotic cell death" or "mitotic catastrophe." We show here that
UCN-01 treatment results in a mitotic arrest that requires an active mitotic spindle checkpoint, involving the function of Mad2, Bub1, BubR1, Mps1, Aurora B, and
survivin. During the mitotic arrest, hallmark parameters of the mitochondria-associated apoptosis pathway become activated. Interestingly, this apoptotic response requires the spindle checkpoint
protein Mad2, suggesting a proapoptotic function for Mad2. However, although
survivin and Aurora B are also required for the mitotic arrest, both
proteins are part of an antiapoptotic pathway that restrains the UCN-01-induced apoptosis by promoting hyperphosphorylation of Bcl-2 and by inhibiting the activation of Bax. Consequently, inhibition of the antiapoptotic pathway by genetic ablation of
survivin or by pharmacologic inhibitors of Aurora B or
cyclin-dependent kinase 1 lead to a significant enhancement of apoptosis and therefore act synergistically with
UCN-01. Thus, by defining the mechanism of cell death on G(2) checkpoint abrogation we show a highly improved strategy for an anticancer treatment by the combined use of
UCN-01 with abrogators of the
survivin/Aurora B-dependent antiapoptotic pathway that retains the selectivity for p53-defective
cancer cells.