Currently, no targeted
drug is available for
triple-negative breast cancer (TNBC), an aggressive
breast cancer that does not express
estrogen receptor,
progesterone receptor, or HER2. TNBC has high mitotic activity, and, because Aurora A and B mitotic
kinases drive cell division and are overexpressed in
tumors with a high mitotic index, we hypothesized that inhibiting Aurora A and B produces a significant antitumor effect in TNBC. We tested this hypothesis by determining the antitumor effects of
KW-2450, a multikinase inhibitor of both Aurora A and B
kinases. We observed significant inhibitory activities of
KW-2450 on cell viability, apoptosis, colony formation in
agar, and mammosphere formation in TNBC cells. The growth of TNBC xenografts was significantly inhibited with
KW-2450. In cell-cycle analysis,
KW-2450 induced
tetraploid accumulation followed by apoptosis or surviving octaploid (8N) cells, depending on dose. These phenotypes resembled those of Aurora B knockdown and complete
pharmaceutical inhibition of Aurora A. We demonstrated that 8N cells resulting from
KW-2450 treatment depended on the activation of
mitogen-activated protein kinase kinase (
MEK) for their survival. When treated with the
MEK inhibitor
selumetinib combined with
KW-2450, compared with
KW-2450 alone, the 8N cell population was significantly reduced and apoptosis was increased. Indeed, this combination showed synergistic antitumor effect in SUM149 TNBC xenografts. Collectively, Aurora A and B inhibition had a significant antitumor effect against TNBC, and this antitumor effect was maximized by the combination of
selumetinib with Aurora A and B inhibition.