Research progress on the relationship between AURKA and tumorigenesis: the neglected nuclear function of AURKA

Ann Med. 2024 Dec;56(1):2282184. doi: 10.1080/07853890.2023.2282184. Epub 2024 May 13.

Abstract

AURKA is a threonine or serine kinase that needs to be activated by TPX2, Bora and other factors. AURKA is located on chromosome 20 and is amplified or overexpressed in many human cancers, such as breast cancer. AURKA regulates some basic cellular processes, and this regulation is realized via the phosphorylation of downstream substrates. AURKA can function in either the cytoplasm or the nucleus. It can promote the transcription and expression of oncogenes together with other transcription factors in the nucleus, including FoxM1, C-Myc, and NF-κB. In addition, it also sustains carcinogenic signaling, such as N-Myc and Wnt signaling. This article will focus on the role of AURKA in the nucleus and its carcinogenic characteristics that are independent of its kinase activity to provide a theoretical explanation for mechanisms of resistance to kinase inhibitors and a reference for future research on targeted inhibitors.

Keywords: AURKA; inhibitor resistance; nuclear function; transcription.

Plain language summary

AURKA plays an important role in the control of the proliferation, invasion, cell cycle regulation and self-renewal of cancer stem cells.Small molecule kinase inhibitors targeting AURKA have been developed, but the overall response rate of patients in clinical trials is not ideal, prompting us to pay attention to the non-kinase activity of AURKA.This review focuses on the nuclear function of AURKA and its oncogenic properties independent of kinase activity, demonstrating that the nuclear substrate of AURKA and the remote allosteric site of the kinase may be targets of anticancer therapy.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aurora Kinase A* / metabolism
  • Carcinogenesis* / genetics
  • Carcinogenesis* / metabolism
  • Cell Nucleus* / metabolism
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Neoplasms / genetics
  • Neoplasms / metabolism
  • Protein Kinase Inhibitors / pharmacology
  • Signal Transduction

Substances

  • Aurora Kinase A
  • AURKA protein, human
  • Protein Kinase Inhibitors

Grants and funding

This research was supported by Joint Project on Regional High-Incidence Diseases Research of Guangxi Natural Science Foundation under Grant No. 2023GXNSFBA026040 and the Foundation of the Second Affiliated Hospital of Guangxi Medical University under Grant No. hbrc202104.