In Vitro Studies of the Aurora-Kinase Inhibitor MLN8237 in Prostate Cancer Cell Lines

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In Vitro Studies of the Aurora-Kinase Inhibitor MLN837 in Prostate Cancer Cell Lines Nicole V. Julian Mentor: Ana Aparicio, M.D. Special Thanks to Brittany Kleb Department of Genitourinary Medical Oncology King Foundation

In Vitro Studies of the Aurora-Kinase Inhibitor MLN837 in Prostate Cancer Cell Lines Ana Aparicio, M.D. and Nicole Julian Special thanks to Brittany Kleb Abstract After first-line hormone deprivation treatments, a majority of malignant prostate cancers reemerge with aggressive, castrate-resistant properties. Of these cases, around % exhibit little to no androgen receptor signaling and are phenotypically similar to small-cell prostate carcinomas. Small-cell variants have been found to express unusually high levels of Aurora-kinase A, a protein involved in mitotic regulation. In this study, we hypothesized that MLN837, an Aurora-A inhibitor previously found to be cytotoxic against multiple myeloma cell lines 3, would produce similar effects when tested in vitro on DU45, LNCaP, and PC3 prostate cancer cell lines. After a number of preliminary measures, we ultimately treated the three lines at dose concentrations ranging from. to um and analyzed the inhibitor s effects on cell proliferation by WST absorbance assay. Although cell proliferation was not reduced by >5% in any of these instances, the potential efficacy of MLN837, in higher dosages or as demonstrated in the future by its effect on xenograft models of small-cell prostate carcinomas, remains to be fully uncovered. Introduction A pervasive group of diseases with nearly, diagnoses and 3, resulting deaths annually, cancers of the prostate are generally under the regulatory influence of androgen receptors (ARs). The attachment of testosterone and its more potent counterpart, dihydrotestosterone, induces the AR to bind to the androgen response components of various genes implicated in prostate cell proliferation and survival. Accordingly, the first line of therapy utilized in all prostate cancers is androgen deprivation, commonly through surgical or chemical castration Though such therapies are effective in reducing tumor size, in a majority of cases, malignant cells adapt and develop castrate- resistant phenotypes. Around 8% of these aggressive variants still exhibit AR signaling. The remaining minority, however, are similar to small- cell carcinomas, which are characterized by little to no PSA expression, frequent bone metastases, and poor prognosis. In addition, they are commonly AR- negative and thus do not respond to hormone therapies. The development of a novel therapeutic approach for small- cell prostate carcinomas and

their phenotypically similar counterparts has thus become a matter of great clinical importance. Notably, Aurora kinase A, one of a family of serine- theonine kinases involved in the regulation of mitosis, is expressed in unusually high levels in models of the aggressive, small- cell variant of the disease (Aparicio, ). Encoded on chromosome q 3., Aurora- A has regulatory functions within the centrosome and in spindle formation throughout the mitotic process. In malignant cells, Aurora- A is present in a pervasive and dysfunctional manner, leading ultimately to chromosomal instability. The inhibition of Aurora- A has been found to interfere with chromosomal alignment and lead ultimately to polyploidy and cell death, presenting a novel therapeutic concept that has only begun to be fully explored. MLN837, the first orally available, Aurora- A specific inhibitor, was found by Görgün et al. to both inhibit the proliferation of and induce apoptosis in multiple myeloma cells 3. In this study, we hypothesize that MLN837 will similarly inhibit the proliferation of small- cell type prostate cancer cells and thus attempt to extend the emerging therapeutic potential of the drug by seeking effective dosages of the inhibitor in vitro against the proliferation of DU45, LNCaP, and PC3 cell lines, with plans to further test an effective dosage on xenograft models that better represent the small- cell variant of the disease. Methods Cell Culture Three human prostate cancer cell lines were obtained from the American Type Culture Collection (ATCC). DU45 (HTB- 8) are non- hormone sensitive cells derived from a brain metastasis of prostate carcinoma. LNCaP (CRL- 74) cells were obtained from a lymph- node metastasis of prostate carcinoma and are responsive to 5- alpha- dihydrotestosterone 4. PC3 (CRL- 435) are epithelial cells derived from a bone metastasis of grade IV prostate adenocarcinoma. The cell lines were maintained in an RPMI medium supplemented with % fetal bovine serum and % Pen- Strep antibiotic and incubated in an Incu- Safe copper alloy stainless incubator (SRS) at 37 C, 5% CO. WST Assay At the outset, we sought to determine the optimal number of cells to plate to achieve an initial logarithmic growth phase for inhibitor performance by WST absorbance assay, a reliable and relatively expeditious method of determining the level of mitotic activity within a culture. Three 96 well plates, one per cell line, were seeded with cell counts of,, 5,,,,,, 3,, and 4, and allowed to incubate for 7 hours. For the assay, ul of WST- proliferation reagent (Roche, 5 5944 ) per well were added to each plate. WST- contains tetrazolium salts, which are cleaved to formazan by enzymes prevalent within actively dividing cells. The amount of formazan dye formed can be read as

absorbance of a particular wavelength, which directly correlates to the number of mitotically active cells present 5. Proliferation was assessed with a Perkin- Elmer Envision plate reader at 45 nm wavelength after.5,,, and 4 hours of incubation with the reagent. As an additional condition for inhibitor performance, the WST assay for optimal incubation time for the plated cells (for logarithmic phase growth) before drug treatment was later performed., cells per well were again seeded in each well of three 96 well plates, one per cell line. Cell proliferation readings were taken over a four- day period at 4, 48, 7, and 96 hours after plating, each consisting of four separate, ul reagent per well WST- incubations (.5 h, h, h and 4h) assessed per day. For the final cell proliferation assay, viability of the cells was assessed 48 hours after the initial treatment using the cell proliferation reagent WST- and a Perkin- Elmer Envision plate reader. ul of the reagent were added to each well of the six plates, which were then allowed to incubate for hours before absorption data was collected with the Envision reader. MLN837-Preparation and Treatment of Cells The aurora- kinase inhbitor MLN837 was obtained in powdered form from Selleck Chemicals (8486- - ) and reconstituted in dimethyl sulfoxide; the drug was stored at - C until use. Three stock concentrations of MLN837 (. mm,.mm, mm) and a DMSO control solution (.mm) were prepared (DMSO is used as a vehicle for drug absorption). Cells seeded at 5, or,/well were allowed to incubate 4 or 48 hours before treatment with MLN837 at.um,.um,.um,.um,.5um, um, 4uM and um concentrations, as reported to be effective in prior literature. Additional wells for media and DMSO controls were seeded in the same fashion. Cells were treated for 4 or 48 hours (media +/- MLN837 changed daily) and their proliferation measured using WST assay as described above. Results. Optimization of Assay: Initial cell concentration, incubation time and WST incubation time PC- 3, LNCaP and DU45 cells were seeded in 96 well plates at,, 5,,,,,, 3,, and 4, cells per well and incubated for 7 hours. At 7 hours, WST reagent was added and incubated for, or 4 hours (Figure.). Each data point represents the average of results obtained for 3 wells. In the determination of the initial number of cells to seed, relatively similar proliferation curves were observed as expected. As the measured absorbance data

implies, we selected, cells per well, where the cells, in general, achieve logarithmic growth, as a uniform count to be used in the MLN837 treatment. Figure : Optimiztation Assay: Determining the initial number of cells to seed 3.5 DU45- Proliferation by Number of Cells per Well 3.5.5.5 h h 4h 5 3 4 Cells per well (Continued on the next page)

3..5..5..5 LNCaP- Proliferation by Number of Cells per Well h h 4h. 5 3 4 Cells per well 3.5 PC3- Proliferation by Number of Cells per Well 3..5..5..5 h h 4h. 5 3 4 Cells per well

. MLN837 treatment dose response curves PC3, LNCaP, and DU45 cells were seeded in 96 well plates at, cells per well. MLN837 was added at.,.,.,.,.5 and 4uM at 4 or 48 hours from seeding. WST reagent was added at 7 hours and incubated for.5,, and 4 hours prior to the absorbance measurement. Results are shown in Figure. The initial drug treatment attempt, without other preliminary measures, yielded little to no change in cell proliferation. Because little difference in dose response was observed between the four WST incubation times among all cell lines, only the hour readings are shown: Figure : Dose Response-4h Treatment Percent of control absorbance 8 6 4 LNCaP- h DU45- h PC3- h DMSO.....5 4 Doasge (um) (Continued on the next page)

Dose Response-48h Treatment Percent of control absorbance 6 4 8 6 4 DU45- h LNCaP- h PC3- h DMSO.....5 4 Dosage (um) As indicated by the dosage response curves, the measured absorbance data (indicated by percentiles of the absorbance value of the control), did not suggest a significant change in cell proliferation (>5% change) in any instance. We, in addition, determined that treatments would be performed at 48 hours and 7 hours after seeding, with a single absorbance reading taken after two hours of WST incubation (Fig. 3): Figure 3: Optimization of WST incubation time DU45 Ab 4 3.5 4 5 5 Hours

LNCaP Ab..5..5 4.5. 5 5 Hours PC3 Ab 4 3.5 4 5 5 Hours Despite preliminary measures intended to create the best possible imitation of the proliferative conditions of aggressive prostate cancer cells within the human body, as well as promising results with MLN837 in vitro in previous studies of other cancers 3, our results did not indicate a change in cell proliferation at or above 5% in any instance (Fig. 4): (Continued on the next page)

Figure 4: Absorbance values after principal MLN837 treatment.5 DU45-5, Cells/well.5.5. um.5 um um 5 um um Media blank Drug Concentration DMSO No cells Control.6.4..8.6.4. DU45-, Cells/well. um.5 um um 5 um um Media blank Drug Concentration DMSO No cells Control (Continued on the next page)

.6.5.4.3.. LNCaP- 5, Cells/well. um.5 um um 5 um um Media blank Drug Concentration DMSO No cells Control.5.45.4.35.3.5..5..5 LNCaP-, Cells/well. um.5 um um 5 um um Media blank Drug Concentration DMSO No cells Control (Continued on the next page)

PC3-5, Cells/well.8.6.4..8.6.4.. um.5 um um 5 um um Media Blank DMSO No cells Control Drug Concentration 3.5.5.5 PC3-, Cells/well. um.5 um um 5 um um Media Blank Drug Concentration DMSO No cells Control Discussion Our findings fundamentally present two possibilities. On one hand, the compound obtained may be inactive. To test this possibility we will measure changes in phosphor- AURKA by western blot in treated and untreated cells. If we see no change, we will test the compound in cell lines previously reported to be sensitive to the drug (e.g. U6). It is possible that the prostate cancer cell lines are not dependent on AURKA for survival and proliferation, though DU45, LNCaP, and PC3 are not representative

of the phenotype that we are interested in. We thus intend to test the drug in short- term small cell prostate carcinoma xenograft cultures. MLN837 may be inherently ineffective against Aurora kinase- A in the tested cell lines due to the cells ability to resist or hinder the inhibition of the phosphorylation of Aurora- A. In another light, it may prove beneficial to simply test higher dosages. In consideration of the previous successes of MLN837, as well as the moderate degree of activity it displayed in our study and its ease of administration, 3 the therapeutic potential of the inhibitor remains promising and relevant in cancers of the prostate and beyond. References Attar RM, Takimoto CH, Gottardis MM. Castration- resistant prostate cancer: locking up the molecular escape routes. Clin Cancer Res. 9; 5():35-355. Carvajal RD, Tse A, Scwartz GK. Aurora kinases: new targets for cancer therapy. Clin cancer res. 6; (3): 6869-6875. 3 Görgün G, Calabrese E, Hideshima T, et al. A novel Aurora- A kinase inhibitor MLN837 induces cytotoxicity and cell- cyle arrest in multiple myeloma. Blood. ; 5(5): 55-53. 4 Horoszewicz JS, et al. LNCaP model of human prostatic carcinoma. Cancer res. 983;43:89-88. 5 Berridge MV, et al. The biochemical and cellular basis of cell proliferation assays that use tetrazolium salts. Biochemica. 996; 4:5-9.