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Jusino et al. J Cancer Metastasis Treat 2018;4:43  I  http://dx.doi.org/10.20517/2394-4722.2018.24                            Page 7 of 20

                                                    Centrosome disengagement



                                 Separase
                                  and Plk1
                                                                     MC
                                                                            DC




                    Centrosome disjunction,                                           Procentriole assembly
                    separation and maturation                                        centrosome duplication
                            Cdk1,                                                        Cdk2, SAS5/
                            Nek2,                                                         Ana2/STIL,
                           Aurora A                                                        SAS-6,
                           and Plk1                                                       ZYG1/Plk4

                                                                      Procentriole




                                                          Elongation

               Figure 1. The centrosome duplication cycle. The mother centriole (MC) is depicted with blue triangles that represent the distal and
               sub-distal appendages to differentiate it from the daughter centriole (DC). In the G1 phase, the two centrioles are connected by a
               proteinaceous linker. The G1/S transition phase is characterized by the procentriole assembly, and some of the key proteins involved in
               this process are mentioned. In this stage, the DC starts to acquire the appendages that the MC has. During the S phase, the microtubules
               are synthesized, and rearrangement will occur to fully generate the procentriole. Till the G2 phase, the proteinaceous linker is broken,
               and the DC already has the distal and sub-distal appendages. This will convert DC into MC, and two pairs of centrioles will be formed. In
               the G2/M transition phase centrosome disjunction, separation, and maturation take place. Some key regulators have been listed above.
               During the M phase, the separated centrioles participate in bipolar spindle mitosis, and the centrosome cycle is completed when each
               daughter cell inherits two centrioles

               phosphorylating and inactivating c-Nap1 and  β-catenin [123,124] . Lastly, from metaphase to anaphase, the
               two centrosomes migrate to opposite cellular poles and form the mitotic spindle to which the kinetochore
               will attach . Faithful segregation of chromosomes is ensured by the spindle assembly checkpoint (SAC)
                        [82]
               and associated proteins such as BUB1B , MPS1 , among others. Other proteins that play important
                                                  [125]
                                                          [126]
               functions in chromosome integrity include Bub1, which maintains sister chromatid cohesion through the
               phosphorylation of SgoI ; another protein that plays a key role in this activity is PP2A, which ensures
                                    [127]
               localization of Sgo1 to centromeres . Aurora kinase B, survivin, and ICENP play important roles in
                                              [128]
               cytokinesis  [Figure 1].
                         [129]
               Deregulation of the centrosome duplication cycle results in centrosome aberrations and chromosome
               instability that ultimately have an effect on tumorigenesis [87,88,130] . While centrosome aberrations are
               traditionally associated with cancer, mutations in genes that codify for centrosome proteins are also known
               to cause human diseases such as ciliopathies (e.g., autosomal recessive primary microcephaly, Bardet-Biedl
               disease, polycystic kidney disease, and primary ciliary dyskinesia) . Centrosome aberrations are classified
                                                                       [131]
               as numerical and structural . Both aberrations co-occur in tumors [133,134] . Centrosome aberrations have
                                       [132]
               been identified in most cancer types . For example, pioneering studies from the Doxsey laboratory
                                                [94]
               demonstrated structural abnormalities in number, position, shape, and size of centrosomes in primary solid
               tumors, including brain, breast, colon, lung, and prostate . Likewise, studies from the Salisbury laboratory
                                                               [92]
               showed that breast cancer tissue displayed abnormal structural and numerical centrosome aberrations,
               abnormal mitoses and chromosome instability relative to normal breast tissue [133,135,136]  and that centrosome
               amplification in breast cancers is indicative of tumor aggressiveness .
                                                                        [137]
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