Combination of Mps1 and Aurora B inhibition has synergistic effects on checkpoint. (A) HeLa cells were released from a single thymidine arrest (STA) and treated with 3.3 μM nocodazole and the indicated inhibitors. Time spent in mitosis was evaluated based on mitotic rounding up of cells by time-lapse video microscopy. Values represent the mean (s.d. are collected in Supplementary Table SI) and were calculated from at least 50 cells for each condition. (B) Kinetochore localization of the spindle checkpoint proteins Mad1 and Zwilch in HeLa cells was evaluated at 3.3 μM nocodazole, upon addition of the indicated inhibitors and of MG132 (to suppress mitotic exit in the presence of the inhibitors). Cells were fixed and processed for indirect immunofluorescence. Bar=5 μm. (C) Quantification of Mad1 and Zwilch localization from the experiment in (B). Values are calculated from at least 90 cells from three independent experiments. (D) Immunoprecipitation of Cdc20 and analysis of interacting proteins at the indicated concentration of reversine, hesperadin or their combination. (E) Loewe additivity analysis of the experiment in (A). For the three indicated hesperadin:reversine ratios, the fractional inhibition was plotted against the inhibitor concentration. Fractional inhibition was calculated and the curves for reversine (red), hesperadin (green) and their combination (blue) were fitted with a Hill function (see Materials and methods for details). Based on the additivity formula (Chou, 1991): 1=C1/C1x+C2/C2x (see Materials and methods), we plotted the hypothetical additivity curves for different inhibitors combination ratios (1:1, 2:1, 1:2). We also fitted the experimental combination curves for the same ratios and compared them with the hypothetical additivity curves. If the experimental combination curve lies on the left of the additivity curve, synergy is present. Combining hesperadin and reversine produces synergy when the two drugs are used in the three different combination ratios (see also Supplementary Figure S5). To represent the combination data quantitatively, we also plotted the theoretical combination curves for the three ratios 1:1, 2:1, 1:2 (Chou, 1991; Chou, 2006). On the x axis of these plots we have the fractional inhibition and on the y axis the combination index. We show that the CI is <1 for different effect levels and for the three combination ratios (see Supplementary Figure S5). Strong synergy is observed (CI<0.3) for a large range of fractional inhibition. As an example, in order to produce an effect of about 85%, we should use about 560 nM reversine or >1000 nM hesperadin; but, if we use them in 1:1 combination, about 55 nM reversine+55 nM hesperadin are sufficient. In this case the CI is about 0.13.