Nuclear factor-kappa B and cancer: its role in prevention and therapy

Biochem Pharmacol. 2002 Sep;64(5-6):883-8. doi: 10.1016/s0006-2952(02)01154-1.

Abstract

Cancer is a hyperproliferative disorder in which invasion and angiogenesis lead to tumor metastasis. Several genes that mediate tumorigenesis and metastasis are regulated by a nuclear transcription factor, nuclear factor kappa B (NF-kappaB). A heterotrimeric complex consisting of p50, p65, and IkappaBalpha, NF-kappaB is present in its inactive state in the cytoplasm. When NF-kappaB is activated, IkappaBalpha is degraded and p50-p65 heterodimer is translocated to the nucleus, binds the DNA (at the promoter region), and activates gene. Research within the last few years has revealed that NF-kappaB is activated by carcinogens, tumor promoters, inflammatory cytokines, and by chemotherapeutic agents. The activation of NF-kappaB can suppress apoptosis, thus promoting chemoresistance and tumorigenesis. Interestingly, however, most chemopreventive agents appear to suppress the activation of the NF-kappaB through inhibition of NF-kappaB signaling pathway. These chemopreventive agents also sensitize the tumors to chemotherapeutic agents through abrogation of NF-kappaB activation. Overall, these observations suggest that NF-kappaB is an ideal target for chemoprevention and chemosensitization. This article reviews evidence supporting this hypothesis.

Publication types

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

MeSH terms

  • Animals
  • Antineoplastic Agents / therapeutic use
  • Carcinogens / pharmacology
  • Cell Division / drug effects
  • Cell Division / physiology
  • Cell Survival / drug effects
  • Cell Survival / physiology
  • Cell Transformation, Neoplastic / genetics
  • Cells, Cultured
  • Chemoprevention
  • Humans
  • NF-kappa B / drug effects
  • NF-kappa B / physiology*
  • Neoplasm Invasiveness
  • Neoplasms / drug therapy
  • Neoplasms / metabolism
  • Neoplasms / physiopathology*
  • Neoplasms / prevention & control
  • Neovascularization, Pathologic / physiopathology

Substances

  • Antineoplastic Agents
  • Carcinogens
  • NF-kappa B