IKK (I B kinase) ␣ is essential for embryonic skin development in mice. Mice deficient in IKK␣ display markedly hyperplasic epidermis that lacks terminal differentiation, and they die because of this severely impaired skin. However, the function of IKK␣ in human skin diseases remains largely unknown. To shed light on the role of IKK␣ in human skin diseases, we examined IKK␣ expression and Ikk␣ mutations in human squamous cell carcinomas (SCCs). We found a marked reduction in IKK␣ expression in poorly differentiated human SCCs and identified Ikk␣ mutations in exon 15 of Ikk␣ in eight of nine human SCCs, implying that IKK␣ is involved in development of this human skin cancer. Furthermore, in a chemical carcinogen-induced skin carcinogenesis setting, mice overexpressing human IKK␣ in the epidermis under the control of a truncated loricrin promoter developed significantly fewer SCCs and metastases than did wild-type mice. The IKK␣ transgene altered the skin microenvironment conditions, leading to elevated terminal differentiation in the epidermis, reduced mitogenic activity in the epidermis, and decreased angiogenic activity in the skin stroma. Thus, overexpression of IKK␣ in the epidermis antagonized chemical carcinogen-induced mitogenic and angiogenic activities, repressing tumor progression and metastases.angiogenesis ͉ mitogenesis ͉ skin carcinogenesis ͉ differentiation ͉ tumor progression S quamous cell carcinomas (SCCs) can be very aggressive and metastatic. Previous studies have shown that Pten mutations are found frequently in human SCCs; however, these Pten mutations are not detected in all cases (1, 2). p53 mutations have also been identified in a large proportion of human SCCs (3); however, these p53 mutations can be latent in skin cells for years before the onset of this disease. Clearly, additional pivotal factors in the development of this human skin cancer remain to be identified.The I B kinase (IKK) complex consists of IKK␣, IKK, and IKK␥ (4-7), which phosphorylates I B␣ (S32͞S36) and I B (S19͞S23) that are NF-B inhibitors. This phosphorylation event triggers the degradation of I B proteins via a 26S proteasomeubiquitination pathway, leading to NF-B translocation and activation. Previous findings have shown that IKK␣ is essential for embryonic skin development in mice (8-10). Mice lacking IKK␣ exhibit a strikingly hyperplastic epidermis, which lacks terminal differentiation, and they die of severely impaired skin soon after birth. The skin phenotypes of Ikk␣ Ϫ/Ϫ mice have not been observed in knockouts of any other NF-B family members. In contrast, mice overexpressing IKK␣ in the basal epidermis develop normally (11). The ectopic IKK␣ is able to induce terminal differentiation and to repress hyperplasia in the skin of Ikk␣ Ϫ/Ϫ mice, implying that IKK␣ plays a role in maintaining skin homeostasis (11).Although a role of IKK␣ in skin development in mice has been established, we still know little regarding the involvement of IKK␣ in human skin diseases. To shed light on the role of IKK␣ in human skin ...