A major link between inflammation and cancer is provided by NF-B transcription factors. Ikk ⌬hep mice, which specifically lack IB kinase  (IKK), an activator of NF-B, in hepatocytes, are unable to activate NF-B in response to proinflammatory stimuli, such as TNF-␣. Surprisingly, Ikk ⌬hep mice are hypersusceptible to diethylnitrosamine (DEN)-induced hepatocarcinogenesis. Because defective NF-B activation promotes sustained c-Jun N-terminal kinase (JNK) activation in cells exposed to TNF-␣, whose expression is induced by DEN, and JNK activity is required for normal hepatocyte proliferation, we examined whether increased susceptibility to DEN-induced hepatocarcinogenesis in Ikk ⌬hep mice requires JNK activation. Hepatocytes express both JNK1 and JNK2, but previous studies indicate that JNK1 is more important for hepatocyte proliferation. We therefore investigated this hypothesis using mice homozygous for a JNK1 deficiency either in wild-type or Ikk ⌬hep backgrounds. In both cases, mice lacking JNK1 were much less susceptible to DEN-induced hepatocarcinogenesis. This impaired tumorigenesis correlated with decreased expression of cyclin D and vascular endothelial growth factor, diminished cell proliferation, and reduced tumor neovascularization. Whereas hepatocyte-specific deletion of IKK augmented DEN-induced hepatocyte death and cytokine-driven compensatory proliferation, disruption of JNK1 abrogated this response. In addition to underscoring the importance of JNK1-mediated hepatocyte death and compensatory proliferation, these results strongly suggest that the control of tissue renewal through the IKK and JNK pathways plays a key role in liver carcinogenesis.hepatocellular carcinoma H epatocellular carcinoma (HCC), the most common type of liver cancer, is the third leading cause of cancer deaths worldwide (1). Epidemiological studies suggest that the major risk factors for HCC are persistent infection with hepatitis B and C virus (HBV and HCV) and exposure to genotoxic and cytotoxic chemicals, including high levels of ethanol, all of which cause chronic liver injury and inflammation (2). Although relatively uncommon in the U.S., the incidence of HCC has been increasing rapidly in the past decade because of the current HCV epidemic, affecting nearly 2% of the U.S. population. In humans, HCC almost inevitably develops in the setting of chronic hepatitis or cirrhosis, conditions in which hepatocytes are killed and resident inflammatory cells (Kupffer cells), as well as newly recruited inflammatory cells (macrophages, neutrophils, NK and NKT cells), are activated to produce cytokines that drive the compensatory proliferation of surviving hepatocytes. Although the precise molecular role of chronic liver inflammation in the pathogenesis of HCC remains to be fully elucidated, it is likely to promote HCC development through cycles of hepatocyte death and compensatory proliferation (3). For instance, infection with woodchuck hepatitis virus, which eventually culminates in HCC, greatly enhances the proliferative acti...