“…Proteasome inhibition would be expected to prevent NF-kB activation, but numerous studies have shown radiation to activate it (Li and Karin, 1998;Raju et al, 1998). Activation of NF-kB is considered to mediate radiation-induced proinflammatory responses, and irradiation of cells and tissues increases expression of proinflammatory chemokines (Johnston et al, 2002) and cytokines such as TNF-a (Hallahan et al, 1989;Chiang et al, 1993), IL-1a and -b (Hong et al, 1994;Hosoi et al, 2001), IL-5 (Lu-Hesselmann et al, 1997), IL-6 (Abeyama et al, 1995;Beetz et al, 1997), GM-CSF (Zhang et al, 1994), IFN-a (Woloschak et al, 1990), bFGF (Haimovitz-Friedman et al, 1991), and VEGF (Gorski et al, 1999;Park et al, 2001), as well as proinflammatory cell adhesion molecules (ICAM-1 (Behrends et al, 1994;Hong et al, 1994;Gaugler et al, 1997), E-selectin (Hallahan et al, 1995), and VCAM-1 (Heckmann et al, 1998)), prostaglandins and leukotrienes (Eisen et al, 1977;Iwamoto and McBride, 1992), proteases (Hong et al, 1994;Patel et al, 1998;Fittkau et al, 2001), and prooxidant species. If the damage is not too severe, this is normally counterbalanced in time by production of anti-inflammatory cytokines, antiproteases, antioxidants, and heat-shock proteins leading to resolution of the inflammation (Barcellos-Hoff, 1993;Sierra-Rivera et al, 1993;Broski and Halloran, 1994;Sadekova et al, 1997;Roedel et al, 2002).…”