Keywords
NF-κB; IKK; inflammation; cancerThough there is growing evidence for a critical connection between inflammation and carcinogenesis, the mechanistic links between the two are just beginning to emerge. Nuclear factor-κB (NF-κB) transcription factors are important in integrating multiple stress stimuli and regulating innate and adaptive immune responses seen in states of inflammation 1 . With the recognition that inflammatory conditions are often associated with or preceed cancer, it was natural to suspect a link between NF-κB and cancer, as was first suggested several years ago 2 . Since that time, experimental evidence revealing specific mechanisms by which NF-κB influences cancer initiation, promotion, and progression has been mounting at a dizzying pace. This review will focus on new data that has emerged over the last couple of years implicating NF-κB its signaling pathways and downstream targets in carcinogenesis.One of the founding fathers of modern pathology, Rudolf Virchow, observed leukocytes in neoplastic tissue over a hundred years ago, and first suspected that inflammation might support or promote cancer 3 . This notion has re-emerged in the last decade in part because of the recognition that many chronic infectious diseases are associated with development of cancer. Approximately 15% of the global cancer burden has been attributed to chronic infections and the accompanying inflammatory reaction 4 , and 15-20% of cancer deaths arise from preventable infections 5 . Likewise, many non-infectious conditions of chronic inflammation increase the risk and accelerate the progression of diverse cancers 6 . The common denominator in these conditions is the presence of chronic inflammation, invariably associated with activation of NF-κB and its effector pathways.NF-κB was first discovered as a protein bound to the kappa immunoglobulin gene enhancer in the nuclei of B cells 7 , and was thought to be restricted to these cells. Ironically, the name "NF-κB" applied to these transcription factors is no longer descriptive: the factors generally reside in the cytoplasm of resting cells, when activated bind to a large array of enhancer sequences (over 150 genes), and are present in most (if not all) cells. A detailed description of NF-κB regulation is beyond the scope of this article (see recent reviews 8, 9 , and Figure 1).