Oncogenic Activation of NF-κB

Recent genetic evidence has established a pathogenetic role for NF-kappa B signaling in cancer. NF-kappa B signaling is engaged transiently when normal B lymphocytes respond to antigens, but lymphomas derived from these cells accumulate genetic lesions that constitutively activate NF-kappa B signaling. Many genetic aberrations in lymphomas alter CARD11, MALT1, or BCL10, which constitute a signaling complex that is intermediate between the B-cell receptor and I kappa B kinase. The activated B-cell-like subtype of diffuse large B-cell lymphoma activates NF-kappa B by a variety of mechanisms including oncogenic mutations in CARD11 and a chronic active form of B-cell receptor signaling. Normal plasma cells activate NF-kappa B in response to ligands in the bone marrow microenvironment, but their malignant counterpart, multiple myeloma, sustains a variety of genetic hits that stabilize the kinase NIK, leading to constitutive activation of the classical and alternative NF-kappa B pathways. Various oncogenic abnormalities in epithelial cancers, including mutant K-ras, engage unconventional IkB kinases to activate NF-kappa B. Inhibition of constitutive NF-kappa B signaling in each of these cancer types induces apoptosis, providing a rationale for the development of NF-kappa B pathway inhibitors for the treatment of cancer.