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Updated: Aug 15, 2026

Repression of Multiple Myeloma Cell Growth In Vivo by Single-wall Carbon Nanotube (SWCNT)-delivered MALAT1 Antisense Oligos
Published on: December 13, 2018
Regulation of NF-kB in multiple myeloma: therapeutic implications
Rena Feinman1, David S Siegel, James Berenson
1Department of Surgery, UMDNJ-New Jersey Medical School, 185 South Orange Avenue MSB-G510, Newark, NJ 07103, USA. feinmarr@umdnj.edu
Abstract:
The nuclear factor kappa B (NF-kappaB) family of transcription factors plays a major role in inflammation, immune and stress responses, oncogenesis, cell migration, and angiogenesis. Aberrant activation of NF-kappaB has also been shown to contribute to intrinsic and inducible drug resistance in numerous cancers, including multiple myeloma. The expression of NF-kappaB-responsive targets will vary depending on the cellular context and type of inducer. The regulation of NF-kappaB activity occurs at multiple levels involving the IkappaB kinase (IKK) complex, members of the IkappaB family, recruitment of heterologous transcription factors and coactivators by NF-kappaB, and post-translational modifications of p65. This article highlights regulatory mechanisms responsible for constitutive NF-kappaB activation and provides justification for target-based therapy for NF-kappaB in multiple myeloma.
Insights
Nuclear factor kappa B (NF-kappaB) is crucial in cancer drug resistance, particularly in multiple myeloma. Understanding its complex regulation offers new therapeutic strategies for this cancer.
Area of Science:
- Molecular Biology
- Cancer Biology
- Immunology
Background:
- Nuclear factor kappa B (NF-kappaB) is a key transcription factor family involved in inflammation, immune responses, stress, oncogenesis, cell migration, and angiogenesis.
- Aberrant NF-kappaB activation is linked to drug resistance in various cancers, including multiple myeloma.
- NF-kappaB target gene expression is context-dependent, varying with cellular environment and inducer type.
Purpose of the Study:
- To highlight the regulatory mechanisms underlying constitutive NF-kappaB activation.
- To provide a rationale for developing targeted therapies against NF-kappaB in multiple myeloma.
Main Methods:
- Review of regulatory mechanisms of NF-kappaB activity.
- Analysis of NF-kappaB's role in multiple myeloma drug resistance.
Main Results:
- NF-kappaB regulation involves multiple levels, including the IkappaB kinase (IKK) complex, IkappaB family members, transcription factor recruitment, and p65 post-translational modifications.
- Constitutive NF-kappaB activation contributes to drug resistance in multiple myeloma.
Conclusions:
- The intricate regulation of NF-kappaB presents multiple targets for therapeutic intervention.
- Targeting NF-kappaB is a promising strategy for overcoming drug resistance in multiple myeloma.
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