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Updated: Feb 24, 2026

Author Spotlight: Exploring the Role of FAM83A in Cervical Cancer
Published on: February 9, 2024
Mitochondrial permeabilization engages NF-κB-dependent anti-tumour activity under caspase deficiency
Evangelos Giampazolias1,2, Barbara Zunino1, Sandeep Dhayade1
1Cancer Research UK Beatson Institute, University of Glasgow, Garscube Estate, Switchback Road, Glasgow G61 1BD, UK.
Abstract:
Apoptosis represents a key anti-cancer therapeutic effector mechanism. During apoptosis, mitochondrial outer membrane permeabilization (MOMP) typically kills cells even in the absence of caspase activity. Caspase activity can also have a variety of unwanted consequences that include DNA damage. We therefore investigated whether MOMP-induced caspase-independent cell death (CICD) might be a better way to kill cancer cells. We find that cells undergoing CICD display potent pro-inflammatory effects relative to apoptosis. Underlying this, MOMP was found to stimulate NF-κB activity through the downregulation of inhibitor of apoptosis proteins. Strikingly, engagement of CICD displays potent anti-tumorigenic effects, often promoting complete tumour regression in a manner dependent on intact immunity. Our data demonstrate that by activating NF-κB, MOMP can exert additional signalling functions besides triggering cell death. Moreover, they support a rationale for engaging caspase-independent cell death in cell-killing anti-cancer therapies.
Insights
Caspase-independent cell death (CICD) offers a potent anti-cancer strategy by inducing inflammation and tumor regression. This mechanism, triggered by mitochondrial outer membrane permeabilization (MOMP), activates NF-κB signaling for enhanced therapeutic effects.
Area of Science:
- Oncology
- Cell Biology
- Immunology
Background:
- Apoptosis is a primary anti-cancer mechanism, but caspase activity can cause DNA damage.
- Mitochondrial outer membrane permeabilization (MOMP) can induce cell death independently of caspases.
Purpose of the Study:
- To investigate if MOMP-induced caspase-independent cell death (CICD) is a superior anti-cancer strategy compared to apoptosis.
- To explore the pro-inflammatory and anti-tumorigenic properties of CICD.
Main Methods:
- Induction of MOMP to trigger CICD in cancer cells.
- Assessment of NF-κB activity and inhibitor of apoptosis protein levels.
- Evaluation of anti-tumorigenic effects in vivo, dependent on immune system integrity.
Main Results:
- CICD elicits stronger pro-inflammatory responses than apoptosis.
- MOMP activates NF-κB via downregulation of inhibitor of apoptosis proteins.
- CICD demonstrates significant anti-tumorigenic effects, leading to complete tumor regression in an immune-dependent manner.
Conclusions:
- MOMP has signaling functions beyond cell death induction, notably NF-κB activation.
- CICD represents a promising therapeutic approach for anti-cancer strategies, leveraging immune responses for tumor elimination.
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