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Targeting Oncogenic Nuclear Factor Kappa B Signaling with Redox-Active Agents for Cancer Treatment
Leyla Fouani1, Zaklina Kovacevic1, Des R Richardson1
1Molecular Pharmacology and Pathology Program, Department of Pathology and Bosch Institute, University of Sydney, Sydney, Australia.
Significance:
Nuclear factor kappa B (NF-κB) signaling is essential under physiologically relevant conditions. However, aberrant activation of this pathway plays a pertinent role in tumorigenesis and contributes to resistance. Recent Advances: The importance of the NF-κB pathway means that its targeting must be specific to avoid side effects. For many currently used therapeutics and those under development, the ability to generate reactive oxygen species (ROS) is a promising strategy.
Critical Issues:
As cancer cells exhibit greater ROS levels than their normal counterparts, they are more sensitive to additional ROS, which may be a potential therapeutic niche. It is known that ROS are involved in (i) the activation of NF-κB signaling, when in sublethal amounts; and (ii) high levels induce cytotoxicity resulting in apoptosis. Indeed, ROS-induced cytotoxicity is valuable for its capabilities in killing cancer cells, but establishing the potency of ROS for effective inhibition of NF-κB signaling is necessary. Indeed, some cancer treatments, currently used, activate NF-κB and may stimulate oncogenesis and confer resistance.
Future Directions:
Thus, combinatorial approaches using ROS-generating agents alongside conventional therapeutics may prove an effective tactic to reduce NF-κB activity to kill cancer cells. One strategy is the use of thiosemicarbazones, which form redox-active metal complexes that generate high ROS levels to deliver potent antitumor activity. These agents also upregulate the metastasis suppressor, N-myc downstream regulated gene 1 (NDRG1), which functions as an NF-κB signaling inhibitor. It is proposed that targeting NF-κB signaling may proffer a new therapeutic niche to improve the efficacy of anticancer regimens.
Insights
Targeting Nuclear Factor kappa B (NF-κB) with reactive oxygen species (ROS) offers a novel cancer therapy. Combining ROS-generating agents with conventional treatments can inhibit NF-κB and kill cancer cells.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Nuclear factor kappa B (NF-κB) signaling is crucial in normal physiology but aberrant activation drives cancer growth and therapeutic resistance.
- Targeting NF-κB is essential for cancer treatment, but specificity is required to minimize side effects.
- Reactive oxygen species (ROS) are increasingly recognized as a promising therapeutic strategy in oncology.
Purpose of the Study:
- To explore the dual role of ROS in NF-κB signaling, both activating it at sublethal levels and inducing cancer cell apoptosis at high levels.
- To investigate combinatorial approaches using ROS-generating agents to enhance conventional cancer therapeutics.
- To evaluate the potential of targeting NF-κB signaling as a therapeutic niche in cancer treatment.
Main Methods:
- Review of current literature on NF-κB signaling, ROS generation, and cancer therapeutics.
- Analysis of the mechanisms by which ROS influence NF-κB activation and cancer cell cytotoxicity.
- Exploration of thiosemicarbazone-metal complexes as ROS-generating agents with antitumor activity.
Main Results:
- Cancer cells are more susceptible to ROS-induced cytotoxicity due to their higher baseline ROS levels.
- High ROS levels can induce apoptosis in cancer cells, presenting a therapeutic opportunity.
- Combinatorial therapy using ROS-generating agents may effectively reduce NF-κB activity and overcome treatment resistance.
Conclusions:
- Targeting NF-κB signaling with ROS-generating agents, such as thiosemicarbazones, offers a promising strategy for cancer therapy.
- These agents can induce potent antitumor activity by generating high ROS levels and upregulating metastasis suppressors like NDRG1.
- Developing combinatorial approaches that leverage ROS to inhibit NF-κB signaling can improve the efficacy of existing anticancer regimens.
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