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Inhibitor of nuclear factor kappa-B kinase – Nuclear factor kappa-light-chain-enhancer of activated B cells pathway (IKK-NF-κB pathway) (IKK-NF-κB pathway)

Target
IKK-NF-κB pathway
Molecular classification
Enzyme, Transcription factor
01

Overview

The Inhibitor of nuclear factor kappa-B kinase (IKK) – Nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) pathway is a fundamental signaling cascade that coordinates the cellular response to inflammatory stimuli, pathogens, and environmental stress [1, 15]. The pathway is primarily regulated by the IKK complex, which consists of catalytic subunits IKKα and IKKβ and the regulatory subunit NEMO (IKKγ) [2, 17]. Upon activation, IKKβ phosphorylates the inhibitor protein IκBα, marking it for ubiquitination and degradation by the 26S proteasome, which allows NF-κB dimers to translocate into the nucleus [3, 16]. In the nucleus, NF-κB acts as a transcription factor for a wide array of genes involved in the immune response, cell survival, and proliferation [8, 14]. Dysregulation of this pathway, particularly its constitutive activation, is a key driver in chronic inflammatory diseases such as rheumatoid arthritis and various cancers like multiple myeloma and colorectal cancer [11, 13, 19]. Pharmacological intervention strategies include the use of proteasome inhibitors like bortezomib and the development of selective IKK inhibitors, though clinical progress for the latter has been hindered by significant on-target toxicities and the risk of severe immunosuppression [6, 7, 10]. Overall, the IKK-NF-κB axis remains a high-priority target for drug discovery due to its central role in human pathology [1, 21].

Other names
NF-kappaB signaling pathwayIKK/NF-kappaB axisIkappaB kinase complexNF-κB pathwayCanonical NF-κB pathwayNon-canonical NF-κB pathway
02

Mechanism of action

Inhibition of IKK-mediated phosphorylation of IκB proteins, prevention of proteasomal degradation of IκB, and blockade of NF-κB nuclear translocation and DNA binding.

03

Biological functions

Signal transductionImmune responseInflammationCell survivalApoptosisCell proliferationAngiogenesis
04

Disease associations

CancerInflammationAutoimmune diseaseNeurodegenerative diseaseCardiovascular diseaseInfection
05

Safety considerations

Systemic toxicityImmunosuppressionHepatotoxicityImpaired wound healingGastrointestinal toxicity
06

Interacting drugs

Bortezomib

11 more in the full profile.

07

Biomarkers

Phospho-IκBαNF-κB p65 nuclear translocationIL-6TNF-αIL-1βp100/p52 processing

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