NF-kappaB inhibition in human hepatocellular carcinoma and its potential as adjunct to sorafenib based therapy

Cancer Lett. 2009 Jun 18;278(2):145-155. doi: 10.1016/j.canlet.2008.12.031. Epub 2009 Mar 20.

Abstract

Nuclear factor-kappaB (NF-kappaB) has been shown to play an important role in the development and progression of cancer. In this study, we systematically examined NF-kappaBp65 signaling pathway in both human hepatocellular carcinoma (HCC) tissue and HCC cell lines. NF-kappaBp65 signaling pathway is aberrantly expressed and activated in both human HCC tissue and HCC Hep3B cells. Inhibition of NF-kappaB activity significantly reduced proliferation and invasion of Hep3B cells as well as down-regulated the expression of invasion-related molecules including matrix metalloproteinase (MMP)-2, MMP-9, membrane type-1 MMP (MT1-MMP), urokinase plasminogen activator (uPA) and vascular endothelial growth factor (VEGF). Hep3B cells exhibited a dose-dependent increase in apoptosis after receiving sorafenib treatment. Inhibition of NF-kappaB activity strongly sensitized Hep3B cells to sorafenib-induced cell death. Mechanistically, combined treatment of sorafenib and NF-kappaB inhibition enhanced inhibition of MAPK signaling and down-regulation of anti-apoptotic protein Mcl-1 expression. These observations indicate that inhibition of NF-kappaB may be a potential antineoplastic therapy for HCC, especially the combination of NF-kappaB inhibition and sorafenib provides a novel therapeutic strategy for patients with advanced-stage HCC.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Apoptosis / drug effects
  • Benzenesulfonates / therapeutic use*
  • Carcinoma, Hepatocellular / drug therapy*
  • Carcinoma, Hepatocellular / pathology
  • Cell Line, Tumor
  • Cell Movement
  • Cell Proliferation
  • Humans
  • I-kappa B Proteins / physiology
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / pathology
  • MAP Kinase Signaling System
  • Myeloid Cell Leukemia Sequence 1 Protein
  • NF-KappaB Inhibitor alpha
  • NF-kappa B / antagonists & inhibitors*
  • Neoplasm Invasiveness
  • Niacinamide / analogs & derivatives
  • Phenylurea Compounds
  • Proto-Oncogene Proteins c-bcl-2 / analysis
  • Pyridines / therapeutic use*
  • Signal Transduction
  • Sorafenib
  • Transcription Factor RelA / physiology

Substances

  • Antineoplastic Agents
  • Benzenesulfonates
  • I-kappa B Proteins
  • Myeloid Cell Leukemia Sequence 1 Protein
  • NF-kappa B
  • NFKBIA protein, human
  • Phenylurea Compounds
  • Proto-Oncogene Proteins c-bcl-2
  • Pyridines
  • Transcription Factor RelA
  • NF-KappaB Inhibitor alpha
  • Niacinamide
  • Sorafenib