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Wang et al. J Cancer Metastasis Treat 2017;3:45-59                                  Journal of
           DOI: 10.20517/2394-4722.2017.03
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Review                                                                              Open Access


           DNA damage-induced nuclear factor-kappa B

           activation and its roles in cancer progression



           Wei Wang , Arul M. Mani , Zhao-Hui Wu 1, 2
                    1, 2
                                 1, 2
           1 Department of Pathology and Laboratory Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
           2 Center for Cancer Research, University of Tennessee Health Science Center, Memphis, TN 38163, USA.

           Correspondence to: Dr. Zhao-Hui Wu, Department of Pathology and Laboratory Medicine, University of Tennessee Health Science Center,
           Memphis, TN 38163, USA. E-mail: zwu6@uthsc.edu
           How to cite this article: Wang W, Mani AM, Wu ZH. DNA damage-induced nuclear factor-kappa B activation and its roles in cancer progression. J
           Cancer Metastasis Treat 2017;3:45-59.

                             Dr. Zhao-Hui Wu is an Associate Professor in the Department of Pathology and Laboratory Medicine at the
                             University of Tennessee Health Science Center. The research in his lab focuses on exploring the mechanisms
                             involved in the acquired and innate therapeutic resistance of cancer cells. Through delineating the molecular
                             and cellular signaling pathway exploited by tumor cells to evade the elimination by anti-cancer drugs, they are
                             aiming to screen potential novel drug targeting these pathways to improve the therapeutic efficacy of cancer
                             treatments.


                                         ABSTRACT
            Article history:              DNA damage is a vital challenge to cell homeostasis. Cellular responses to DNA damage
            Received: 05-01-2017          (DDR) play essential roles in maintaining genomic stability and survival, whose failure
            Accepted: 02-03-2017          could lead to detrimental consequences such as cancer development and aging. Nuclear
            Published: 27-03-2017         factor-kappa B (NF-kB) is a family of transcription factors that plays critical roles in
                                          cellular stress response. Along with p53, NF-kB modulates transactivation of a large
            Key words:                    number of genes which participate in various cellular processes involved in DDR. Here the
            DNA damage,                   authors summarize the recent progress in understanding DNA damage response and NF-
            nuclear factor-kappa B,       kB signaling pathways. This study particularly focuses on DNA damage-induced NF-kB
            signal transduction,          signaling cascade and its physiological and pathological significance in B cell development
            metastasis,                   and cancer therapeutic resistance. The authors also discuss promising strategies for
            therapeutic resistance        selectively targeting  this  genotoxic NF-kB  signaling  aiming  to antagonize  acquired
                                          resistance and resensitize refractory cancer cells to cytotoxic treatments.


           INTRODUCTION                                       threatened  by a variety of agents which  cause DNA
                                                              damage.  DNA lesions  may occur  by altering  DNA
           The genome of  all living organisms is constantly   bases  (i.e. O -methylguanine and  thymine glycols),
                                                                          6


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