Inhibition of NF-κB signaling unveils novel strategies to overcome drug resistance in cancers

Drug Resist Updat. 2024 Mar:73:101042. doi: 10.1016/j.drup.2023.101042. Epub 2024 Jan 4.

Abstract

Drug resistance in cancer remains a major challenge in oncology, impeding the effectiveness of various treatment modalities. The nuclear factor-kappa B (NF-κB) signaling pathway has emerged as a critical player in the development of drug resistance in cancer cells. This comprehensive review explores the intricate relationship between NF-κB and drug resistance in cancer. We delve into the molecular mechanisms through which NF-κB activation contributes to resistance against chemotherapeutic agents, targeted therapies, and immunotherapies. Additionally, we discuss potential strategies to overcome this resistance by targeting NF-κB signaling, such as small molecule inhibitors and combination therapies. Understanding the multifaceted interactions between NF-κB and drug resistance is crucial for the development of more effective cancer treatment strategies. By dissecting the complex signaling network of NF-κB, we hope to shed light on novel therapeutic approaches that can enhance treatment outcomes, ultimately improving the prognosis for cancer patients. This review aims to provide a comprehensive overview of the current state of knowledge on NF-κB and its role in drug resistance, offering insights that may guide future research and therapeutic interventions in the fight against cancer.

Keywords: Cancer; Chemotherapy; Drug resistance; NF-κB Signaling; NF-κB inhibitor.

Publication types

  • Review

MeSH terms

  • Cell Line, Tumor
  • Drug Resistance
  • Drug Resistance, Neoplasm / genetics
  • Humans
  • NF-kappa B* / genetics
  • NF-kappa B* / metabolism
  • Neoplasms* / drug therapy
  • Neoplasms* / genetics
  • Neoplasms* / metabolism
  • Signal Transduction

Substances

  • NF-kappa B