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Diacylglycerol Signaling

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10 Atypical PKCs, NF-kB, and Inflammation<br />

activity in hepatocytes (Sakurai et al. 2006), thus preventing the inflammatory<br />

response and the increased proliferation of the surviving hepatocytes provoked by<br />

the Kupffer cells. Clearly, all of these findings suggest that the role played by<br />

NF-kB and its regulators in tumor initiation and progression will greatly depend on<br />

the tissue and the cell type involved. As general paradigms have not yet emerged<br />

on this question, it is essential to understand the function of the different signaling<br />

cascades in specific tumor types to advance our comprehension of the etiopathogenesis<br />

of cancer.<br />

10.3.2 The aPKC Network in the NF-kB Cancer Paradigm:<br />

Its Role in Lung Cancer<br />

Aberrant activation of NF-kB is strongly associated with cancer. That is, NF-kB is<br />

abnormally activated in many kinds of tumors, including pancreatic cancer, breast<br />

cancer, gastric carcinoma, prostate cancer, and lung cancer. This, and NF-kB’s<br />

known antiapoptotic activity, suggests that NF-kB is a logical therapeutic target for<br />

research on cancer treatment. Additionally, it has been shown that NF-kB is an<br />

important player in preventing apoptotic death after DNA-damaging treatments,<br />

such as chemotherapy and irradiation, clearly affecting the efficacy of these<br />

treatments.<br />

10.3.2.1 The aPKC Adapter, p62, is Critical for Ras-Induced Lung Cancer<br />

Lung cancer is the leading cause of cancer deaths throughout the world, and current<br />

treatments do not lead to a cure for most patients with this type of neoplasia. Targeted<br />

antitumor therapies are likely to prove more effective, but their development will<br />

require a better understanding of the signaling cascades involved. Ras oncogenes are<br />

frequently mutated in human cancers where they play an unquestionably important<br />

role in the genesis and progression of the disease (Downward 2003). In lung adenocarcinomas,<br />

mutations in Ras are present in at least 25% of cases (Bos 1989), suggesting<br />

that the components of Ras-related signaling pathways are promising<br />

candidates for therapeutic targets in lung cancer treatment. The ability of Ras to promote<br />

cell survival is essential for the suppression of apoptosis associated with Rasinduced<br />

transformation and, therefore, for cancer initiation and progression (Hanahan<br />

and Weinberg 2000). Previous studies showed that Ras activates NF-kB, which is<br />

important for cell survival and tumor transformation because it suppresses p53independent<br />

Ras-induced cell death (Mayo et al. 1997). This is a key event because<br />

the final outcome of the oncogenic process is determined by a finely tuned balance<br />

between cell survival and death (Luo et al. 2005). However, the mechanism by which<br />

Ras controls NF-kB activation remains unclear. IKK activation by Ras requires the<br />

combined action of extracellular signal-regulated kinase (ERK) and Akt signals,<br />

although how these translate into IKK activation has not been determined (Arsura<br />

235

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