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Inflammation and cancer: how hot is the link?

Abstract
Although inflammation has long been known as a localized protective reaction of tissue to irritation, injury, or infection, characterized by pain, redness, swelling, and sometimes loss of function, there has been a new realization about its role in a wide variety of diseases, including cancer. While acute inflammation is a part of the defense response, chronic inflammation can lead to cancer, diabetes, cardiovascular, pulmonary, and neurological diseases. Several pro-inflammatory gene products have been identified that mediate a critical role in suppression of apoptosis, proliferation, angiogenesis, invasion, and metastasis. Among these gene products are TNF and members of its superfamily, IL-1alpha, IL-1beta, IL-6, IL-8, IL-18, chemokines, MMP-9, VEGF, COX-2, and 5-LOX. The expression of all these genes are mainly regulated by the transcription factor NF-kappaB, which is constitutively active in most tumors and is induced by carcinogens (such as cigarette smoke), tumor promoters, carcinogenic viral proteins (HIV-tat, HIV-nef, HIV-vpr, KHSV, EBV-LMP1, HTLV1-tax, HPV, HCV, and HBV), chemotherapeutic agents, and gamma-irradiation. These observations imply that anti-inflammatory agents that suppress NF-kappaB or NF-kappaB-regulated products should have a potential in both the prevention and treatment of cancer. The current review describes in detail the critical link between inflammation and cancer.
AuthorsBharat B Aggarwal, Shishir Shishodia, Santosh K Sandur, Manoj K Pandey, Gautam Sethi
JournalBiochemical pharmacology (Biochem Pharmacol) Vol. 72 Issue 11 Pg. 1605-21 (Nov 30 2006) ISSN: 0006-2952 [Print] England
PMID16889756 (Publication Type: Journal Article, Review)
Chemical References
  • Anti-Inflammatory Agents
  • Antineoplastic Agents
  • Biomarkers
  • Interleukins
  • Tumor Necrosis Factor-alpha
Topics
  • Anti-Inflammatory Agents (therapeutic use)
  • Antineoplastic Agents (therapeutic use)
  • Biomarkers
  • Chronic Disease
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Inflammation (complications, drug therapy, metabolism)
  • Interleukins (metabolism)
  • Neoplasms (complications, drug therapy, metabolism)
  • Tumor Necrosis Factor-alpha (metabolism)

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