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Published as doi: 10.1096/fj.08-109355.
(The FASEB Journal. 2008;22:3432-3442.)
© 2008 FASEB
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The IKK-NF-{kappa}B pathway: a source for novel molecular drug targets in pain therapy?

Ellen Niederberger1 and Gerd Geisslinger

Pharmazentrum Frankfurt/ZAFES, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Frankfurt am Main, Germany

1Correspondence: Pharmazentrum Frankfurt/ZAFES, Institut für Klinische Pharmakologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Theodor Stern Kai 7, 60590 Frankfurt am Main, Germany. E-mail: e.niederberger{at}em.uni-frankfurt.de

Several studies indicate that the nuclear factor-kappa B (NF-{kappa}B) -activation cascade plays a crucial role not only in immune responses, inflammation, and apoptosis but also in the development and processing of pathological pain. Accordingly, a pharmacological intervention into this pathway may have antinociceptive effects and could provide novel treatment strategies for pain and inflammation. In this review we summarize the role of NF-{kappa}B in the nervous system, its impact on nociception, and several approaches that investigated the effects of various modulators of the classical I-{kappa}B-kinase-NF-{kappa}B signal transduction pathway in inflammatory nociception and neuropathic pain. The results indicate that NF-{kappa}B has an impact on nociceptive transmission and processing and that a number of substances that inhibit the NF-{kappa}B-activating cascade are capable of reducing the nociceptive response in different animal models. Therefore, a modulation of specific participants in the NF-{kappa}B signal transduction might exert a useful approach for the development of new painkillers.—Niederberger, E., Geisslinger, G. The IKK-NF-{kappa}B pathway: a source for novel molecular drug targets in pain therapy?


Key Words: inflammation • nervous system • neuropathy







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