Role of NF-kappa B in p53-mediated programmed cell death

The tumour suppressor p53 inhibits cell growth through activation of cell-c ycle arrest and apoptosis(1), and most cancers have either mutation within the p53 gene or defects in the ability to induce p53. Activation or re-intr oduction of p53 induces apoptosis in many tumour cells and may provide effe ctive cancer therapy 2. One of the key proteins that modulates the apoptoti c response is NF-kappa B, a transcription factor that can protect or contri bute to apoptosis(3). Here we show that induction of p53 causes an activati on of NF-kappa B that correlates with the ability of p53 to induce apoptosi s. Inhibition or loss of NF-kappa B activity abrogated p53-induced apoptosi s, indicating that NF-kappa B is essential in p53-mediated cell death. Acti vation of NF-kappa B by p53 was distinct from that mediated by tumour-necro sis factor-alpha and involved MEK1 and the activation of pp90(rsk). Inhibit ion of MEK1 blocked activation of NF-kappa B by p53 and completely abrogate d p53-induced cell death. We conclude that inhibition of NF-kappa B in tumo urs that retain wild-type p53 may diminish, rather than augment, a therapeu tic response.