Preferred Label : NFKB Activation Pathway;
NCIt related terms : NFkB activation by Nontypeable Hemophilus influenzae;
Alternative definition : BIOCARTA: The role of Hemophilus influenzae in ear infections and chronic obstructive
pulmonary disease includes the induction of an inflammatory response through activation
of the transcription factor NF-kB. In addition to activation of inflammatory cytokine
genes like IL-1 and TNF, H. influenzae activates TLR2 expression and genes involved
in mucus production. Hemophilus influenzae activates NF-kB by multiple mechanisms,
starting with activation of the Toll-like receptor 2 (TLR2) by the p16 protein in
the H. influenzae outer membrane. TLR2 plays a key role in innate immune responses
and is expressed in high levels in lymphoid cells as well as low levels in epithelial
cells. The role of TLR2 was supported by blocking NF-kB activation with a dominant
negative TLR2 and increasing it with transfection of a normal TLR2 gene. TLR2 in turn
activates TAK1, which activates two divergent signaling pathways. One of these pathways
leads to IkB kinase activation, IkB phosphorylation, and degradation, releasing the
NF-kB heterodimer to translocate into the nucleus and activate transcription of target
genes. In the alternate pathway, TAK1 also activates NF-kB through a Map kinase pathway,
activating p38 and NF-kB in a nuclear translocation independent manner. Investigation
of the mechanisms of H. influenzae signaling involved in NF-kB activation may provide
the information needed to develop better treatments for inflammatory conditions caused
by this pathogen. Other pathways modulate the role of NF-kB in H. influenzae pathogenesis.
Glucocorticoids, widely used as anti-inflammatory drugs, increase TLR2 activation
by H. influenzae through the NIK/I-kB kinase pathway, while they repress the p38 dependent
activation of NF-kB. The repression of the p38 pathway by glucocorticoids occurs through
activation of the MAP kinase phosphatase-1 (MKP-1) which dephosphorylates and deactivates
p38. Another aspect of the inflammatory response to H. influenzae infection is the
production of excessive mucus, contributing to the overall symptoms of infection.
NF-kB activation of the Muc2 gene contributes to mucus overproduction, in addition
to H. influenzae activation of the TGF-beta receptor, activating SMAD transcription
factors SMAD3 and SMAD4. Understanding mechanisms that modify H. influenzae signaling
will contribute to further understanding the pathogenesis and treatment of ear infections
and chronic obstructive pulmonary disease. (This definition may be outdated - see
the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_nthiPathway;
Origin ID : C39173;
UMLS CUI : C1513837;
Semantic type(s)
has_gene_product_element
pathway_has_gene_element