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Cellular Stress Adaptation and the Origins of Disease

1The Logic of Cellular Stress and Adaptation2Stress Sensing and Signal Transduction3Proteostasis: Folding, Chaperones, and Degradation4ER Stress and the Unfolded Protein Response5Mitochondrial Stress, Quality Control, and Cell Fate6Metabolic and Nutrient Stress Adaptation7Inflammatory and Immune Stress Signaling8When Adaptation Becomes Disease: Transition Mechanisms9Disease Applications and Therapeutic Targeting
Inflammatory and Immune Stress Signaling

NF-kB and the Senescence-Associated Secretory Phenotype

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Look at the two panels together. On the left, NF-kB is the convergence point: stress kinases, reactive oxygen species, and DAMP receptors all feed into the IkB kinase complex, which frees NF-kB to enter the nucleus and switch on pro-IL-1beta, NLRP3, TNF, IL-6, and chemokines. On the right, a senescent cell has exited the cell cycle but kept this program running. It secretes IL-6, IL-8, IL-1beta, proteases, and growth factors. The critical detail is the arrow that loops back: IL-1beta from one senescent cell acts on its neighbors and sustains their NF-kB activity. That loop is why senescence does not fade. The cell has stopped dividing but has not stopped signaling, so the stress response becomes a permanent feature of the tissue.
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NF-kB is the transcriptional amplifier that sits downstream of almost every stress pathway covered so far. In resting cells it is held in the cytoplasm by IkB inhibitors. Stress kinases, reactive oxygen species, and DAMP receptor signaling all converge on the IkB kinase complex, which phosphorylates IkB and marks it for degradation. Free NF-kB enters the nucleus and drives a large program: pro-IL-1beta and NLRP3 (the priming step for the inflammasome), TNF, IL-6, chemokines that recruit immune cells, adhesion molecules, and inducible nitric oxide synthase. This is why NF-kB is described as a central inflammatory transcription factor rather than one pathway among many.

Senescence is a distinct cell fate in which a cell permanently exits the cell cycle, usually after DNA damage or oncogenic stress, but does not die. Senescent cells remain metabolically active and secrete a persistent mixture of IL-6, IL-8, IL-1beta, matrix metalloproteinases, and growth factors. This is the senescence-associated secretory phenotype, or SASP. The SASP is largely NF-kB-dependent, and it is self-reinforcing: IL-1beta secreted by one senescent cell acts on neighbors, including other senescent cells, to sustain NF-kB activity. A cell that has stopped dividing therefore keeps broadcasting an inflammatory signal for as long as it survives.

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