“…Thus EPA, which prevents nuclear migration of NF-kB in murine myotubes in response to PIF by stabilising the cytosolic I-kB/NF-kB complex (Whitehouse and Tisdale, 2003), possibly by interfering with I-kB phosphorylation (Novak et al, 2003), has been shown to attenuate the development of further weight loss in weight-losing patients with pancreatic cancer (Wigmore et al, 2000) and produce an increase in lean body mass when combined with a high protein energy dense nutritional supplement (Barber et al, 1999). The anti-inflammatory agent, ibuprofen, has been shown to inhibit constitutive activation of NFkB and IKKa in prostate cancer cells (Palayoor et al, 1999), and when combined with megestrol acetate produced an increase in body weight in gastrointestinal cancer patients (McMillan et al, 1999), while megestrol acetate alone produced a decrease in body weight. Another anti-inflammatory agent, thalidomide, can also block NF-kB activation through inhibition of IKK (Keifer et al, 2001), and has been shown to promote weight gain in HIV-infected patients receiving treatment for tuberculosis (Reys-Teran et al, 1996), and is currently under evaluation for the treatment of cancer cachexia.…”