IntroductionAlthough plant-derived products have served humankind as treatments of various ailments for centuries, neither their active components nor their molecular targets are fully understood. Identifying the active chemical entities and their molecular targets can lead to discovering new clinical uses of such products, as in the cases of vincristine, vinblastine, paclitaxel, camptothecin, roscovitin, and homoharringtonine. 1 Between 1980 and 2000, as many as 70% of all drugs approved by the US Food and Drug Administration to treat cancer were based on natural sources. 1,2 Gambogic acid (GA) is a naturally occurring brownish-toorange resin called gamboge, which is derived from Garcinia hanburyi. It has a long history of medicinal use in Southeast Asia, and it is used as a folk medicine and coloring agent in China. Recent studies showed that GA can inhibit the growth of a wide variety of tumor cells, including cells of human hepatoma, 3 breast cancer, 4 gastric carcinoma, 5-8 and lung carcinoma. 9 Using cell-and caspase-based high-throughput screening assays, Zhang et al identified GA as a potent inducer of apoptosis. 4 Studies have also indicated that GA suppresses the growth of human tumors (eg, lung carcinoma, 9 and hepatoma). 3 How GA mediates these effects is not fully understood, but it has been shown to inhibit telomerase and telomerase reverse transcriptase mRNA expression, 3,8,9 inhibit human telomerase reverse transcriptase (hTERT) promoter, 8 suppress cyclin-dependent kinase 7 (CDK7)-mediated phosphorylation of CDC2/34, 7 down-regulate Bcl-2, 5 and interact with c-Myc. 3 A recent report suggests that GA mediates its apoptotic effects through its interaction with the transferrin receptor (TfR1). 10 Because hTERT, c-Myc, and Bcl-2 gene expression modulated by GA is regulated by NF-B activation, it is possible that GA mediates its effects by modulating the NF-B pathway.NF-B is a transcription factor that consists of 5 proteins: c-Rel, RelA (p65), RelB, NF-B1 (p50 and p105), and NF-B2 (p52). 11 They are regulated by inhibitors of the inhibitory subunit of NF-B (IB) family of anchorin domain-containing proteins, which includes IB␣, IB, IB␥, IB⑀, Bcl-3, p105, and p100. 11 When inactive, NF-B is sequestered in the cytoplasm as a heterotrimer consisting of p50, p65, and IB subunits. Most carcinogens, inflammatory agents, and tumor promoters, including cigarette smoke, phorbol ester, okadaic acid, H 2 O 2 , and tumor necrosis factor (TNF), have been shown to activate NF-B. In response to an activation signal, the IB␣ subunit is phosphorylated at serine residues 32 and 36, ubiquitinated at lysine residues 21 and 22, and degraded through the proteasomal pathway, thus exposing the nuclear localization signals on the p50-p65 heterodimer. The p65 is then phosphorylated, leading to nuclear translocation and binding to a specific sequence in DNA, which in turn results in gene transcription. The phosphorylation of IB␣ is catalyzed by IB␣ kinase (IKK), which is essential for NF-B activation. IKK consists of 3 subun...