Chemokine receptors as targets for cancer therapy
Xuesong Wu1, Vivian C Lee, Eric Chevalier
1Department of Dermatology - Froedtert Clinics, Medical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI 53226, USA.
Abstract:
Chemokines and their receptors play critical roles in leukocyte trafficking during inflammatory processes. Although the role of chemokine receptors (CKRs) in cancer biology is a relatively new field of study, a growing body of data suggest that a number of CKRs, including CXCR4, CCR4, CCR7, and CCR10, may play diverse of roles in cancer growth, cancer metastasis, cancer angiogenesis, or the composition of the cancer microenvironment. Preclinical models of cancer indicate that cancer antagonists, most notably those for CXCR4, can block cancer growth either directly or by altering the cancer stroma. Highthroughput screening methods to identify effective CKR antagonists have been developed, but specificity, potency, and drug-delivery of validated candidate compounds remain issues that result in the clinical failure of many initially promising candidates. The recent approval of a CCR5 receptor antagonist in HIV suggests that safe, effective small molecular antagonists for other CKRs may not be far away. There is still a clear need to extend our understanding of the signalling pathways by which CKRs facilitate cancer processes. Because of the role of CKRs in cancer cell survival, the combination of CKR antagonists with traditional chemotoxic agents or with immunotherapy is an alluring strategy since this increases the specificity of treatment to the cancer and potentially limits additional systemic side effects.
Insights
Chemokine receptors (CKRs) influence cancer growth and metastasis. Targeting these receptors, particularly CXCR4, shows promise in preclinical models, offering new therapeutic strategies for cancer treatment.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Chemokines and their receptors (CKRs) are crucial for leukocyte trafficking in inflammation.
- Emerging research highlights the roles of specific CKRs (CXCR4, CCR4, CCR7, CCR10) in cancer progression, metastasis, angiogenesis, and the tumor microenvironment.
Purpose of the Study:
- To review the multifaceted roles of CKRs in cancer biology.
- To discuss the potential of CKR antagonists as cancer therapeutics.
- To identify challenges and future directions in CKR-targeted cancer therapy.
Main Methods:
- Review of preclinical cancer models investigating CKR function.
- Analysis of high-throughput screening methods for CKR antagonist discovery.
- Examination of clinical data and challenges associated with CKR antagonist development.
Main Results:
- Preclinical data demonstrate that CXCR4 antagonists can inhibit cancer growth by direct action or by modulating the tumor stroma.
- Despite developed screening methods, challenges in specificity, potency, and drug delivery hinder clinical translation of CKR antagonists.
- The success of a CCR5 antagonist in HIV treatment suggests potential for other CKR antagonists.
Conclusions:
- CKRs play significant roles in cancer cell survival and progression.
- Targeting CKRs, especially CXCR4, presents a promising therapeutic avenue.
- Combining CKR antagonists with chemotherapy or immunotherapy may enhance cancer treatment specificity and reduce side effects, warranting further investigation into CKR signaling pathways.
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