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A Kinetic Fluorescence-based Ca2+ Mobilization Assay to Identify G Protein-coupled Receptor Agonists, Antagonists, and Allosteric Modulators
Published on: February 20, 2018
Concurrent blockade of alpha4-integrin and CXCR4 in hematopoietic stem/progenitor cell mobilization
Halvard Bonig1, Korashon L Watts, Kai-Hsin Chang
1German Red Cross Blood Center, Institute for Transfusion Medicine and Immunohematology, Johann-Wolfgang-Goethe University, Frankfurt, Germany. hbonig@u.washington.edu
Abstract:
The important contributions of the alpha4 integrin VLA-4 and the CXCR4/SDF-1 axis in mobilization have been demonstrated and thereby, these pathways can be suggested as rational targets for clinical stem cell mobilization in the absence of cytokine use. alpha4-blockade alone (in humans, macaques and mice), or genetic ablation of alpha4-integrin in mice, provides reproducible, but modest mobilization. Similarly, CXCR4 blockade with small-molecule antagonists mobilizes hematopoietic stem cells in all three species, but at least with the established single-injection schedule, the mobilization efficiency is marginally sufficient for clinical purposes. Hypothesizing that the different molecular targets (alpha4-integrin vs. CXCR4) might allow for additive mobilization effects, we therefore tested the efficacy of the combination of alpha4-integrin blockade with anti-functional antibodies and CXCR4 blockade with the small-molecule inhibitor AMD3100 in macaques, or the combination of conditional alpha4-integrin ablation and AMD3100 in mice. Mobilization was at least additive. While the prolonged effects of alpha4-blocking antibodies may not be suitable for clinical mobilization, future availability of small-molecule alpha4-antagonists in combination with AMD3100 could provide an alternative to granulocyte colony-stimulating factor.
Insights
Combining alpha4-integrin and CXCR4 blockade enhances stem cell mobilization. This combination therapy, using small molecules, shows promise as an alternative to cytokine use for clinical stem cell mobilization.
Area of Science:
- Hematology
- Immunology
- Pharmacology
Background:
- Alpha4 integrin (VLA-4) and the CXCR4/SDF-1 axis are crucial for stem cell mobilization.
- Current methods often rely on cytokine use, which can have side effects.
- Existing alpha4-integrin or CXCR4 blockade strategies provide modest stem cell mobilization.
Purpose of the Study:
- To investigate the additive effects of combining alpha4-integrin and CXCR4 blockade for stem cell mobilization.
- To evaluate novel therapeutic strategies for clinical stem cell mobilization without cytokines.
Main Methods:
- Testing alpha4-integrin blockade with antibodies combined with CXCR4 blockade (AMD3100) in macaques.
- Testing conditional alpha4-integrin ablation combined with AMD3100 in mice.
- Assessing hematopoietic stem cell mobilization efficiency.
Main Results:
- The combination of alpha4-integrin and CXCR4 blockade resulted in additive stem cell mobilization effects in both macaques and mice.
- Single-agent blockade provided modest, though reproducible, mobilization.
- The combination strategy demonstrated enhanced efficacy compared to individual approaches.
Conclusions:
- Combined blockade of alpha4-integrin and CXCR4 offers an additive effect for stem cell mobilization.
- Small-molecule alpha4-antagonists combined with AMD3100 represent a potential cytokine-free alternative for clinical stem cell mobilization.
- Further development of small-molecule alpha4-antagonists is warranted for clinical application.
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