Pathological roles of the homeostatic chemokine CXCL12
Rik Janssens1, Sofie Struyf1, Paul Proost1
1KU Leuven, University of Leuven, Department of Microbiology and Immunology, Rega Institute for Medical Research, Laboratory of Molecular Immunology, B-3000 Leuven, Belgium.
Insights
The CXCL12/CXCR4/ACKR3 axis plays a dual role in health and disease. While crucial for normal body functions, its dysregulation contributes to various pathologies, but targeting this axis can offer therapeutic benefits.
Area of Science:
- Immunology
- Molecular Biology
- Pathology
Background:
- Chemokine CXCL12 (CXCL12) is traditionally viewed as a homeostatic chemokine vital for embryogenesis, hematopoiesis, and angiogenesis.
- Aberrant CXCL12 expression, including specific splicing variants, and its receptors CXC chemokine receptor 4 (CXCR4) and atypical chemokine receptor 3 (ACKR3), are implicated in various diseases.
- Posttranslational modifications of CXCL12 during disease further complicate its role by altering its activity.
Purpose of the Study:
- To review the multifaceted role of the CXCL12/CXCR4/ACKR3 signaling axis in prevalent human pathologies.
- To explore the therapeutic potential of targeting this axis in disease treatment and prevention.
Main Methods:
- Literature review of studies investigating the CXCL12/CXCR4/ACKR3 axis in various diseases.
- Analysis of therapeutic strategies involving CXCL12-neutralizing antibodies and antagonists of CXCR4 or ACKR3.
Main Results:
- The CXCL12/CXCR4/ACKR3 axis is involved in numerous pathologies, including cancer, viral infections, inflammatory and autoimmune diseases, and neurological disorders.
- Targeting this axis with neutralizing antibodies or small-molecule antagonists has shown promise in delaying disease onset or progression in several conditions.
- Conversely, CXCL12 exhibits protective roles in neurodegenerative diseases like Alzheimer's and multiple sclerosis, and aids in wound healing.
Conclusions:
- The CXCL12/CXCR4/ACKR3 axis presents a complex dichotomy, acting as both a driver of pathology and a mediator of protective functions.
- Targeting this axis offers a promising therapeutic avenue for a range of diseases, though its beneficial roles in certain conditions must also be considered.
Abstract:
CXCL12 is a CXC chemokine that traditionally has been classified as a homeostatic chemokine. It contributes to physiological processes such as embryogenesis, hematopoiesis and angiogenesis. In contrast to these homeostatic functions, increased expression of CXCL12 in general, or of a specific CXCL12 splicing variant has been demonstrated in various pathologies. In addition to this increased or differential transcription of CXCL12, also upregulation of its receptors CXC chemokine receptor 4 (CXCR4) and atypical chemokine receptor 3 (ACKR3) contributes to the onset or progression of diseases. Moreover, posttranslational modification of CXCL12 during disease progression, through interaction with locally produced molecules or enzymes, also affects CXCL12 activity, adding further complexity. As CXCL12, CXCR4 and ACKR3 are broadly expressed, the number of pathologies wherein CXCL12 is involved is growing. In this review, the role of the CXCL12/CXCR4/ACKR3 axis will be discussed for the most prevalent pathologies. Administration of CXCL12-neutralizing antibodies or small-molecule antagonists of CXCR4 or ACKR3 delays disease onset or prevents disease progression in cancer, viral infections, inflammatory bowel diseases, rheumatoid arthritis and osteoarthritis, asthma and acute lung injury, amyotrophic lateral sclerosis and WHIM syndrome. On the other hand, CXCL12 has protective properties in Alzheimer's disease and multiple sclerosis, has a beneficial role in wound healing and has crucial homeostatic properties in general.
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