Abstract

Chemokines are chemotactic cytokines that promote cancer growth, metastasis, and regulate resistance to chemotherapy. Stromal cell-derived factor 1 (SDF1) also known as C-X-C motif chemokine 12 (CXCL12), a prognostic factor, is an extracellular homeostatic chemokine that is the natural ligand for chemokine receptors C-X-C chemokine receptor type 4 (CXCR4), also known as fusin or cluster of differentiation 184 (CD184) and chemokine receptor type 7 (CXCR7). CXCR4 is the most widely expressed rhodopsin-like G protein coupled chemokine receptor (GPCR). The CXCL12–CXCR4 axis is involved in tumor growth, invasion, angiogenesis, and metastasis in colorectal cancer (CRC). CXCR7, recently termed as atypical chemokine receptor 3 (ACKR3), is amongst the G protein coupled cell surface receptor family that is also commonly expressed in a large variety of cancer cells. CXCR7, like CXCR4, regulates immunity, angiogenesis, stem cell trafficking, cell growth and organ-specific metastases. CXCR4 and CXCR7 are expressed individually or together, depending on the tumor type. When expressed together, CXCR4 and CXCR7 can form homo- or hetero-dimers. Homo- and hetero-dimerization of CXCL12 and its receptors CXCR4 and CXCR7 alter their signaling activity. Only few drugs have been approved for clinical use targeting CXCL12-CXCR4/CXCR7 axis. Several CXCR4 inhibitors are in clinical trials for solid tumor treatment with limited success whereas CXCR7-specific inhibitors are still in preclinical studies for CRC. This review focuses on current knowledge of chemokine CXCL12 and its receptors CXCR4 and CXCR7, with emphasis on targeting the CXCL12–CXCR4/CXCR7 axis as a treatment strategy for CRC.

Highlights

  • The incidence and mortality rates of colorectal cancer (CRC) vary remarkably around the world

  • Recent review articles related to C-X-C motif chemokine ligand 12 (CXCL12)-chemokine receptor type 4 (CXCR4)/ chemokine receptor type 7 (CXCR7) axis are focused on cancers in general, our focus in this review is to summarize the role of this axis in CRC progression and metastasis

  • Based on recent research that the CXCL12–CXC chemokine receptor 4 (CXCR4)/CXC receptor 7 (CXCR7) axis is involved in survival, tumor growth, angiogenesis, metastasis, tumor microenvironment (TME), and drug resistance, it is considered a promising target for therapeutic intervention

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Summary

Introduction

The incidence and mortality rates of colorectal cancer (CRC) vary remarkably around the world. Cancers are comprised of transformed cells and non-malignant cells including cancerassociated fibroblasts (CAF), endothelial vasculature cells and tumor infiltrating cells (T-cells, macrophages, and neutrophils) These nonmalignant cells, as well as soluble factors (cytokines and growth factors (GF)), and the extracellular matrix form the tumor microenvironment (TME) [6,7]. Coupling of one of the intracellular loops of the receptor to G-proteins mediates receptor binding to the ligand followed by activation of a series of signal transduction pathways [18] Based on their chemokine ligands, chemokine receptors are divided into two subfamilies: conventional chemokine receptors (cCKR) and atypical chemokine receptors (ACKR) [19]. Structures of ACKRs are highly homologous to conventional GPCRs, except that the atypical receptors do not induce chemotaxis [19] Rather, these ACKRs regulate intracellular storage, extracellular bioavailability, and distribution of chemokines in polarized cells [27]

Chemokine CXCL12
CXCL12-CXCR7 Axis
CXCR4 and CXCR7 Interactions
Therapeutics in Preclinical and Clinical Trials
Findings
Conclusions

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