View source for CXCR4

{{cs1 config|name-list-style=vanc}}
{{short description|Protein}}
{{Infobox_gene}}

'''C-X-C chemokine receptor type 4''' ('''CXCR-4''') also known as '''fusin''' or '''CD184''' (cluster of differentiation 184) is a [[protein]] that in humans is encoded by the ''CXCR4'' [[gene]].<ref name="pmid9379028">{{cite journal | vauthors = Moriuchi M, Moriuchi H, Turner W, Fauci AS | title = Cloning and analysis of The sigma gene the promoter region of CXCR4, a coreceptor for HIV-1 entry | journal = Journal of Immunology | volume = 159 | issue = 9 | pages = 4322–9 | date = November 1997 | doi = 10.4049/jimmunol.159.9.4322 | pmid = 9379028 | s2cid = 36552134 | doi-access = free }}</ref><ref name="pmid9599023">{{cite journal | vauthors = Caruz A, Samsom M, Alonso JM, Alcami J, Baleux F, Virelizier JL, Parmentier M, Arenzana-Seisdedos F | title = Genomic organization and promoter characterization of human CXCR4 gene | journal = FEBS Letters | volume = 426 | issue = 2 | pages = 271–8 | date = April 1998 | pmid = 9599023 | doi = 10.1016/S0014-5793(98)00359-7 | s2cid = 36571818 | doi-access = free }}</ref> The protein is a [[CXC chemokine receptor]].<ref>{{cite web|url=https://www.genenames.org/data/genegroup/#!/group/1094|title=Gene group: C-X-C motif chemokine receptors (CXCR)|publisher=[[HUGO Gene Nomenclature Committee]] }}</ref>

== Function ==

CXCR-4 is an alpha-[[chemokine]] receptor specific for stromal-derived-factor-1 ([[Stromal cell-derived factor-1|SDF-1]] also called CXCL12), a molecule endowed with potent [[chemotactic]] activity for [[lymphocytes]]. CXCR4 is one of several chemokine co-receptors that [[HIV]] can use to infect CD4+ [[T cells]].  HIV [[Genetic isolate|isolates]] that use CXCR4 are traditionally known as [[HIV tropism|T-cell tropic]] isolates.  Typically, these viruses are found late in infection.  It is unclear as to whether the emergence of CXCR4-using HIV is a consequence or a cause of [[immunodeficiency]].{{citation needed|date=August 2023}}

CXCR4 is [[upregulated]] during the implantation window in natural and [[hormone replacement therapy]] cycles in the endometrium, producing, in presence of a human [[blastocyst]], a surface polarization of the CXCR4 receptors suggesting that this receptor is implicated in the adhesion phase of human [[Implantation (human embryo)|implantation]].{{citation needed|date=August 2023}}

CXCR4's [[ligand]] [[Stromal cell-derived factor-1|SDF-1]] is known to be important in [[hematopoietic stem cell]] homing to the bone marrow and in hematopoietic stem cell [[wikt:quiescence|quiescence]]. It has been also shown that CXCR4 signalling regulates the expression of CD20 on B cells. Until recently, SDF-1 and CXCR4 were believed to be a relatively monogamous ligand-receptor pair (other chemokines are promiscuous, tending to use several different chemokine receptors).  Recent evidence demonstrates ubiquitin is also a natural ligand of CXCR4.<ref name="pmid20228059">{{cite journal | vauthors = Saini V, Marchese A, Majetschak M | title = CXC chemokine receptor 4 is a cell surface receptor for extracellular ubiquitin | journal = The Journal of Biological Chemistry | volume = 285 | issue = 20 | pages = 15566–76 | date = May 2010 | pmid = 20228059 | pmc = 2865327 | doi = 10.1074/jbc.M110.103408 | doi-access = free }}</ref>  [[Ubiquitin]] is a small (76-amino acid) protein  highly conserved among eukaryotic cells.  It is best known for its intracellular role in targeting ubiquitylated proteins for degradation via the ubiquitin proteasome system.  Evidence in numerous animal models suggests ubiquitin is anti-inflammatory immune modulator and endogenous opponent of proinflammatory [[damage associated molecular pattern]] molecules.<ref name="pmid20689098">{{cite journal | vauthors = Majetschak M | title = Extracellular ubiquitin: immune modulator and endogenous opponent of damage-associated molecular pattern molecules | journal = Journal of Leukocyte Biology | volume = 89 | issue = 2 | pages = 205–19 | date = February 2011 | pmid = 20689098 | doi = 10.1189/jlb.0510316 | s2cid = 24072570 | doi-access = free }}</ref> It is speculated this interaction may be through CXCR4 mediated signalling pathways. [[Macrophage migration inhibitory factor|MIF]] is an additional ligand of CXCR4.<ref name="pmid17435771">{{cite journal | vauthors = Bernhagen J, Krohn R, Lue H, Gregory JL, Zernecke A, Koenen RR, Dewor M, Georgiev I, Schober A, Leng L, Kooistra T, Fingerle-Rowson G, Ghezzi P, Kleemann R, McColl SR, Bucala R, Hickey MJ, Weber C | title = MIF is a noncognate ligand of CXC chemokine receptors in inflammatory and atherogenic cell recruitment | journal = Nature Medicine | volume = 13 | issue = 5 | pages = 587–96 | date = May 2007 | pmid = 17435771 | doi = 10.1038/nm1567 | s2cid = 23194228 }}</ref>

CXCR4 is present in newly generated neurons during embryogenesis and adult life where it plays a role in neuronal guidance. The levels of the receptor decrease as neurons mature. CXCR4 mutant mice have aberrant neuronal distribution. This has been implicated in disorders such as epilepsy.<ref name="pmid12183377">{{cite journal | vauthors = Bagri A, Gurney T, He X, Zou YR, Littman DR, Tessier-Lavigne M, Pleasure SJ | title = The chemokine SDF1 regulates migration of dentate granule cells | journal = Development | volume = 129 | issue = 18 | pages = 4249–60 | date = September 2002 | doi = 10.1242/dev.129.18.4249 | pmid = 12183377 | url = http://dev.biologists.org/content/129/18/4249.abstract | url-access = subscription }}</ref>

CXCR4 [[Protein dimer|dimerization]] is dynamic and increases with concentration.<ref name="IşbilirMöller2020">{{cite journal | vauthors = Işbilir A, Möller J, Arimont M, Bobkov V, Perpiñá-Viciano C, Hoffmann C, Inoue A, Heukers R, de Graaf C, Smit MJ, Annibale P, Lohse MJ | display-authors = 6 | title = Advanced fluorescence microscopy reveals disruption of dynamic CXCR4 dimerization by subpocket-specific inverse agonists | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 117 | issue = 46 | pages = 29144–29154 | date = November 2020 | pmid = 33148803 | doi = 10.1073/pnas.2013319117 | pmc = 7682396 | bibcode = 2020PNAS..11729144I | doi-access = free }}</ref>

== Clinical significance ==

Drugs that block the CXCR4 receptor appear to be capable of "mobilizing" hematopoietic stem cells into the bloodstream as [[peripheral blood stem cells]]. Peripheral blood stem cell mobilization is very important in [[hematopoietic stem cell transplantation]] (as a recent  alternative to transplantation of surgically harvested [[bone marrow]]) and is currently performed using drugs such as [[G-CSF]]. [[G-CSF]] is a growth factor for [[neutrophils]] (a common type of white blood cells), and may act by increasing the activity of neutrophil-derived proteases such as [[neutrophil elastase]] in the bone marrow leading to proteolytic degradation of SDF-1. [[Plerixafor]] (AMD3100) is a drug, approved for routine clinical use,<ref name="pmid21832280">{{cite journal | vauthors = To LB, Levesque JP, Herbert KE | s2cid = 2543277 | title = How I treat patients who mobilize hematopoietic stem cells poorly | journal = Blood | volume = 118 | issue = 17 | pages = 4530–40 | date = October 2011 | pmid = 21832280 | doi = 10.1182/blood-2011-06-318220 | doi-access = free }}</ref> which directly blocks the CXCR4 receptor. It is a very efficient inducer of [[hematopoietic stem cell]] mobilization in animal and human studies. In a small human clinical trial to evaluate the safety and efficacy of fucoidan ingestion (brown seaweed extract), 3g daily of 75% w/w oral fucoidan for 12 days increased the proportion of CD34+CXCR4+ from 45 to 90% and the serum SDF-1 levels, which could be useful in CD34+ cells homing/mobilization via SDF-1/CXCR4 axis.<ref>{{cite journal | vauthors = Irhimeh MR, Fitton JH, Lowenthal RM | title = Fucoidan ingestion increases the expression of CXCR4 on human CD34+ cells | journal = Experimental Hematology | volume = 35 | issue = 6 | pages = 989–94 | date = June 2007 | pmid = 17533053 | doi = 10.1016/j.exphem.2007.02.009 | doi-access = free }}</ref>

It has been associated with [[WHIM syndrome]].<ref name="pmid18274673">{{cite journal | vauthors = Balabanian K, Levoye A, Klemm L, Lagane B, Hermine O, Harriague J, Baleux F, Arenzana-Seisdedos F, Bachelerie F | title = Leukocyte analysis from WHIM syndrome patients reveals a pivotal role for GRK3 in CXCR4 signaling | journal = The Journal of Clinical Investigation | volume = 118 | issue = 3 | pages = 1074–84 | date = March 2008 | pmid = 18274673 | pmc = 2242619 | doi = 10.1172/JCI33187 }}</ref> WHIM like mutations in CXCR4 were recently identified in patients with [[Waldenström's macroglobulinemia]], a B-cell malignancy.<ref name="pmid24366360">{{cite journal | vauthors = Hunter ZR, Xu L, Yang G, Zhou Y, Liu X, Cao Y, Manning RJ, Tripsas C, Patterson CJ, Sheehy P, Treon SP | title = The genomic landscape of Waldenstrom macroglobulinemia is characterized by highly recurring MYD88 and WHIM-like CXCR4 mutations, and small somatic deletions associated with B-cell lymphomagenesis | journal = Blood | volume = 123 | issue = 11 | pages = 1637–46 | date = March 2014 | pmid = 24366360 | doi = 10.1182/blood-2013-09-525808 | doi-access = free }}</ref> The presence of CXCR4 WHIM mutations has been associated with clinical resistance to ibrutinib in patients with Waldenström's macroglobulinemia.<ref>{{cite journal | vauthors = Treon SP, Tripsas CK, Meid K, Warren D, Varma G, Green R ''et al'' | year = 2015 | title = Ibrutinib in previously treated Waldenstrom macroglobulinemia | doi = 10.1056/NEJMoa1501548| pmid = 25853747 | journal = N. Engl. J. Med. | volume = 372 | issue = 15| pages = 1430–40 | doi-access = free }}</ref>

While CXCR4's expression is low or absent in many healthy tissues, it was demonstrated to be expressed in over 23 types of cancer, including breast cancer, ovarian cancer, melanoma, and prostate cancer. Expression of this receptor in cancer cells has been linked to metastasis to tissues containing a high concentration of CXCL12, such as lungs, liver and bone marrow.<ref name="pmid20839032">{{cite journal | vauthors = Sun X, Cheng G, Hao M, Zheng J, Zhou X, Zhang J, Taichman RS, Pienta KJ, Wang J | title = CXCL12 / CXCR4 / CXCR7 chemokine axis and cancer progression | journal = Cancer and Metastasis Reviews | volume = 29 | issue = 4 | pages = 709–22 | date = December 2010 | pmid = 20839032 | pmc = 3175097 | doi = 10.1007/s10555-010-9256-x }}</ref><ref name="pmid15229479">{{cite journal | vauthors = Balkwill F | title = Cancer and the chemokine network | journal = Nature Reviews. Cancer | volume = 4 | issue = 7 | pages = 540–50 | date = July 2004 | pmid = 15229479 | doi = 10.1038/nrc1388 | s2cid = 205467365 }}</ref> However, in breast cancer where SDF1/CXCL12 is also expressed by the cancer cells themselves along with CXCR4, CXCL12 expression is positively correlated with disease free (metastasis free) survival. CXCL12 (over-)expressing cancers might not sense the CXCL12 gradient released from the metastasis target tissues since the receptor, CXCR4, is saturated with the ligand produced in an autocrine manner.<ref name="pmid19646861">{{cite journal | vauthors = Mirisola V, Zuccarino A, Bachmeier BE, Sormani MP, Falter J, Nerlich A, Pfeffer U | title = CXCL12/SDF1 expression by breast cancers is an independent prognostic marker of disease-free and overall survival | journal = European Journal of Cancer | volume = 45 | issue = 14 | pages = 2579–87 | date = September 2009 | pmid = 19646861 | doi = 10.1016/j.ejca.2009.06.026 }}</ref> Another explanation of this observation is provided by a study that shows the ability of CXCL12 (and  [[CCL2]]) producing tumors to entrain [[neutrophils]] that inhibit seeding of tumor cells in the lung.<ref name="pmid21907922">{{cite journal | vauthors = Granot Z, Henke E, Comen EA, King TA, Norton L, Benezra R | title = Tumor entrained neutrophils inhibit seeding in the premetastatic lung | journal = Cancer Cell | volume = 20 | issue = 3 | pages = 300–14 | date = September 2011 | pmid = 21907922 | pmc = 3172582 | doi = 10.1016/j.ccr.2011.08.012 }}</ref>

== Drug response ==
Chronic exposure to [[THC]] has been shown to increase [[T lymphocyte]] CXCR4 expression on both CD4+ and CD8+ T lymphocytes in rhesus macaques.<ref>{{cite journal | vauthors = LeCapitaine NJ, Zhang P, Winsauer P, Walker E, Vande Stouwe C, Porretta C, Molina PE | title = Chronic Δ-9-tetrahydrocannabinol administration increases lymphocyte CXCR4 expression in rhesus macaques | journal = Journal of Neuroimmune Pharmacology | volume = 6 | issue = 4 | pages = 540–5 | date = December 2011 | pmid = 21484257 | pmc = 3181271 | doi = 10.1007/s11481-011-9277-4 }}</ref> It has been shown that BCR signalling inhibitors also affect CXCR4 pathway and thus CD20 expression.{{cn|date=July 2024}}

== Interactions ==

CXCR4 has been shown to [[Protein-protein interaction|interact]] with [[USP14]].<ref name="pmid19106094">{{cite journal | vauthors = Mines MA, Goodwin JS, Limbird LE, Cui FF, Fan GH | title = Deubiquitination of CXCR4 by USP14 is critical for both CXCL12-induced CXCR4 degradation and chemotaxis but not ERK activation | journal = The Journal of Biological Chemistry | volume = 284 | issue = 9 | pages = 5742–52 | date = February 2009 | pmid = 19106094 | pmc = 2645827 | doi = 10.1074/jbc.M808507200 | doi-access = free }}</ref>

== See also ==
* [[CXCR4 antagonist]]
* [[HIV tropism]]
* [[Entry inhibitor]]
* [[Discovery and development of CCR5 receptor antagonists]]

== References ==
{{Reflist|35em}}

== Further reading ==
{{refbegin|35em}}
* {{cite journal | vauthors = Wilkinson D | title = Cofactors provide the entry keys. HIV-1 | journal = Current Biology | volume = 6 | issue = 9 | pages = 1051–3 | date = September 1996 | pmid = 8805353 | doi = 10.1016/S0960-9822(02)70661-1 | s2cid = 18710567 | doi-access = free }}
* {{cite journal | vauthors = Broder CC, Dimitrov DS | title = HIV and the 7-transmembrane domain receptors | journal = Pathobiology | volume = 64 | issue = 4 | pages = 171–9 | year = 1996 | pmid = 9031325 | doi = 10.1159/000164032 | url = https://zenodo.org/record/1235430 }}
* {{cite journal | vauthors = Choe H, Martin KA, Farzan M, Sodroski J, Gerard NP, Gerard C | title = Structural interactions between chemokine receptors, gp120 Env and CD4 | journal = Seminars in Immunology | volume = 10 | issue = 3 | pages = 249–57 | date = June 1998 | pmid = 9653051 | doi = 10.1006/smim.1998.0127 }}
* {{cite journal | vauthors = Freedman BD, Liu QH, Del Corno M, Collman RG | title = HIV-1 gp120 chemokine receptor-mediated signaling in human macrophages | journal = Immunologic Research | volume = 27 | issue = 2–3 | pages = 261–76 | year = 2003 | pmid = 12857973 | doi = 10.1385/IR:27:2-3:261 | s2cid = 32006625 }}
* {{cite journal | vauthors = Esté JA | title = Virus entry as a target for anti-HIV intervention | journal = Current Medicinal Chemistry | volume = 10 | issue = 17 | pages = 1617–32 | date = September 2003 | pmid = 12871111 | doi = 10.2174/0929867033457098 }}
* {{cite journal | vauthors = Gallo SA, Finnegan CM, Viard M, Raviv Y, Dimitrov A, Rawat SS, Puri A, Durell S, Blumenthal R | title = The HIV Env-mediated fusion reaction | journal = Biochimica et Biophysica Acta (BBA) - Biomembranes | volume = 1614 | issue = 1 | pages = 36–50 | date = July 2003 | pmid = 12873764 | doi = 10.1016/S0005-2736(03)00161-5 | doi-access = free }}
* {{cite journal | vauthors = Zaitseva M, Peden K, Golding H | title = HIV coreceptors: role of structure, posttranslational modifications, and internalization in viral-cell fusion and as targets for entry inhibitors | journal = Biochimica et Biophysica Acta (BBA) - Biomembranes | volume = 1614 | issue = 1 | pages = 51–61 | date = July 2003 | pmid = 12873765 | doi = 10.1016/S0005-2736(03)00162-7 | doi-access = free }}
* {{cite journal | vauthors = Lee C, Liu QH, Tomkowicz B, Yi Y, Freedman BD, Collman RG | s2cid = 11362623 | title = Macrophage activation through CCR5- and CXCR4-mediated gp120-elicited signaling pathways | journal = Journal of Leukocyte Biology | volume = 74 | issue = 5 | pages = 676–82 | date = November 2003 | pmid = 12960231 | doi = 10.1189/jlb.0503206 | doi-access = free }}
* {{cite journal | vauthors = Yi Y, Lee C, Liu QH, Freedman BD, Collman RG | title = Chemokine receptor utilization and macrophage signaling by human immunodeficiency virus type 1 gp120: Implications for neuropathogenesis | journal = Journal of Neurovirology | volume = 10 | pages = 91–6 | year = 2004 | pmid = 14982745 | doi = 10.1080/753312758 | series = 10 | issue = Suppl 1 | s2cid = 9065929 }}
* {{cite journal | vauthors = Seibert C, Sakmar TP | title = Small-molecule antagonists of CCR5 and CXCR4: a promising new class of anti-HIV-1 drugs | journal = Current Pharmaceutical Design | volume = 10 | issue = 17 | pages = 2041–62 | year = 2004 | pmid = 15279544 | doi = 10.2174/1381612043384312 }}
* {{cite journal | vauthors = Perfettini JL, Castedo M, Roumier T, Andreau K, Nardacci R, Piacentini M, Kroemer G | title = Mechanisms of apoptosis induction by the HIV-1 envelope | journal = Cell Death and Differentiation | volume = 12 | pages = 916–23 | date = August 2005 | pmid = 15719026 | doi = 10.1038/sj.cdd.4401584 | series = 12 | issue = Suppl 1 | doi-access = free }}
* {{cite journal | vauthors = King JE, Eugenin EA, Buckner CM, Berman JW | title = HIV tat and neurotoxicity | journal = Microbes and Infection / Institut Pasteur | volume = 8 | issue = 5 | pages = 1347–57 | date = April 2006 | pmid = 16697675 | doi = 10.1016/j.micinf.2005.11.014 | doi-access = free }}
* {{cite journal | vauthors = Kryczek I, Wei S, Keller E, Liu R, Zou W | s2cid = 7423893 | title = Stroma-derived factor (SDF-1/CXCL12) and human tumor pathogenesis | journal = American Journal of Physiology. Cell Physiology | volume = 292 | issue = 3 | pages = C987-95 | date = March 2007 | pmid = 16943240 | doi = 10.1152/ajpcell.00406.2006 }}
* {{cite journal | vauthors = Arya M, Ahmed H, Silhi N, Williamson M, Patel HR | title = Clinical importance and therapeutic implications of the pivotal CXCL12-CXCR4 (chemokine ligand-receptor) interaction in cancer cell migration | journal = Tumour Biology | volume = 28 | issue = 3 | pages = 123–31 | year = 2007 | pmid = 17510563 | doi = 10.1159/000102979 | s2cid = 44356923 }}
* {{cite journal | vauthors = Grange JM | title = Tuberculosis: the changing tubercle | journal = British Journal of Hospital Medicine | volume = 22 | issue = 6 | pages = 540–8 | date = December 1979 | pmid = 118789 }}
* {{cite journal | vauthors = Nomura H, Nielsen BW, Matsushima K | title = Molecular cloning of cDNAs encoding a LD78 receptor and putative leukocyte chemotactic peptide receptors | journal = [[International Immunology]] | volume = 5 | issue = 10 | pages = 1239–49 | date = October 1993 | pmid = 7505609 | doi = 10.1093/intimm/5.10.1239 }}
* {{cite journal | vauthors = Lu ZH, Wang ZX, Horuk R, Hesselgesser J, Lou YC, Hadley TJ, Peiper SC | title = The promiscuous chemokine binding profile of the Duffy antigen/receptor for chemokines is primarily localized to sequences in the amino-terminal domain | journal = The Journal of Biological Chemistry | volume = 270 | issue = 44 | pages = 26239–45 | date = November 1995 | pmid = 7592830 | doi = 10.1074/jbc.270.44.26239 | doi-access = free }}
* {{cite journal | vauthors = Jazin EE, Yoo H, Blomqvist AG, Yee F, Weng G, Walker MW, Salon J, Larhammar D, Wahlestedt C | title = A proposed bovine neuropeptide Y (NPY) receptor cDNA clone, or its human homologue, confers neither NPY binding sites nor NPY responsiveness on transfected cells | journal = Regulatory Peptides | volume = 47 | issue = 3 | pages = 247–58 | date = September 1993 | pmid = 8234909 | doi = 10.1016/0167-0115(93)90392-L | s2cid = 25271767 }}
* {{cite journal | vauthors = Loetscher M, Geiser T, O'Reilly T, Zwahlen R, Baggiolini M, Moser B | title = Cloning of a human seven-transmembrane domain receptor, LESTR, that is highly expressed in leukocytes | journal = The Journal of Biological Chemistry | volume = 269 | issue = 1 | pages = 232–7 | date = January 1994 | doi = 10.1016/S0021-9258(17)42339-8 | pmid = 8276799 | doi-access = free }}
* {{cite journal | vauthors = Wang J, Liu X, Lu H, Jiang C, Cui X, Yu L, Fu X, Li Q, Wang J | title = CXCR4(+)CD45(-) BMMNC subpopulation is superior to unfractionated BMMNCs for protection after ischemic stroke in mice | journal = Brain, Behavior, and Immunity | volume = 45 | pages = 98–108 | date = March 2015 | pmid = 25526817 | pmc = 4342301 | doi = 10.1016/j.bbi.2014.12.015 }}
* {{cite journal | vauthors = Federsppiel B, Melhado IG, Duncan AM, Delaney A, Schappert K, Clark-Lewis I, Jirik FR | title = Molecular cloning of the cDNA and chromosomal localization of the gene for a putative seven-transmembrane segment (7-TMS) receptor isolated from human spleen | journal = Genomics | volume = 16 | issue = 3 | pages = 707–12 | date = June 1993 | pmid = 8325644 | doi = 10.1006/geno.1993.1251 }}
* {{cite journal | vauthors = Arimont A, Sun S, Smit MJ, Leurs R, de Esch IJ, de Graaf C | title = Structural Analysis of Chemokine Receptor-Ligand Interactions | journal = J Med Chem | volume = 60 | issue = 12 | pages = 4735–4779 | year = 2017 | pmid = 28165741 | doi = 10.1021/acs.jmedchem.6b01309 | pmc = 5483895 }}
{{refend}}

== External links ==
* {{cite web | url = http://www.iuphar-db.org/GPCR/ReceptorDisplayForward?receptorID=2216 | title = Chemokine Receptors: CXCR4 | work = IUPHAR Database of Receptors and Ion Channels | publisher = International Union of Basic and Clinical Pharmacology }}
* {{UCSC gene info|CXCR4}}
* {{UCSC gene info|LAP3}}
* {{PDBe-KB2|P61073|C-X-C chemokine receptor type 4}}

{{Chemokine receptors}}
{{clusters of differentiation}}
{{Chemokine receptor modulators}}

{{DEFAULTSORT:Cxcr4}}
[[Category:Chemokine receptors]]