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Blood, 1 October 2009, Vol. 114, No. 14, pp. 2961-2968.
Prepublished online as a Blood First Edition Paper on August 5, 2009; DOI 10.1182/blood-2008-11-189308.


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LYMPHOID NEOPLASIA

Inhibition of the SDF-1{alpha}–CXCR4 axis by the CXCR4 antagonist AMD3100 suppresses the migration of cultured cells from ATL patients and murine lymphoblastoid cells from HTLV-I Tax transgenic mice

Akira Kawaguchi13, Yasuko Orba1,3, Takashi Kimura1, Hidekatsu Iha4, Masao Ogata5, Takahiro Tsuji2, Akira Ainai2,6, Tetsutaro Sata2, Takashi Okamoto7, William W. Hall8, Hirofumi Sawa1,3, and Hideki Hasegawa2,6

1 Department of Molecular Pathobiology, Research Center for Zoonosis Control, Hokkaido University, Hokkaido, Japan; 2 Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan; 3 Global COE Program, Hokkaido University, Hokkaido, Japan; 4 Department of Infectious Diseases, Oita University Faculty of Medicine, Oita, Japan; 5 Blood Transfusion Center, Oita University Hospital, Oita, Japan; 6 Center for Influenza Virus Research, National Institute of Infectious Diseases, Tokyo, Japan; 7 Department of Molecular and Cellular Biology, Nagoya City University Graduate School of Medical Sciences, Nagoya City, Japan; and 8 Centre for Research in Infectious Diseases, University College Dublin, Dublin, Ireland

Adult T-cell leukemia (ATL) is a T-cell malignancy caused by human T lymphotropic virus type I, and presents as an aggressive leukemia with characteristic widespread leukemic cell infiltration into visceral organs and skin. The molecular mechanisms associated with leukemic cell infiltration are poorly understood. We have used mouse models of ATL to investigate the role of chemokines in this process. Transfer of splenic lymphomatous cells from transgenic to SCID mice reproduces a leukemia and lymphoma that is histologically identical to human disease. It could be shown that lymphomatous cells exhibit specific chemotactic activity in response to stromal cell–derived factor-1{alpha} (SDF-1{alpha}). Lymphomatous cells exhibited surface expression of CXCR4, the specific receptor of SDF-1{alpha}. AMD3100, a CXCR4 antagonist, was found to inhibit both SDF-1{alpha}–induced migration and phosphorylation of extracellular signal-related kinase 1/2. Investigation of cultured cells from human ATL patients revealed identical findings. Using the SCID mouse model, it could be demonstrated that AMD3100 inhibited infiltration of lymphomatous cells into liver and lung tissues in vivo. These results demonstrate the involvement of the SDF-1{alpha}/CXCR4 interaction as one mechanism of leukemic cell migration and this may provide a novel target as part of combination therapy for ATL.


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