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Blood, 1 September 2005, Vol. 106, No. 5, pp. 1824-1830.
Prepublished online as a Blood First Edition Paper on May 19, 2005; DOI 10.1182/blood-2004-12-4918.
Previous Article | Next Article 
Submitted January 4, 2005
Accepted May 9, 2005
Small peptide inhibitors of the CXCR4 chemokine receptor (CD184) antagonize the activation, migration and antiapoptotic responses of CXCL12 in chronic lymphocytic leukemia B cells
Meike Burger, Tanja Hartmann, Myriam Krome, Justyna Rawluk, Hirokazu Tamamura, Nobutaka Fujii, Thomas J Kipps, and Jan A Burger*
Division of Hematology/Oncology, Department of Medicine, Freiburg University Hospital, Freiburg, Germany
Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan
Division of Hematology/Oncology, Department of Medicine, University of California, San Diego, California, USA
* Corresponding author; email: burger{at}mm11.ukl.uni-freiburg.de.
Growth and survival of chronic lymphocytic leukemia (CLL) B cells are favored by interactions between CLL B cells and nontumoral accessory cells. CLL B cells express high levels of CXCR4 chemokine receptors (CD184) that direct leukemia cell chemotaxis. Marrow stromal cells or nurselike cells (NLC) constitutively secrete CXCL12, the ligand for CXCR4, thereby attract CLL B cells, and rescue CLL cells from apoptosis in a contact-dependent fashion. The CXCR4-CXCL12 axis therefore represents a potential therapeutic target in patients with this disease. We evaluated the most active CXCR4-specific antagonist T140, and its analogs TC14012, and TN14003 for their relative capacity to inhibit CXCL12 responses in CLL cells. T140, or its analogs, inhibited actin polymerization, leukemia-cell chemotaxis, and migration of CLL cells beneath marrow stromal cells. CXCL12-induced phosphorylation of p44/42 MAP kinase-(ERK1/2) and STAT3 phosphorylation was abolished by pre-treatment of CLL cells with such CXCR4 antagonists. TC14012 and TN14003 antagonized the anti-apoptotic effect of synthetic CXCL12 and stromal cell-mediated protection of CLL cells from spontaneous apoptosis. Furthermore, we found that culture of CLL cells on marrow stromal cells protected CLL cells from chemotherapy-induced apoptosis. Treatment with CXCR4 antagonists re-sensitized CLL cells cultured with stromal cells to fludarabine monophosphate-induced apoptosis. These findings demonstrate that CXCR4 blocking agents effectively antagonize CXCL12-induced migratory and signaling responses, and stromal protection of CLL cells from spontaneous or fludarabine-monophosphate induced apoptosis. As such, small molecular CXCR4 antagonits alone or in combination with other agents may have activity in the treatment of patients with this disease.

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