Review Article

CXCR4 in Cancer and Its Regulation by PPARγ

Table 1

Involvement of CXCL12/CXCR4 in different cancers.

CancerCommentsReferences

Acute lymphoblastic leukemiaLevels of CXCR4 are elevated on lymphoblasts. Elevated levels of CXCR4 are associated with increased infiltration in liver and spleen[58]

Acute myelogenous leukemiaHigh CXCR4 expression is associated with relapse and reduced survival[59]

Brain cancerCXCR4 expression is demonstrated in tissues and cell lines derived from glioblastoma, medulloblastoma, and astrocytoma. Cell lines respond to CXCL12 with increased proliferation, survival and migration. Gliomas expressing CXCR4 are associated with increased tumor size and reduced survival[41, 6064]

Breast cancerHigh CXCR4 expression is noted in breast cancer tissues compared to normal tissues and cell lines with invasive characteristics. CXCR4 expression is associated with more extensive lymph node metastasis and with liver metastasis, although CXCR4 expression in lymph node metastases may be lower than primary cancers. CXCR4 co-expression with HER2/neu is an indicator of more extensive lymph node involvement[25, 28, 6567]

Cervical cancerCXCR4 expression is associated with increased tumor size, stromal invasion, lymph node metastasis, and reduced survival[68]

Chronic lymphocytic leukemiaMalignant B cells express 3- to 4-fold higher cell-surface CXCR4 levels than normal B cells. High CXCR4 expression on B cells is associated with reduced survival in patients with familial chronic lymphocytic leukemia[69, 70]

Colorectal cancerCXCR4 is over-expressed in colorectal carcinoma tissues compared to normal tissues, and on certain established cell lines. In patients with liver metastasis, higher CXCR4 expression is found on liver metastases compared to the primary tumor. In patients with stage I/II disease, high CXCR4 mRNA expression in tumor samples is associated with increased disease recurrence. In patients with stage IV disease, patients with high CXCR4 have decreased overall survival. High CXCR4 expression is associated with increased lymph node involvement and distant metastasis, as well as reduced 3-year survival[40, 7175]

Endometrial cancerEndometrial adenocarcinoma tissues and human cell lines express CXCR4 protein. CXCL12 induces proliferation of endometrial carcinoma cells[76]

Esophageal cancerCXCR4 expression is associated with reduced survival and increased lymph node/bone marrow metastasis[77]

Gastric cancerA majority of primary gastric tumors and many human gastric carcinoma cell lines express CXCR4. Primary tumors that express CXCR4 protein are associated with peritoneal carcinomatosis[78]

Head and neck squamous cell cancerCXCR4 expression is found in tissues and cell lines. High CXCR4 expression is associated with increased occurrence of distant metastases and reduced survival[79, 80]

Hepatocellular carcinomaCXCR4 is correlated with tumor progression, metastasis, and reduced survival[81]

MelanomaCXCR4 protein is expressed on human melanoma cell lines, as well as on cells isolated from melanoma surgical specimens. CXCL12 enhances cell adhesion to fibronectin, the binding of murine melanoma cells to endothelial cells, and invasion of human melanoma cells across basement membranes. CXCR4 expression is associated with reduced disease-free survival and overall survival[35, 43, 82, 83]

Multiple myelomaMultiple myeloma cells isolated from bone marrow and multiple myeloma cell lines express cell-surface CXCR4 protein. CXCL12 enhances adhesion to fibronectin and stimulates cell migration[84]

Nasopharyngeal cancerMost primary human nasopharyngeal carcinoma biopsy samples and metastatic lymph nodes stain positively for CXCR4 protein. Nasopharyngeal carcinoma cell lines also express CXCR4 mRNA[85]

Non-Hodgkin’s lymphomaMost tissue samples and cell lines express high levels of CXCR4 mRNA and cell-surface protein. CXCR4 is implicated in transendothelial migration and proliferation of non-Hodgkin’s lymphoma cells[86]

Nonmelanoma skin cancerCXCR4 is expressed on invasive squamous cell carcinoma and basal cell carcinoma tissues. Expression on invasive squamous cell carcinoma is increased compared to normal skin[87]

Non-small cell lung cancerCXCR4 mRNA is upregulated in NSCLC tissues compared to normal tissues, and levels are higher in tissue samples taken from patients with metastasis than from those without metastasis. Overexpression of CXCR4 in NSCLC cells leads to enhanced migratory, invasive, and adhesive responses to CXCL12. Nuclear CXCR4 staining is associated with longer survival and reduced incidence of metastasis[88, 89]

OsteosarcomaCXCR4 mRNA is expressed in most human osteosarcoma samples, and two of three osteosarcoma cell lines. CXCR4 expression is higher at metastatic sites than in the primary tumor[90, 91]

Ovarian cancerCXCR4 mRNA is expressed in ovarian cancer cell lines, as well as in biopsies from primary tumors and ovarian cancer ascites. High levels of CXCL12 are present in ascitic fluid taken from patients with ovarian cancer. CXCL12 stimulates the growth of ovarian cancer cells. CXCR4 expression is associated with increased recurrence and reduced survival[26, 33, 92]

Pancreatic cancerMost human pancreatic cancer tissues stain positively for CXCR4 expression, and more than half of pancreatic cancer cell lines express CXCR4 mRNA and cell-surface protein. CXCL12 induces chemotaxis of human pancreatic carcinoma cells, as well as stimulates proliferation and promoted survival[42, 93]

Prostate cancerProstate cancer cell lines express CXCR4 mRNA and protein, and approximately half of prostate cancer tissues stain positively for CXCR4. Treatment of cells with CXCL12 increases their adherence to osteosarcoma cells and bone marrow endothelial cells, transendothelial migration, and invasion into Matrigel. CXCR4 expression is a positive predictor of bone metastasis, particularly in patients with elevated prostate specific antigen (PSA) levels. High CXCR4 expression is associated with increased cancer-specific mortality[29, 36, 94, 95]

Renal cell cancerOne of four human renal cell cancer lines express CXCR4 mRNA, which is upregulated in renal cell cancer tumor samples compared to normal tissue. High CXCR4 expression is associated with poor tumor-specific survival, independent of tumour stage and differentiation grade[96, 97]

Rhabdomyo sarcomaSeveral rhabdomyosarcoma cell lines express cell-surface CXCR4 protein. CXCL12 increases cell motility, induces chemotaxis, increases adhesion to extracellular matrix, and stimulates secretion of MMP-2[37]

Small cell lung cancerCXCR4 mRNA and cell-surface protein are detected in cell lines. CXCL12 induces proliferation, increases adherence and motility, and induces morphological changes such as filopodia formation[98]

Thyroid cancerHuman thyroid carcinoma cell lines express CXCR4 protein, and CXCR4 is upregulated in primary papillary thyroid carcinomas compared to normal thyroid tissue. CXCL12 increases proliferation, inhibits apoptosis, and increases migration and invasion of human thyroid cancer cells[99, 100]