Pharmacologically antagonizing the CXCR4-CXCL12 chemokine pathway with AMD3100 inhibits sunlight-induced skin cancer

J Invest Dermatol. 2014 Apr;134(4):1091-1100. doi: 10.1038/jid.2013.424. Epub 2013 Oct 14.

Abstract

One way sunlight causes skin cancer is by suppressing anti-tumor immunity. A major mechanism involves altering mast cell migration via the C-X-C motif chemokine receptor 4-C-X-C motif chemokine ligand 12 (CXCR4-CXCL12) chemokine pathway. We have discovered that pharmacologically blocking this pathway with the CXCR4 antagonist AMD3100 prevents both UV radiation-induced immune suppression and skin cancer. The majority of control mice receiving UV-only developed histopathologically confirmed squamous cell carcinomas. In contrast, skin tumor incidence and burden was significantly lower in AMD3100-treated mice. Perhaps most striking was that AMD3100 completely prevented the outgrowth of latent tumors that occurred once UV irradiation ceased. AMD3100 protection from UV immunosuppression and skin cancer was associated with reduced mast cell infiltration into the skin, draining lymph nodes, and the tumor itself. Thus a major target of CXCR4 antagonism was the mast cell. Our results indicate that interfering with UV-induced CXCL12 by antagonizing CXCR4 significantly inhibits skin tumor development by blocking UV-induced effects on mast cells. Hence, the CXCR4-CXCL12 chemokine pathway is a novel therapeutic target in the prevention of UV-induced skin cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Benzylamines
  • Bone Marrow Cells / cytology
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / immunology
  • Carcinoma, Squamous Cell / metabolism*
  • Cell Movement
  • Chemokine CXCL12 / metabolism*
  • Cyclams
  • Female
  • Fluoresceins / chemistry
  • Gene Expression Regulation
  • Heterocyclic Compounds / chemistry*
  • Immune System
  • Lymph Nodes / metabolism
  • Lymph Nodes / radiation effects
  • Mast Cells / metabolism
  • Mast Cells / radiation effects
  • Mice
  • Mice, Inbred C57BL
  • Neoplasm Metastasis
  • Neoplasms, Radiation-Induced / drug therapy
  • Neoplasms, Radiation-Induced / immunology
  • Neoplasms, Radiation-Induced / metabolism*
  • Receptors, CXCR4 / metabolism*
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / immunology
  • Skin Neoplasms / metabolism*
  • Succinimides / chemistry
  • Sunlight*
  • Ultraviolet Rays

Substances

  • 5-(6)-carboxyfluorescein diacetate succinimidyl ester
  • Benzylamines
  • CXCR4 protein, mouse
  • Chemokine CXCL12
  • Cxcl12 protein, mouse
  • Cyclams
  • Fluoresceins
  • Heterocyclic Compounds
  • Receptors, CXCR4
  • Succinimides
  • plerixafor