PMID- 31724498 OWN - NLM STAT- MEDLINE DCOM- 20201201 LR - 20201201 IS - 1875-533X (Electronic) IS - 0929-8673 (Linking) VI - 27 IP - 33 DP - 2020 TI - The CXCL12-CXCR4 Signaling Axis Plays a Key Role in Cancer Metastasis and is a Potential Target for Developing Novel Therapeutics against Metastatic Cancer. PG - 5543-5561 LID - 10.2174/0929867326666191113113110 [doi] AB - Metastasis is the main cause of death in cancer patients; there is currently no effective treatment for cancer metastasis. This is primarily due to our insufficient understanding of the metastatic mechanisms in cancer. An increasing number of studies have shown that the C-X-C motif chemokine Ligand 12 (CXCL12) is overexpressed in various tissues and organs. It is a key niche factor that nurtures the pre-metastatic niches (tumorigenic soil) and recruits tumor cells (oncogenic "seeds") to these niches, thereby fostering cancer cell aggression and metastatic capabilities. However, the C-X-C motif chemokine Receptor 4 (CXCR4) is aberrantly overexpressed in various cancer stem/progenitor cells and functions as a CXCL12 receptor. CXCL12 activates CXCR4 as well as multiple downstream multiple tumorigenic signaling pathways, promoting the expression of various oncogenes. Activation of the CXCL12-CXCR4 signaling axis promotes Epithelial-Mesenchymal Transition (EMT) and mobilization of cancer stem/progenitor cells to pre-metastatic niches. It also nurtures cancer cells with high motility, invasion, and dissemination phenotypes, thereby escalating multiple proximal or distal cancer metastasis; this results in poor patient prognosis. Based on this evidence, recent studies have explored either CXCL12- or CXCR4-targeted anti-cancer therapeutics and have achieved promising results in the preclinical trials. Further exploration of this new strategy and its potent therapeutics effect against metastatic cancer through the targeting of the CXCL12- CXCR4 signaling axis may lead to a novel therapy that can clean up the tumor microenvironment ("soil") and kill the cancer cells, particularly the cancer stem/progenitor cells ("seeds"), in cancer patients. Ultimately, this approach has the potential to effectively treat metastatic cancer. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Yang, Ping AU - Yang P AD - Department of Pathophysiology, School of Medicine (School of Nursing), Nantong University, Nantong, Jiangsu 226000, China. FAU - Hu, Yae AU - Hu Y AD - Department of Pathophysiology, School of Medicine (School of Nursing), Nantong University, Nantong, Jiangsu 226000, China. FAU - Zhou, Quansheng AU - Zhou Q AD - Cyrus Tang Hematology Center, Jiangsu Institute of Hematology, Soochow University; Suzhou, Jiangsu 215123, China. LA - eng GR - 81703595; 81572257; 81772535 , 81503304/National Natural Science Foundation of China/International PT - Journal Article PL - United Arab Emirates TA - Curr Med Chem JT - Current medicinal chemistry JID - 9440157 RN - 0 (CXCL12 protein, human) RN - 0 (CXCR4 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (Receptors, CXCR4) SB - IM MH - Cell Movement MH - Chemokine CXCL12 MH - Epithelial-Mesenchymal Transition MH - Humans MH - Neoplasm Invasiveness MH - Neoplasm Metastasis MH - *Neoplasms MH - Receptors, CXCR4 MH - *Signal Transduction MH - Tumor Microenvironment OTO - NOTNLM OT - CXCL12 OT - CXCR4 OT - cancer metastasis OT - cancer therapy OT - signaling axis OT - therapeutics EDAT- 2019/11/15 06:00 MHDA- 2020/12/02 06:00 CRDT- 2019/11/15 06:00 PHST- 2018/10/31 00:00 [received] PHST- 2019/10/07 00:00 [revised] PHST- 2019/10/25 00:00 [accepted] PHST- 2019/11/15 06:00 [pubmed] PHST- 2020/12/02 06:00 [medline] PHST- 2019/11/15 06:00 [entrez] AID - CMC-EPUB-102306 [pii] AID - 10.2174/0929867326666191113113110 [doi] PST - ppublish SO - Curr Med Chem. 2020;27(33):5543-5561. doi: 10.2174/0929867326666191113113110.