1. Biased action of the CXCR4-targeting drug plerixafor is essential for its superior hematopoietic stem cell mobilization.
- Author
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Jørgensen AS, Daugvilaite V, De Filippo K, Berg C, Mavri M, Benned-Jensen T, Juzenaite G, Hjortø G, Rankin S, Våbenø J, and Rosenkilde MM
- Subjects
- Aminoquinolines metabolism, Aminoquinolines pharmacology, Animals, Benzimidazoles metabolism, Benzimidazoles pharmacology, Benzylamines metabolism, Butylamines metabolism, Butylamines pharmacology, COS Cells, Cell Line, Tumor, Chlorocebus aethiops, Cyclams metabolism, Drug Delivery Systems methods, Female, Granulocyte Colony-Stimulating Factor, HEK293 Cells, Hematopoietic Stem Cells drug effects, Hematopoietic Stem Cells metabolism, Humans, Mice, Mice, Inbred C57BL, Pharmaceutical Preparations metabolism, Receptors, CXCR3 drug effects, Receptors, CXCR3 metabolism, Receptors, CXCR4 drug effects, beta-Arrestins drug effects, beta-Arrestins metabolism, Benzylamines pharmacology, Cyclams pharmacology, Hematopoietic Stem Cell Mobilization methods, Receptors, CXCR4 metabolism
- Abstract
Following the FDA-approval of the hematopoietic stem cell (HSC) mobilizer plerixafor, orally available and potent CXCR4 antagonists were pursued. One such proposition was AMD11070, which was orally active and had superior antagonism in vitro; however, it did not appear as effective for HSC mobilization in vivo. Here we show that while AMD11070 acts as a full antagonist, plerixafor acts biased by stimulating β-arrestin recruitment while fully antagonizing G protein. Consequently, while AMD11070 prevents the constitutive receptor internalization, plerixafor allows it and thereby decreases receptor expression. These findings are confirmed by the successful transfer of both ligands' binding sites and action to the related CXCR3 receptor. In vivo, plerixafor exhibits superior HSC mobilization associated with a dramatic reversal of the CXCL12 gradient across the bone marrow endothelium, which is not seen for AMD11070. We propose that the biased action of plerixafor is central for its superior therapeutic effect in HSC mobilization.
- Published
- 2021
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