2023
DOI: 10.3390/ijms24054393
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Structural Basis of the Binding Mode of the Antineoplastic Compound Motixafortide (BL-8040) in the CXCR4 Chemokine Receptor

Abstract: Modulation of the CXCL12–CXCR4 signaling axis is of the utmost importance due to its central involvement in several pathological disorders, including inflammatory diseases and cancer. Among the different currently available drugs that inhibit CXCR4 activation, motixafortide—a best-in-class antagonist of this GPCR receptor—has exhibited promising results in preclinical studies of pancreatic, breast, and lung cancers. However, detailed information on the interaction mechanism of motixafortide is still lacking. H… Show more

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Cited by 8 publications
(4 citation statements)
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“…Clinical studies are ongoing for the mobilization of CD34+ HSCs for gene therapy in patients with sickle cell disease [ 34 , 36 ]. In phase I, motixafortide was able to rapidly mobilize CD34+ cells and immune cells in healthy volunteers [ 37 , 38 , 39 ]. Motixafortide also showed promising data in pancreatic, breast, and lung cancers [ 40 ].…”
Section: Peptidesmentioning
confidence: 99%
“…Clinical studies are ongoing for the mobilization of CD34+ HSCs for gene therapy in patients with sickle cell disease [ 34 , 36 ]. In phase I, motixafortide was able to rapidly mobilize CD34+ cells and immune cells in healthy volunteers [ 37 , 38 , 39 ]. Motixafortide also showed promising data in pancreatic, breast, and lung cancers [ 40 ].…”
Section: Peptidesmentioning
confidence: 99%
“…Motixafortide (BL-8040, BKT-140, TNI4001) is a synthetic peptide CXCR4 inhibitor being tested in both solid and liquid cancers. Motixafortide binds the same pocket on CXCR4 as its ligand CXCL12/SDF-1, thereby stabilizing the inactive conformations of CXCR4, preventing its activation [228]. Since Motixafortide acts as an inverse agonist, occupying the binding pocket of CXCR4 without stimulating the receptor, it prevents the rehoming of leukemic blasts to the bone marrow.…”
Section: Peptidesmentioning
confidence: 99%
“…Given the challenges of predicting the oncogenic status of GPCR mutations, many authors have opted to study the structural impact of cancer-related mutations on the receptor's stability and activation mechanism. This can be useful to pinpoint novel potential biomarkers, such as the olfactory receptor OR2T7 destabilizing mutation D125V in glioblastoma [97], or to gain further insights into the activating and binding mechanisms of established anticancer targets, such as CXCR4 [98] or SMO [99], to improve the development of targeted therapies.…”
Section: G Protein-coupled Receptorsmentioning
confidence: 99%