Role of Fractalkine/CX3CL1 and Its Receptor in the Pathogenesis of Inflammatory and Malignant Diseases with Emphasis on B Cell Malignancies
Hindawi Publishing Corporation
Mediators of Inflammation
Volume 2014, Article ID 480941, 10 pages
http://dx.doi.org/10.1155/2014/480941
Review Article
Role of Fractalkine/CX3CL1 and Its Receptor in
the Pathogenesis of Inflammatory and Malignant Diseases
with Emphasis on B Cell Malignancies
Elisa Ferretti, Vito Pistoia, and Anna Corcione
Laboratory of Oncology, Istituto Giannina Gaslini, 16147 Genova, Italy
Correspondence should be addressed to Elisa Ferretti;
Received 20 December 2013; Revised 26 February 2014; Accepted 5 March 2014; Published 30 March 2014
Academic Editor: Teizo Yoshimura
Copyright © 2014 Elisa Ferretti et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Fractalkine/CX3CL1, the only member of the CX3C chemokine family, exists as a membrane-anchored molecule as well as in soluble
form, each mediating different biological activities. It is constitutively expressed in many hematopoietic and nonhematopoietic
tissues such as endothelial and epithelial cells, lymphocytes, neurons, microglial osteoblasts. The biological activities of CX3CL1
are mediated by CX3CR1, that is expressed on different cell types such as NK cells, CD14+ monocytes, cytotoxic effector T cells,
B cells, neurons, microglia, smooth muscle cells, and tumor cells. The CX3CL1/CX3CR1 axis is involved in the pathogenesis of
several inflammatory cancer including various B cell malignancies. In tumors the interaction between cancer cells and cellular
microenvironment creates a context that may promote tumor growth, increase tumor survival, and facilitate metastasis. Therefore
the role of the CX3CL1/CX3CR1 has attracted interest as to the development of potential therapeutic approaches. Here we review the
different effects of the CX3CL1/CX3CR1 axis in several inflammatory and neurodegenerative diseases and in cancer, with emphasis
on human B cell lymphomas.
1. Introduction
Chemokines are small cytokines known for their ability to
induce migration of cells such as lymphocytes, dendritic cells
(DC), macrophages, and stem cells. Based on the cellular
context and the site of expression, chemokines can be divided
into “inflammatory chemokines,” that are synthesized and
promote recruitment of cells during inflammation and
“homeostatic chemokines,” that are constitutively expressed
in specific tissues where they regulate leukocyte homing [1, 2].
Some chemokines participate both in immune defense during inflammation and in physiological trafficking of resting
leukocytes [1, 2]. Moreover, some inflammatory chemokines
are crucial components of tumor microenvironment and
have a pivotal role in tumor progression, enhancing cancer
cell migration to distant organs [3].
Chemokines are structurally characterized by a
“chemokine scaffold,” that is, a conserved protein structure,
dependent on two disulfide bonds linking cysteine residues.
Based on the relative position of their cysteine residues
located in the N-terminal region, chemokines can be divided
into four subfamilies, CXC, CC, C, and CX3C [1, 2]. CXC
chemokines can be further subdivided depending on the
presence or absence of an ELR (Glu, Leu, and Arg) amino acid
motif. ELR+ CXC chemokines attract neutrophils and possess
angiogenic properties, whereas ELR− CXC chemokines are
angiostatic and attract T and B lymphocytes as well as
natural killer (NK) cells [4]. CC chemokines promote the
migration of monocytes, DC, lymphocytes, eosinophils, and
basophils. Lymphotactin/XCL1 and fractalkine/CX3CL1 are
the only members of the C and CX3C chemokine families,
respectively. Lymphotactin attracts T and B lymphocytes and
NK cells, whereas fractalkine attracts predominantly T and
B lymphocytes, NK cells, and monocytes [1, 2].
Chemokines mediate their functions through binding to
seven transmembrane G-protein-coupled receptors defined
as CXCR, CCR, CR, or CX3CR [1, 2]. Furthermore, some
chemokines bind to multiple receptors and some receptors
recognize more than one chemokine.
2
CX3CL1 consists of a chemokine domain linked to a
transmembrane domain via an extended mucin-rich stalk of
an extracellular domain. The chemokine is synthesized as
membrane-anchored form and may be cleaved in the soluble
form by different metalloprotease. [5, 6]. The membraneanchored CX3CL1 form functions as an adhesion molecule
promoting retention of leucocytes to endothelial cells under
physiological flow conditions [7]. The soluble CX3CL1 form
is released following constitutive shedding operated by A
Disintegrin And Metalloprotease (ADAM)10, whereas shedding under inflammatory conditions is mediated primarily
by ADAM17 [8, 9]. CX3CL1 cleavage is also mediated by
the lysosomal cysteine protease Cathepsin S [10]. Soluble
CX3CL1 resembles a conventional chemokine exhibiting
efficient chemotactic activity for human monocytes, NK cells,
T cells, dendritic cells and, as demonstrated by our group, for
a subset of germinal center B cells [5, 11]. CX3CL1 expression
has been reported in many cell types of hematopoietic or
nonhematopoietic origin, such as endothelial and epithelial
cells, lymphocytes, neurons, microglial cells, and osteoblasts
[12].
CX3CL1-driven chemotaxis and adhesion are mediated
by CX3CR1 that is expressed on different cell types such
as NK cells, CD14+ monocytes, cytotoxic effector T cells, B
cells, neurons, microglia, smooth muscle cells, and tumor
cells [11, 13–15]. CX3CL1 is involved in leukocyte recruitment
associated with numerous inflammatory disorders and in
tumorigenesis process in which the chemokine show pro- and
antitumoral properties. The different roles of CX3CL1 make
it an attractive candidate for the development of therapeutic
strategies.
This review will summarize the multiple roles of the
CX3CL1/CX3CR1 axis in the pathogenesis of inflammation
and cancer.
2. CX3CL1 in Inflammation
Chemokines and adhesion molecules provide signals for
trafficking, adhesion, and migration of leukocytes at sites
of injury and inflammation [16]. In this context, CX3CL1
promotes the accumulation of immune cells that express
CX3CR1, generating a vascular gateway for cytotoxic effector
cells and being detrimental in several inflammatory diseases
[6, 17, 18].
Increased levels of soluble CX3CL1 have been detected in
serum, bronchoalveolar lavage fluids, and supernatants from
airway smooth muscle cells, lung endothelium, and airway
epithelium of allergic asthma and rhinitis patients. Both high
secretion of CX3CL1 and upregulation of CX3CR1 function
by naı̈ve and memory CD4+ T cells play a critical role in the
recruitment of inflammatory cells after allergen stimulation
[19, 20]. It has been demonstrated that transfer of CD4+ T
cells from wild type mice into CX3CR1 deficient mice restores
the clinical features of asthma, highlighting the therapeutic
potential of the CX3CL1/CX3CR1 axis [21].
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