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Atypical chemokine receptor 3 (ACKR3)

Target
ACKR3
Molecular classification
G protein-coupled receptor (GPCR), class A, Receptor (chemokine receptor; atypical/β-arrestin–biased), Atypical chemokine receptor (ACKR family member; ACKR1–4)
01

Overview

Atypical chemokine receptor 3 (ACKR3), formerly CXCR7, is a class A GPCR that binds chemokines—most notably CXCL12—with high affinity but signals primarily through β-arrestin rather than G proteins, functioning as a scavenger/decoy receptor that shapes chemokine gradients and modulates signaling of other receptors such as CXCR4. Structural and biophysical studies show ACKR3 adopts active-like conformations biased toward arrestin coupling and lacks productive G protein engagement, with key conformational dynamics in transmembrane helices and arrestin-binding interfaces underlying this bias. Beyond chemokines, ACKR3 broadly scavenges endogenous opioid peptides in the CNS, reducing their availability to classical opioid receptors, and a selective competitor peptide (LIH383) can relieve this negative regulation to potentiate opioid receptor activity. ACKR3 is implicated in development (neuronal, cardiovascular), immune cell trafficking, cancer progression (including glioblastoma), and cardiovascular biology, and it is under active investigation as a therapeutic target with emerging peptide and small-molecule antagonists and agonists that modulate β-arrestin recruitment, receptor internalization, and ligand availability.

Other names
C-X-C chemokine receptor type 7 (CXCR7)RDC1 (historical/orphan receptor designation)GPR159 (rare, historical)
02

Mechanism of action

Antagonists/competitors (e.g., ACT-1004-1239, LIH383) inhibit ACKR3 scavenging and β-arrestin recruitment, potentially increasing availability of chemokines or opioid peptides to other receptors and modulating downstream signaling. Agonists (small molecules/peptides) promote β-arrestin recruitment, receptor internalization, and chemokine scavenging; can reduce prothrombotic markers (e.g., P-selectin expression) in experimental systems. Allosteric modulation of receptor conformations affecting arrestin bias and heterodimer effects with CXCR4.

03

Biological functions

Chemokine scavenging/decoy activity, especially for CXCL12; regulates chemokine gradientsβ-arrestin–biased signaling (recruits β-arrestin; little to no G protein signaling)Modulation of CXCR4 signaling via heterodimerization and phosphorylation-dependent mechanismsRegulation of cell migration and proliferation; sustained ERK1/2, p38 MAPK via β-arrestin pathwaysRoles in development: neuronal and cardiovascular development; hematopoietic stem cell migrationBroad scavenging of endogenous opioid peptides (enkephalins, dynorphins), limiting their availability to classical opioid receptors
04

Disease associations

Cancer: overexpressed in several tumors (e.g., glioblastoma); implicated in tumor growth, metastasis, and tumor microenvironment modulationCardiovascular disease: associated with prothrombotic events and cardioprotective contexts; target of small-molecule agonist programsNeurological/psychiatric: modulation of opioid peptide tone in CNS; potential implications for pain, stress, anxietyInflammation/immune regulation: regulates immune cell trafficking via chemokine scavenging
05

Safety considerations

Complex cross-talk with CXCR4 can attenuate Gαi signaling; unintended effects on cell migration and survival pathways may occur when modulating ACKR3Broad scavenging of opioid peptides suggests CNS effects are possible when inhibiting ACKR3, potentially altering pain and stress pathwaysCardiovascular implications: association with prothrombotic/cardiovascular events indicates careful evaluation of hemostasis and vascular endpoints when using ACKR3 modulatorsPleiotropy across tissues (endothelium, CNS, immune cells) raises risk of off-target physiological consequences when systemically modulated
06

Interacting drugs

Peptides: LIH383 (ACKR3-selective competitor peptide; subnanomolar)

3 more in the full profile.

07

Biomarkers

ACKR3 expression levels (e.g., in tumors such as glioblastoma) as a potential selection/stratification markerCXCL12 levels or CXCL12/ACKR3 axis activity in tissues/TME as pharmacodynamic contextOpioid peptide availability/activity (e.g., enkephalins/dynorphins) as a functional readout when modulating ACKR3 in CNS modelsP-selectin expression reduction as a pharmacodynamic marker in cardiovascular/thrombotic models with ACKR3 agonists

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