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Atypical chemokine receptor 4 (ACKR4)

Target
ACKR4
Molecular classification
G protein-coupled receptor (atypical), Receptor, Chemokine receptor, Seven-transmembrane protein, Scavenger/decoy receptor (receptor sub-type) [1][3][4]
01

Overview

Atypical chemokine receptor 4 (ACKR4) is a member of the G protein-coupled receptor family that does not activate typical G protein-coupled signaling upon ligand binding. Instead, ACKR4 binds and internalizes several CC-type chemokines, including CCL19, CCL21, and CCL25—removing them from the extracellular environment and delivering them to cellular degradation pathways. This mechanism fine-tunes chemokine gradients that regulate the positioning and migration of leukocytes, playing a critical role in immune homeostasis, inflammation resolution, and tissue-specific immune cell trafficking. ACKR4 functions as a regulatory checkpoint for chemokine availability, influencing processes in skin, lymph nodes, gut, and other tissues. Loss or pharmacological blockade of ACKR4 can result in chemokine accumulation and abnormal immune cell distribution. Unlike classical chemokine receptors, ACKR4 primarily recruits β-arrestins rather than G-protein signaling. Its emerging roles include modulation of cancer progression, immune deficiency diseases, and potentially pulmonary arterial hypertension [1][2][3][4][6].

Other names
CCX CKRCKR-11CCR-11CCR11CCX-CKRPPR1VSHK1CC-CKR-11CCBP2CC chemokine receptor-like 1Chemokine (C-C motif) receptor-like 1Chemocentryx chemokine receptorOrphan seven-transmembrane receptor
02

Mechanism of action

For theoretical/scientific drug targeting: Blockers or antagonists would inhibit chemokine scavenging, increasing local chemokine concentrations. Agonists or custom ligands could enhance scavenging activity. Therapeutic modulation may alter immune cell migration and inflammation [3][4]

03

Biological functions

Chemokine binding and scavengingRegulation of chemokine gradientsInternalization and degradation of chemokinesControl of leukocyte trafficking, especially T cell and dendritic cell migrationRegulation of immune homeostasisRegulation of T cell development in the thymusEndothelial and stromal cell participation in tissue niches [1][2][3][4][6]
04

Disease associations

Cancer (migration/metastasis modulation)Inflammation (resolution and regulation)Immune deficiency/metabolic diseasePulmonary arterial hypertension (PAH, emerging evidence)Potential involvement in infection and cardiovascular disease (by controlling immune cell trafficking) [3][4][6]
05

Safety considerations

No major direct safety concerns described, as the receptor is not currently a drug target.Potential risks theoretically include dysregulation of immune cell trafficking, increased inflammation or immune deficiency if modulated excessively.Altered chemokine gradients may affect cancer metastasis or immune surveillance [3][4]Targeting may require tissue specificity to avoid systemic immune disturbance.
06

Interacting drugs

No approved clinical drugs directly targeting ACKR4.

2 more in the full profile.

07

Biomarkers

ACKR4 expression in stromal, endothelial, keratinocyte, and fibroblast populations (e.g., skin, lymph node, intestine).Phosphorylation status at S338/T342 (potential marker of receptor activation state) [5][6]Chemokine levels (CCL19/21/25) can reflect ACKR4 activity [1][3][6]

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