Protein / target

C-X-C chemokine receptor type 4

CXCR4P61073Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
3
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

C-X-C motif chemokine 12 receptor activity

Primary system

Nervous system

Strongest disease association

WHIM syndrome

Genetic evidence · score 0.87

Therapeutic maturity

Clinically validated target

3 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

3 approved · 5 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Receptor for the C-X-C chemokine CXCL12/SDF-1 that transduces a signal by increasing intracellular calcium ion levels and enhancing MAPK1/MAPK3 activation (PubMed:10074102, PubMed:10452968, PubMed:10644702, PubMed:10825158, PubMed:18799424, PubMed:20048153, PubMed:20505072, PubMed:24912431, PubMed:28978524, PubMed:8752280, PubMed:8752281). Ligand binding causes a conformation change that triggers signaling via guanine nucleotide-binding proteins (G proteins) and modulates the activity of downstream effectors, such as adenylate cyclase (PubMed:16725153, PubMed:17197449, PubMed:18799424, PubMed:39093700). CXCR4 is coupled to G(i) G alpha proteins and mediates inhibition of adenylate cyclase (PubMed:17197449, PubMed:39093700). Involved in the AKT signaling cascade (PubMed:24912431). Plays a role in regulation of cell migration, e.g. during wound healing (PubMed:28978524). Also acts as a receptor for extracellular ubiquitin; leading to enhanced intracellular calcium ions and reduced cellular cAMP levels (PubMed:20228059). Binds bacterial lipopolysaccharide (LPS) et mediates LPS-induced inflammatory response, including TNF secretion by monocytes (PubMed:11276205). Involved in hematopoiesis and in cardiac ventricular septum formation (By similarity). Also plays an essential role in vascularization of the gastrointestinal tract, probably by regulating vascular branching and/or remodeling processes in endothelial cells (By similarity). Involved in cerebellar development; in the CNS, could mediate hippocampal-neuron surviva (By similarity)

Subcellular location

Cell membraneCell junctionEarly endosomeLate endosomeLysosome
Domains and Gene Ontology detail (45)

Gene Ontology

  • Canchoring junction
  • Ccell leading edge
  • Ccell surface
  • Ccytoplasm
  • Ccytoplasmic vesicle
  • Cearly endosome
  • Cexternal side of plasma membrane
  • Cextracellular exosome
  • Clate endosome
  • Clysosome
  • Cplasma membrane
  • Cprotein-containing complex

352 aa · 40 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Immune signallingUniProt · GOCell adhesionUniProt · GOG protein-coupled signallingGOApoptosis & cell deathGOMuscle contractionGO
View supporting evidence

Immune signalling

  • ·Receptor for the C-X-C chemokine CXCL12/SDF-1 that transduces a signal by increasing int…
  • ·cellular response to cytokine stimulus
  • ·immune response
  • ·inflammatory response

Cell adhesion

  • ·Cell junction
  • ·regulation of cell adhesion

G protein-coupled signalling

  • ·G protein-coupled receptor activity
  • ·adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway
  • ·G protein-coupled receptor signaling pathway

Apoptosis & cell death

  • ·apoptotic process

Muscle contraction

  • ·myosin light chain binding
View underlying pathways (7)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

ITIH4CXCL12CCL21CD4CXCL1CCL5CCL19CXCL13CCL2CXCL8CXCR4

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

plerixafor
Narrow target profileApprovedPartial agonist

C-X-C chemokine receptor type 4 partial agonist

Appears in clinical studies involving acute lymphoblastic leukemia, plasma cell myeloma, non-Hodgkin lymphoma, non-Hodgkin lymphoma

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

WHIM syndrome0.87

Genetic · overall 0.80

WHIM syndrome 10.86

Genetic · overall 0.77

severe congenital neutropenia0.76

Genetic literature · overall 0.46

skin neoplasm0.65

Genetic · overall 0.40

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

plasma cell myeloma0.94

Clinical · overall 0.66

non-Hodgkin lymphoma0.87

Clinical · overall 0.55

neoplasm0.83

Clinical · overall 0.54

lymphoma0.75

Clinical · overall 0.52

acute lymphoblastic leukemia0.66

Clinical · overall 0.43

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

HIV infectious disease0.56

Pathway

Show all associations
WHIM syndrome0.80
WHIM syndrome 10.77
plasma cell myeloma0.66
HIV infectious disease0.56
non-Hodgkin lymphoma0.55
neoplasm0.54
lymphoma0.52
severe congenital neutropenia0.46
acute lymphoblastic leukemia0.43
skin neoplasm0.40

Open Targets ranks 2,464 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 8 total

BURIXAFORPhase 2

macular degeneration · Hodgkins lymphoma · non-Hodgkin lymphoma

MAVORIXAFORApproval

inborn error of immunity · neoplasm · WHIM syndrome

PLERIXAFORApproval

acute lymphoblastic leukemia · plasma cell myeloma · non-Hodgkin lymphoma

MSX-122Phase 1

neoplasm

MOTIXAFORTIDEApproval

plasma cell myeloma · neoplasm · acute myeloid leukemia by FAB classification

BALIXAFORTIDEPhase 3

breast cancer · plasma cell myeloma · ST Elevation Myocardial Infarction

CTCE-9908Phase 1 2

sarcoma

ULOCUPLUMABPhase 3

plasma cell myeloma · acute myeloid leukemia · malignant pancreatic neoplasm

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyAB · Advanced ClinicalAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · UniProt UbiquitinationPR · Database UbiquitinationPR · Half-life Data

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

WHIM syndromeWell supported
0.94
agreement 0.841.00
Genetic57%Clinical28%Animal model9%Literature7%Genetic literaturedup

Open Targets aggregate 0.80 · 4 independent evidence families · 1 not counted as duplicate

WHIM syndrome 1Well supported
0.89
agreement 0.790.99
Genetic79%Animal model15%Clinical6%Literature0%Genetic literaturedup

Open Targets aggregate 0.77 · 4 independent evidence families · 1 not counted as duplicate

plasma cell myelomaWell supported
0.80
agreement 0.680.92
Clinical67%Somatic mutation25%Literature7%

Open Targets aggregate 0.66 · 3 independent evidence families

lymphomaModerately supported
0.70
agreement 0.580.82
Clinical61%Somatic mutation24%Literature15%

Open Targets aggregate 0.52 · 3 independent evidence families

non-Hodgkin lymphomaModerately supported
0.69
agreement 0.540.85
Clinical85%Literature15%

Open Targets aggregate 0.55 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

4

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. New publication2023-10-02
    A phase III randomized crossover trial of plerixafor versus G-CSF for treatment of WHIM syndrome.

    The Journal of clinical investigation · 2023 · 35 citations · Europe PMC · via plerixafor

  2. Regulatory approval2022-12-16

    Approval: Plerixafor Accord (EMA)

    ema · regulatory · ema · via plerixafor

  3. Regulatory approval2009-07-30

    Approval: Mozobil (EMA)

    ema · regulatory · ema · via plerixafor

  4. New publication2005-04-01
    Rapid mobilization of murine and human hematopoietic stem and progenitor cells with AMD3100, a CXCR4 antagonist.

    The Journal of experimental medicine · 2005 · 830 citations · Europe PMC · via plerixafor

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.