© 2003 Nature Publishing Group
444 | JUNE 2003 | VOLUME 4 www.nature.com/reviews/neuro
REVIEWS
Chemokines are a family of small proteins, originally
shown to play a pivotal part in the control of leukocyte
trafficking
1
. Although this is still the function that is
most studied, chemokines have now been shown to be
of key importance in the overall organization of the
entire haematopoietic/lymphopoietic system, including
the regulation of stem cell maturation, the formation of
secondary lymphoid tissues and angiogenesis
2–5
.
Moreover, because chemokines and their receptors are
also intimately involved in the orchestration of inflam-
matory responses and in the pathogenesis of AIDS
6
,
they are considered to be important potential therapeutic
targets in these diseases
7
. Based on recent findings that
chemokines and their receptors are involved in control-
ling organogenesis, as well as the maturation and
migration of different types of stem cells
8–12
, it is now
becoming clear that chemokine mediated signalling
might have a wider influence than originally anticipated.
So, apart from the haematopoietic/lymphopoietic system,
chemokines probably have important roles in the
development and homeostasis of all tissues.
What then, if anything, do chemokines have to
do with the nervous system? It is well known that
chemokines and their receptors are important in
neuroinflammatory disease
13
. In keeping with their
traditionally defined roles as organizers of the immune
system, chemokines have been shown to be of central
importance in guiding leukocytes to sites of inflamma-
tion in the brain. Recent work has established that all of
the major cell types in the brain — including microglia,
glia and neurons — express various chemokine receptors,
making them potential targets for the actions of
chemokines. Furthermore, it is known that these differ-
ent cell types can synthesize chemokines, indicating
that in the brain, there is an independent chemokine
effector/receptor system. So, it seems that chemokines
might have a more complex role in the nervous system,
extending beyond their known role as local mediators
of immune responses.
Although these observations are intriguing, they also
raise interesting questions. For instance, do the effects of
chemokines in the brain merely recapitulate their well-
established effects on leukocytes, or is something else
afoot? Furthermore, why do mature neurons that are
firmly integrated into neuronal circuits express
chemokine receptors, especially as it is hard to imagine
a chemotactic function in this case? A series of papers
published over the last few years have started to provide
CHEMOKINE RECEPTORS:
SIGNPOSTS TO BRAIN
DEVELOPMENT AND DISEASE
Phuong B. Tran and Richard J. Miller
During the development of the nervous system, populations of progenitor cells that eventually
become neurons and glia face the complex task of finding their way from their place of birth to
their final destinations. What are the molecular processes that provide the information for guiding
progenitor cells along their way? In this article, we discuss recent information indicating that
chemokines and their receptors are of great importance in directing the proliferation and
migration of immature neurons, glia and their precursors. Furthermore, chemokine receptor
function in the nervous system continues to be important throughout adult life, and chemokines
participate in various brain disorders, including AIDS dementia, neuroinflammatory disease and
neuroplasia, making them important potential therapeutic targets in these cases.
Department of Molecular
Pharmacology & Biological
Chemistry, Northwestern
University, Feinberg School
of Medicine, 303 E.
Chicago Avenue,
Chicago, Illinois 60611,
USA.
Correspondence to R.J.M.
e-mail:
r-miller10@northwestern.edu
doi:10.1038/nrn1116