Background-CCN1 is an evolutionary ancient matricellular protein that modulates biological processes associated with tissue repair. Induction at sites of injury was observed in conditions ranging from skin wounds to cardiac diseases, including ischemic and inflammatory cardiomyopathy. Here, we provide evidence of a novel function of CCN1 as a modulator of immune cell migration. Methods and Results-To understand the role of CCN1 in cardiomyopathies and to evaluate its therapeutic potential, we overexpressed CCN1 using an adenoviral hepatotropic vector in murine experimental autoimmune myocarditis, a model of human inflammatory cardiomyopathy. CCN1 gene transfer significantly reduced cardiac disease score and immune cell infiltration. In vivo tracking of hemagglutinin epitope-tagged CCN1 revealed binding to spleen macrophages but not to cardiomyocytes. Unexpectedly, CCN1 therapy left cardiac chemokine and cytokine expression unchanged but instead strongly inhibited the migration of spleen macrophages and lymphocytes, as evidenced by ex vivo transwell assays. In accordance with the ex vivo data, in vitro preincubation with CCN1 diminished transwell migration of human monocytes and abrogated their chemotactic response to monocyte chemoattractant protein-1, macrophage inflammatory protein-1␣, and stromal cell-derived factor-1␣. Further mechanistic studies showed that CCN1-driven modulation of immune cell migration is mimicked in part by cyclic RGD peptides currently in clinical evaluation for cancer therapy. Conclusions-Our proof-of-concept study suggests investigation of CCN1 as a novel, endogenous "parent compound" for chemotaxis modulation and of cyclic RGD peptides as a class of partially CCN1-mimetic drugs with immediate potential for clinical evaluation in cardiac diseases associated with chronic pathogenic inflammation. (Circulation. 2010;122:2688-2698.)Key Words: cardiomyopathy Ⅲ immunomodulation Ⅲ chemotaxis Ⅲ migration Ⅲ inflammation P rogressive dilation and dysfunction of heart chambers, wall thinning, and tissue fibrosis are typical of dilated cardiomyopathy, a common final pathway of heart failure that results from different causes, including monogenic defects in cardiac-expressed genes and exogenous factors such as cardiotoxic drugs or cardiotropic viruses. Inflammatory cardiomyopathy represents an important subtype of dilated cardiomyopathy and may be caused by cardiotropic virusdependent processes or virus-triggered heart-specific autoimmunity. Cardiac expression profiling revealed that an inflammation-related gene network is strongly altered in patients with inflammatory cardiomyopathy compared with normal hearts. 1 This network includes the matricellular protein CCN1 (Cyr61), 2 other members of the CCN protein family (CTGF and WISP-1), 2,3 and the 2 CCN1-interacting proteins, thrombospondin-1 and  1 -integrin, which also mod- Received February 11, 2010; accepted October 18, 2010. From the Institute for Medical Immunology (M.R., C. Scheibenbogen), Charité Campus Mitte; the Department of Cardiology ...