Abstract
Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature myeloid cells with an immune suppressive phenotype. They represent a critical component of the immune suppressive niche described in cancer, where they support immune escape and tumor progression through direct effects on both the innate and adaptive immune responses, largely by contributing to maintenance of a high oxidative stress environment. The number of MDSCs positively correlates with protumoral activity, and often diminishes the effectiveness of immunotherapies, which is particularly problematic with the emergence of personalized medicine. Approaches targeting MDSCs showed promising results in preclinical studies and are under active investigation in clinical trials in combination with various immune checkpoint inhibitors. In this review, we discuss MDSC targets and therapeutic approaches targeting MDSC that have the aim of enhancing the existing tumor therapies.
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Abbreviations
- Arg1:
-
Arginase 1
- ATRA:
-
All-trans retinoic acid
- BTK:
-
Bruton’s tyrosine kinase
- CCL:
-
C-C motif chemokine ligand
- CCR:
-
C-C motif chemokine receptor
- COX2:
-
Cyclooxygenase-2
- CXCL:
-
C-X-C motif chemokine
- CXCR:
-
C-X-C chemokine receptor
- FAO:
-
Fatty acid oxidation
- HADHA:
-
Mitochondrial trifunctional protein alpha subunit
- HGF:
-
Hepatocyte growth factor
- HIF-1α:
-
Hypoxia-inducible factor-1α
- iNOS:
-
Inducible nitric oxide synthase
- M-MDSC:
-
Monocytic-myeloid-derived suppressor cell
- MIF:
-
Macrophage migration inhibitory factor
- mTOR:
-
Mammalian target of rapamycin
- MyD88:
-
Myeloid differentiation primary response gene 88
- NOX2:
-
Nicotinamide adenine dinucleotide phosphate oxidase
- PDE5:
-
Phosphodiesterase-5
- PGE2:
-
Prostaglandin E2
- PMN-MDSC:
-
Polymorphonuclear-myeloid-derived suppressor cell
- ROS:
-
Reactive oxygen species
- Tregs:
-
Regulatory T cells
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Funding
We are grateful for the generous support from the Toni Stephenson Lymphoma Center at Beckman Research Institute of City of Hope. This work was also supported by the US Department of Defense Peer Reviewed Cancer Career Development Award (W81XWH-14-PRCRP-CDA) to HQ and a Quest for Cure grant from the Leukemia and Lymphoma Society (0855-14) to LWK.
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YL and DLS wrote and edited the manuscript; GW, WAC, ZD, HS, VYL, and S-CC participated in drafting the manuscript; HQ and LWK revised the manuscript critically.
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Liu, Y., Wei, G., Cheng, W.A. et al. Targeting myeloid-derived suppressor cells for cancer immunotherapy. Cancer Immunol Immunother 67, 1181–1195 (2018). https://doi.org/10.1007/s00262-018-2175-3
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DOI: https://doi.org/10.1007/s00262-018-2175-3