Abstract

Myeloid-derived suppressor cells (MDSCs) exhibit potent immunosuppressive activities in cancer. MDSCs infiltrate tumors and strongly inhibit cancer-specific cytotoxic T cells. Their mechanism of differentiation and identification of MDSC-specific therapeutic targets are major areas of interest. We have devised a highly efficient and rapid method to produce very large numbers of melanoma-infiltrating MDSCs ex vivo without inducing tumors in mice. These MDSCs were used to study their differentiation, immunosuppressive activities and were compared to non-neoplastic counterparts and conventional dendritic cells using unbiased systems biology approaches. Differentially activated/deactivated pathways caused by cell type differences and by the melanoma tumor environment were identified. MDSCs increased the expression of trafficking receptors to sites of inflammation, endocytosis, changed lipid metabolism, and up-regulated detoxification pathways such as the expression of P450 reductase. These studies uncovered more than 60 potential novel therapeutic targets. As a proof of principle, we demonstrate that P450 reductase is the target of pro-drugs such as Paclitaxel, which depletes MDSCs following chemotherapy in animal models of melanoma and in human patients. Conversely, P450 reductase protects MDSCs against the cytotoxic actions of other chemotherapy drugs such as Irinotecan, which is ineffective for the treatment of melanoma.

Highlights

  • Myeloid-derived suppressor cells (MDSCs) have been recognized as major contributors to tumor-induced immunosuppression

  • CD62L (L-selectin) is a homing surface molecule that is selectively expressed in MDSCs within the myeloid lineage [16], and CD49d is present in highly immunosuppressive M-MDSC subsets recently described [17, 18]

  • CD62L expression was higher in ex vivo MDSCs grown in CM after 8 days in culture compared to conventional dendritic cells (DCs), with B16-MDSCs showing an increased Ly6G-CD62L coexpression compared to 293T-MDSCs controls (Fig. 1D)

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Summary

Introduction

Myeloid-derived suppressor cells (MDSCs) have been recognized as major contributors to tumor-induced immunosuppression. MDSCs are isolated from the spleen or directly of tumors from a large number of tumor-bearing mice [9,10,11]. Ex vivo MDSC production systems have been developed, which rely on incubation of bone marrow (BM) cells with high concentrations of recombinant GM-CSF, alone or in combination with other cytokines, and sometimes supplemented with cancer cell-derived conditioning medium. These methods achieve MDSC differentiation efficiencies of around 30%-40% of total cells [13, 14]. Highthroughput and drug discovery studies with isolated ­intratumor MDSCs are certainly a challenge

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