Abstract

Pancreatic ductal adenocarcinoma is characterized by a strong immunosuppressive network with a dense infiltration of myeloid cells including myeloid-derived suppressor cells (MDSC). Two distinct populations of MDSC have been defined: polymorphonuclear MDSC (PMN-MDSC) and monocytic MDSC (M-MDSC). Several factors influence the development and function of MDSC including the transcription factor interferon regulatory factor 4 (IRF4). Here, we show that IRF4 deficiency accelerates tumor growth and reduces survival, accompanied with a dense tumor infiltration with PMN-MDSC and reduced numbers of CD8+ T cells. As IRF4 has been described to modulate myeloid cell development and function, particularly of PMN-MDSC, we analyzed its role using MDSC-specific IRF4 knockout mice with the Ly6G or LysM knock-in allele expressing Cre recombinase and Irf4flox. In GM-CSF-driven bone marrow cultures, IRF4 deficiency increased the frequency of MDSC-like cells with a strong T cell suppressive capacity. Myeloid (LysM)-specific depletion of IRF4 led to increased tumor weight and a moderate splenic M-MDSC expansion in tumor-bearing mice. PMN cell (Ly6G)-specific depletion of IRF4, however, did not influence tumor progression or MDSC accumulation in vivo in accordance with our finding that IRF4 is not expressed in PMN-MDSC. This study demonstrates a critical role of IRF4 in the generation of an immunosuppressive tumor microenvironment in pancreatic cancer, which is independent of IRF4 expression in PMN-MDSC.

Highlights

  • The tumor microenvironment (TME) contains a variety of immune cells with opposing functions

  • We show that global interferon regulatory factor 4 (IRF4) deficiency accelerates tumor growth, increases frequencies of tumorinfiltrating PMN-myeloid-derived suppressor cells (MDSC) and reduces survival in a murine PDAC model

  • Reporter mice for studying IRF4 expression in myeloid cells in vivo revealed the induction of IRF4 in myeloid precursor cells and monocytic myeloid-derived suppressor cells (M-MDSC), but not in PMNMDSC

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Summary

Introduction

The tumor microenvironment (TME) contains a variety of immune cells with opposing functions. Depending on the cell of origin and marker expression, they can be classified in (1) monocytic myeloid-derived suppressor cells (M-MDSC), (2) polymorphonuclear myeloid-derived suppressor cells (PMN-MDSC) and (3) tumor-associated macrophages (TAM) [3, 4]. Under pathological activation such as chronic inflammation or cancer MDSC are expanded and gain a suppressive phenotype [5]. A MDSC-enriched TME is a negative predictive marker for the response to immunotherapy in a mouse model of PDAC [8] Despite their high clinical relevance, MDSC-targeted treatment approaches are still insufficient [9] and there is Cancer Immunology, Immunotherapy (2020) 69:2101–2112 great need for a better understanding of MDSC development and activation in cancer [10]

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