Abstract Myeloid-derived suppressor cells (MDSC) is a major factor responsible for tumor escape. These cells accumulate in large numbers in tumor-bearing hosts and are characterized by their myeloid origin, immature state, and, most importantly, by their potent ability to suppress different aspects of immune responses, primarily T-cell proliferation and cytokine production. This heterogeneous group of cells, consists of immature myeloid cells (IMC) with morphological and phenotypic characteristics, similar to that of monocytes (M-MDSC) and polymorphonuclear neutrophils (PMN-MDSC). However, MDSC have a distinct gene expression profile and a number of biochemical, and functional, differences from monocytes (Mon) and neutrophils (PMN). In tumor-bearing hosts, there is a constant influx of myeloid cells from the bone marrow to other peripheral organs. Soluble growth factors and certain cytokines produced by tumor cells modulate, expand and differentiate these immature myeloid cells by interacting with the receptors on their surface and converting them to a suppressive phenotype. Recently, “two-signal” model of MDSC accumulation was proposed. This model suggests that accumulation of MDSC can be separated into two processes governed by different signal transduction pathways. One pathway is predominantly responsible for MDSC expansion and the second one for driving MDSC activation. The fate of MDSC remains poorly understood. We found, contrary to our initial expectations, that MDSC, in tumor-bearing mice and cancer patients, have a substantially lower survival than their control counterparts, Mon and PMN. We have identified possible mechanism of this phenomenon and suggested that it can be used for selective elimination of MDSC in tumor-bearing hosts. Citation Format: Dmitry Gabrilovich. Regulation of myeloid-derived suppressor cells in tumor micro-environment. [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology: Multidisciplinary Science Driving Basic and Clinical Advances; Dec 2-5, 2012; Miami, FL. Philadelphia (PA): AACR; Cancer Res 2013;73(1 Suppl):Abstract nr IA7.
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