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Disruption of CXCR2-Mediated MDSC Tumor Trafficking Enhances Anti-PD1 Efficacy
Open accessAbstract
Preventing trafficking of myeloid-derived suppressor cells to the tumor site enhances the efficiency of checkpoint blockade.
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“Notably, data from various mouse models indicate that disrupting the CXCR1/2–MDSC axis in tumours is therapeutically efficacious across a wide variety of solid cancers166–172.”
From The current state of the art and future trends in RAS-targeted cancer therapies (2022) · cites this paper as [168]
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Molecular Pathways: Myeloid Complicity in Cancer
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“The recruitment of immunosuppressive cells is influenced through the production of chemokines by the tumor including CCL5 (Schlecker et al., 2012); CCL7, CXCL8, and CXCL12 (Highfill et al., 2014; Kumar et al., 2016); and CCL2 (Kudo‐Saito, Shirako, Ohike, Tsukamoto, & Kawakami, 2013).”
BackgroundResisting Resistance to Immune Checkpoint Therapy: A Systematic Review
Haibe, Y., Husseini, Z. E., Sayed, R. E., & Shamseddine, A. I. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21176176 · Cited by 45
“Hence, the disruption of CXCR2 will probably inhibit MDSC trafficking into the tumor bed and increase the response to anti-PD1 therapy [203].”
BackgroundXue, G., Wang, Z., Zheng, N., Fang, J., Mao, C., Li, X., Jin, G., Ming, X., & Lu, Y. (2021) · Nature Biomedical Engineering · doi:10.1038/s41551-021-00799-6 · Cited by 47
Immune microenvironment of cholangiocarcinoma: Biological concepts and treatment strategies
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“Due to immunosuppression and the limiting effects of ICB, targeting MDSCs and blocking MDSC recruitment may be an attractive therapeutic opportunity (40).”
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“Due to their immunosuppressive nature, MDSCs receive considerable attention as possible negative players in cancer immunotherapeutic approaches [53, 54].”
BackgroundTargeting oral tumor microenvironment for effective therapy
Budi, H. S., & Farhood, B. (2023) · Cancer Cell International · doi:10.1186/s12935-023-02943-5 · Cited by 44
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“Preclinical research has shown that combining an anti-PD-1 inhibitor with an anti-CXCR2 inhibitor has a synergistic impact in reducing tumor development [212].”
BackgroundDistinct Spatio-Temporal Dynamics of Tumor-Associated Neutrophils in Small Tumor Lesions
Sody, S., Uddin, M., Grüneboom, A., Görgens, A., Giebel, B., Gunzer, M., & Brandau, S. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01419 · Cited by 43
Combination of attenuated Salmonella carrying PD‐1 siRNA with nifuroxazide for colon cancer therapy
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“PD‐1’ signaling on T cell surface via PD‐L1 or PD‐L2 curbs T cell mediated activation through recruitment of the SHP2 phosphatase.(5,6) Since the discovery of PD‐1 in 1992,(7) a growing body of research has shown that immune escape of cancers is often mediated via PD‐1 signaling.”
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BackgroundMyeloid-driven mechanisms as barriers to antitumor CD8+ T cell activity
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“inhibited by CXCR2 deficiency or treatment with anti-CXCR2 monoclonal antibody.(17) These results suggest that the posttreatment decrease in the level of CXCL2 might prevent CXCR2-mediated MDSC trafficking toward tumors, leading to enhanced efficacy of PD-1 checkpoint blockade.”
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“Whilst antiMDSC strategies have enhanced the efficacy of checkpoint blockade in pre-clinical models [3, 4] whether tumoral MDSCs are important in limiting checkpoint blockade Luciana Gneo and Nagy Rizkala contributed equally to this article.”
BackgroundThe Functional Roles of Immune Cells in Primary Liver Cancer
Pham, L., Kyritsi, K., Zhou, T., Ceci, L., Baiocchi, L., Kennedy, L. L., Chakraborty, S., Glaser, S. S., Francis, H., Alpini, G. D., et al. (2022) · American Journal Of Pathology · doi:10.1016/j.ajpath.2022.02.004 · Cited by 37
“Blocking CXCR2mediated PMN-MDSC trafficking using anti-CXCR2 monoclonal antibody increases the anti-cancer effects of antiePD-1 immunotherapy.(55) These studies indicate that MDSCs are negatively correlated with liver cancer via immunosuppressive properties; however, a study analyzed MDSC populations in peripheral blo…”
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“High-throughput, high-dimensional, single-cell technologies have resulted in ground-breaking discoveries and atlases of various TMEs, potentially leading to the development of more effective immunotherapies and personalized medicines.”
BackgroundInfluentialDirected evolution of broadly crossreactive chemokine-blocking antibodies efficacious in arthritis
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Neutrophilia as prognostic biomarker in locally advanced stage III lung cancer
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“Recent preclinical results show that elevated MDSC levels are responsible for this lack of response and that elimination of MDSCs may lead to increased efficacy with PD-1 inhibition.(21,22) In addition, BTK-dependent activation of mast cells, myeloid cells, and other immunocytes in peritumoral inflammatory stroma has…”
BackgroundHost Cxcr2-Dependent Regulation of Pancreatic Cancer Growth, Angiogenesis, and Metastasis
Purohit, A., Saxena, S., Varney, M. L., Prajapati, D. R., Kozel, J. A., Lazenby, A. J., & Singh, R. K. (2021) · American Journal Of Pathology · doi:10.1016/j.ajpath.2021.01.002 · Cited by 37
“The authors further concluded that CXCR2þ granulocytic MDSCs mediate local immunosuppression, and inhibiting CXCR2 signaling can enhance the efficacy of checkpoint inhibitors.(41) However, they did not observe metastasis in their model.”
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“However, only a minority of patients experience dramatic tumor regression in response to ICB therapy, and most patients initially respond to but later become resistant to these therapies [9].”
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“CXCR2 is expressed on neutrophils and myeloid-derived suppressor cells (MDSCs) and functions as an inducer for the migration of these cells into the site of inflammation (Eash et al., 2010; Highfill et al., 2014).”
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Can Immunogenic Chemotherapies Relieve Cancer Cell Resistance to Immune Checkpoint Inhibitors?
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“Accordingly, preventing the accumulation of these immunosuppressive cells in the TME enhances the efficacy of ICI therapy (93, 94).”
BackgroundNovel Characterization of Myeloid-Derived Suppressor Cells in Tumor Microenvironment
Li, Y., He, H., Jihu, R., Zhou, J., Zeng, R., & Yan, H. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.698532 · Cited by 35
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“Immune checkpoint inhibitors, including anti-cytotoxic T-lymphocyte antigen-4 (CTLA-4) and anti-programmed cell-death (PD-1), require recruitment of immune cells from the tumour microenvironment and have been shown to prevent tumour growth in various pre-clinical cancer models, including RMS and other sarcomas [33-35].”
BackgroundMDSC: a new potential breakthrough in CAR-T therapy for solid tumors
Abdalsalam, N. M. F., Ibrahim, A., Saliu, M. A., Liu, T., Wan, X., & Yan, D. (2024) · Cell Communication and Signaling · doi:10.1186/s12964-024-01995-y · Cited by 35
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“As this reaction was seen with UTDT cells and CART cells, we ascribe it to the production of factors (such as IFNg) known to activatemurine myeloid cells (37), as seen inmouse models of sarcoma.”
BackgroundHu, T., Zhai, J., Yang, Z., Peng, J., Wang, C., Liu, X., Li, Y., Yao, J., Chen, F., Li, H., et al. (2025) · MedComm · doi:10.1002/mco2.70231 · Cited by 37
“PD-1 blockade was ineffective in wild-type tumor-bearing mice, whereas a significant reduction in tumor growth was observed in CXCR2-deficient mice [184].”
Role of myeloid-derived suppressor cells in immune checkpoint inhibitor therapy in cancer
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Current opinions in immune checkpoint inhibitors rechallenge in solid cancers
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Targeting myeloid-derived suppressor cells for cancer therapy
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The Liver Pre-Metastatic Niche in Pancreatic Cancer: A Potential Opportunity for Intervention
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“CXCR2, a member of the chemokine receptor family expressed by neutrophils and MDSCs, is known to play a role in their recruitment to sites of inflammation, as well as within tumors [60,61].”
BackgroundNivolumab plus ipilimumab combination therapy in cancer: Current evidence to date
Nikoo, M., Rabiee, F., Mohebbi, H., Eghbalifard, N., Rajabi, H., Yazdani, Y., Sakhaei, D., Khosravifarsani, M., & Akhavan‐Sigari, R. (2023) · International Immunopharmacology · doi:10.1016/j.intimp.2023.109881 · Cited by 33
Mascarenhas, L., Lyden, E. R., Breitfeld, P. P., Walterhouse, D. O., Donaldson, S. S., Rodeberg, D. A., Parham, D. M., Anderson, J. R., Meyer, W. H., & Hawkins, D. S. (2019) · Cancer · doi:10.1002/cncr.32122 · Cited by 32
Advances in immunotherapy for pancreatic ductal adenocarcinoma
Miyazawa, M., Katsuda, M., Kawai, M., Hirono, S., Okada, K., Kitahata, Y., & Yamaue, H. (2021) · Journal of Hepato-Biliary-Pancreatic Sciences · doi:10.1002/jhbp.944 · Cited by 32
Ganesh, S., Kim, M. J., Lee, J., Feng, X., Ule, K., Mahan, A. L., Krishnan, H. S., Wang, Z., Anzahaee, M. Y., Singhal, G., et al. (2024) · Molecular Therapy · doi:10.1016/j.ymthe.2024.03.035 · Cited by 31
“In addition, the preferential expression of CxCr2, Slc27a2, and Ptgs2 by G-MDSC, which are indicative of the recruitment and suppressive activity of G-MDSC compared with M-MDSCs 41,42 (Figures 2E and 2F) further con fi rmed the identity of G-MDSC.”
CXCR2 deficient mice display macrophage-dependent exaggerated acute inflammatory responses
Dyer, D. P., Pallas, K. J., Medina‐Ruiz, L., Schuette, F., Wilson, G. J., & Graham, G. J. (2017) · Scientific Reports · doi:10.1038/srep42681 · Cited by 31
Plasma Protein Binding as an Optimizable Parameter for Acidic Drugs
Gardiner, P., Cox, R. J., & Grime, K. (2019) · Drug Metabolism and Disposition · doi:10.1124/dmd.119.087163 · Cited by 32
Brief review on the roles of neutrophils in cancer development
Wang, L., Chen, J., Chen, G., Lin, Z., Xie, X., & Dai, H. (2020) · Journal of Leukocyte Biology · doi:10.1002/jlb.4mr0820-011r · Cited by 33
Douglass, S. M., Fane, M. E., Sanseviero, E., Ecker, B. L., Kugel, C. H., Behera, R., Kumar, V., Tcyganov, E. N., Yin, X., Liu, Q., et al. (2020) · Cancer Research · doi:10.1158/0008-5472.can-20-1238 · Cited by 31
“In addition to this, both CXCR2, which is a potent chemokine receptor expressed on MDSCs and involved in site-specific migration, and itsmain ligandCXCL1were significantly associatedwith Wnt5A expression in melanoma tumors (Fig.”
BackgroundInfluentialCarino, A., Graziosi, L., Marchianò, S., Biagioli, M., Marino, E., Sepe, V., Zampella, A., Distrutti, E., Donini, A., & Fiorucci, S. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.663771 · Cited by 31
Volberding, P. J., Xin, G., Kasmani, M. Y., Khatun, A., Brown, A. K., Nguyen, C. P., Stancill, J. S., Martinez, E., Corbett, J. A., & Cui, W. (2021) · Cell Reports · doi:10.1016/j.celrep.2021.109160 · Cited by 30
“…(Najjar et al., 2017), Csf3r (encodes the granulocyte colony-stimulating factor (G-CSF) receptor; Li et al., 2016; Trikha and Carson, 2014), Cxcr2 (Highfill et al., 2014; Katoh et al., 2013; Sun et al., 2019), Fabp5 (Bogdan et al., 2018; Veglia et al., 2019), Arg2 (encodes type II mitochondrial…”
Li, X., Shi, H. R., Zhang, W., Bai, C., He, M., Ta, N., Huang, H., Ning, Y., Chen, F., Qin, H., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.690115 · Cited by 30
Haq, A. T. A., Yang, P., Jin, C. A., Shih, J., Chen, L., Tseng, H., Chen, Y., Weng, Y., Wang, L., Snyder, M. P., et al. (2024) · Theranostics · doi:10.7150/thno.92922 · Cited by 30
“In agreement with this notion, the previous study has reported that inhibition of the PD-1/PD-L1 axis increases CD8(+) CTLs and inhibits rhabdomyosarcoma in CXCR2-deficient mice [79].”
ResultMechanisms of Resistance to Anti-PD-1 Immunotherapy in Melanoma and Strategies to Overcome It
Zielińska, M. K., Ciążyńska, M. A., Sulejczak, D., Rutkowski, P. L., & Czarnecka, A. M. (2025) · Biomolecules · doi:10.3390/biom15020269 · Cited by 30
“Studies have shown that targeting MDSCs can improve the efficacy of anti-PD-1 [90,91].”
Distinctive molecular responses to ultraviolet radiation between keratinocytes and melanocytes
Sun, X., Kim, A. L., Nakatani, M., Shen, Y., & Liu, L. (2016) · Experimental Dermatology · doi:10.1111/exd.13057 · Cited by 29
Tan, Z., Liu, L., Chiu, M. S., Cheung, K., Yan, C. W., Yu, Z., Lee, B. K., Liu, W., Man, K., & Chen, Z. (2018) · OncoImmunology · doi:10.1080/2162402x.2018.1518672 · Cited by 30
“To study this, the expression of chemokine receptors on both MDSC subsets and the levels of chemokines in rMVTT-treated tumors were examined.(29,30) Flow cytometric analysis of chemokine receptor expression revealed that CXCR2 was expressed only on PMN-MDSCs but not on M-MDSCs.”
MethodResultRecent Advances in Pediatric Cancer Research
McEachron, T. A., & Helman, L. J. (2021) · Cancer Research · doi:10.1158/0008-5472.can-21-1191 · Cited by 35
“Fibrocytes have been shown to promote an immunosuppressive microenvironment and undermine the efficacy of immunecheckpoint inhibition in a syngeneic embryonal rhabdomyosarcoma model (192).”
BackgroundPapadakos, S. P., Arvanitakis, K., Stergiou, I. Ε., Lekakis, V., Davakis, S., Christodoulou, M., Germanidis, G. S., & Theocharis, S. E. (2023) · Cancers · doi:10.3390/cancers15102795 · Cited by 31
Specific inhibition of PI3Kδ/γ enhances the efficacy of anti-PD1 against osteosarcoma cancer
Shi, X., Li, X., Wang, H., Yu, Z., Zhu, Y., & Gao, Y. (2018) · Journal of bone oncology · doi:10.1016/j.jbo.2018.11.001 · Cited by 29
Diefenhardt, M., Hofheinz, R., Martin, D., Beißbarth, T., Arnold, D., Hartmann, A., von der Grün, J., Grützmann, R., Liersch, T., Ströbel, P., et al. (2019) · International Journal of Cancer · doi:10.1002/ijc.32274 · Cited by 30
Nanomedicines modulating myeloid-derived suppressor cells for improving cancer immunotherapy
Dai, X., Ren, L. F., Liu, M., Cai, H., Zhang, H., Gong, Q., Gu, Z., & Luo, K. (2021) · Nano Today · doi:10.1016/j.nantod.2021.101163 · Cited by 29
Self-citationZhang, B., Hu, M., Ma, Q., Li, K., Li, X., He, X., Shu, P., Chen, Y., Gao, G., Qin, D., et al. (2023) · Molecular Therapy · doi:10.1016/j.ymthe.2023.04.008 · Cited by 29
The Sweet Surrender: How Myeloid Cell Metabolic Plasticity Shapes the Tumor Microenvironment
Sieow, J. L., Gun, S. Y., & Wong, S. C. (2018) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2018.00168 · Cited by 29
Shinoda, H., & Seto, H. (1985) · PubMed · Cited by 29
Further knowledge and developments in resistance mechanisms to immune checkpoint inhibitors
Berland, L., Gabr, Z., Chang, M., Ilié, M., Hofman, V., Rignol, G., Ghiringhelli, F., Mograbi, B., Rashidian, M., & Hofman, P. M. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1384121 · Cited by 31
Mortara, L., Benest, A. V., Bates, D. O., & Noonan, D. M. (2017) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2017.05.009 · Cited by 27
Novel Combinatorial Approaches to Tackle the Immunosuppressive Microenvironment of Prostate Cancer
Shackleton, E. G., Ali, H. Y., Khan, M. A., Pockley, A. G., & McArdle, S. (2021) · Cancers · doi:10.3390/cancers13051145 · Cited by 29
CXCL3 Signaling in the Tumor Microenvironment
Reyes, N., Figueroa, S., Tiwari, R. K., & Geliebter, J. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-62658-7_2 · Cited by 28
Es, H. A., Cox, T. R., Sarafraz-Yazdi, E., Thiery, J. P., & Warkiani, M. E. (2021) · Cancers · doi:10.3390/cancers13205118 · Cited by 28
Role of myeloid-derived suppressor cells in tumor recurrence
Cole, K., Al-Kadhimi, Z. S., & Talmadge, J. E. (2023) · Cancer and Metastasis Reviews · doi:10.1007/s10555-023-10079-1 · Cited by 30
“Consistent with these observations, several studies have documented a relationship between MDSC infiltration and PD1 blockade resistance, and that selective depletion of MDSCs could restore antiPD1 therapy efficacy [297, 298].”
ResultPezzella, M., Quintarelli, C., Quadraccia, M. C., Sarcinelli, A., Manni, S., Iaffaldano, L., Ottaviani, A., Ciccone, R., Camera, A., D'Amore, M. L., et al. (2024) · Journal of Hematology & Oncology · doi:10.1186/s13045-024-01641-7 · Cited by 27
Korbecki, J., Bosiacki, M., Pilarczyk, M., Kot, M., Defort, P., Walaszek, I., Chlubek, D., & Baranowska‐Bosiacka, I. (2025) · Cancers · doi:10.3390/cancers17101674 · Cited by 27
“CXCL1 chemokine induces angiogenesis [17,18,29,30] and recruitment of G-MDSCs [31,32] and neutrophils [33] into the tumor niche.”
Dietary Choline Supplementation Attenuates High-Fat-Diet–Induced Hepatocellular Carcinoma in Mice
Brown, A. L., Conrad, K. A., Allende, D. S., Gromovsky, A. D., Zhang, R., Neumann, C. K. A., Owens, A. P., Tranter, M., & Helsley, R. N. (2019) · Journal of Nutrition · doi:10.1093/jn/nxz315 · Cited by 27
“Circulating MDSC concentrations can predict which individuals will respond to immunotherapy-based approaches, and depletion of these cells can have substantial antitumor effects (27).”
Myeloid-Derived Suppressor Cells: Facilitators of Cancer and Obesity-Induced Cancer
Ostrand‐Rosenberg, S. (2020) · Annual Review of Cancer Biology · doi:10.1146/annurev-cancerbio-042120-105240 · Cited by 27
Metadata
- Authors
- Highfill, S. L., Cui, Y., Giles, A. J., Smith, J. P., Zhang, H., Morse, E., Kaplan, R. N., & Mackall, C. L.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Mackall, Crystal L.
- Venue
- Science Translational Medicine
- Published
- 2014-05-21
- Volume
- 6
- Issue
- 237
- Pages
- 237ra67-237ra67
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC6980372
- OpenAlex
- W2171524684
- Cited by
- 767
- References
- 50
- Citations by year
- 2026: 55 · 2025: 62 · 2024: 57 · 2023: 83 · 2022: 73 · 2021: 100 · 2020: 91 · 2019: 60 · 2018: 52 · 2017: 52 · 2016: 38 · 2015: 31 · 2014: 12
- FWCI
- 20.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (Z01BC011072, Z01BC010566, Z01SC010289)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Oncology › Chemokine receptors and signaling
- Keywords
- CXCR2, myeloid-derived suppressor cells, tumor immune evasion, anti-PD-1 therapy, rhabdomyosarcoma, pediatric sarcoma, interleukin-8, PD-L1, tumor immunosuppression
- MeSH terms
- Adolescent, Adult, Animals, Antibodies, Monoclonal, Antigens, Ly, Antineoplastic Combined Chemotherapy Protocols, Chemotaxis, Child, Child, Preschool, Female, Humans, Male, Mice, Inbred C57BL, Prognosis, Rhabdomyosarcoma, Time Factors, Neoplastic Stem Cells, Case-Control Studies, Cytokines, Interleukin-8, Mice, Knockout, Tumor Escape, Receptors, Interleukin-8B, CD11b Antigen, Cell Line, Tumor, Tumor Burden, Mice, Chemokine CXCL1, Young Adult, Tumor Microenvironment, B7-H1 Antigen
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