Myeloid-Derived Suppressor Cells as a Therapeutic Target for Cancer
Open accessAbstract
The emergence of immunotherapy has been an astounding breakthrough in cancer treatments. In particular, immune checkpoint inhibitors, targeting PD-1 and CTLA-4, have shown remarkable therapeutic outcomes. However, response rates from immunotherapy have been reported to be varied, with some having pronounced success and others with minimal to no clinical benefit. An important aspect associated with this discrepancy in patient response is the immune-suppressive effects elicited by the tumour microenvironment (TME). Immune suppression plays a pivotal role in regulating cancer progression, metastasis, and reducing immunotherapy success. Most notably, myeloid-derived suppressor cells (MDSC), a heterogeneous population of immature myeloid cells, have potent mechanisms to inhibit T-cell and NK-cell activity to promote tumour growth, development of the pre-metastatic niche, and contribute to resistance to immunotherapy. Accumulating research indicates that MDSC can be a therapeutic target to alleviate their pro-tumourigenic functions and immunosuppressive activities to bolster the efficacy of checkpoint inhibitors. In this review, we provide an overview of the general immunotherapeutic approaches and discuss the characterisation, expansion, and activities of MDSCs with the current treatments used to target them either as a single therapeutic target or synergistically in combination with immunotherapy.
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Presence of TAMs, TANs, MDSC, and Tregs in the TME is associated with poor prognosis and outcome in many oncological conditions, as they produce IL-10, TGF-β, and prostaglandins that suppress anti-tumor activities of NK, T, and B cells, allowing survival and proliferation of cancer cells.
“In many oncological conditions as reviewed in (26) and (54), the presence of tumor-associated macrophages (TAMs), tumor-associated neutrophils (TANs), myeloid-derived suppressor cells (MDSC), and regulatory T cells (Tregs) in the TME is associated with poor prognosis and outcome, as they produce IL-10, TGF-β, and prostaglandins that are potent immunosuppressors, suppressing the anti-tumor activi”
From Tumor-Induced Inflammatory Cytokines and the Emerging Diagnostic Devices for Cancer Detection and Prognosis (2021) · cites this paper as [54]
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- Authors
- Law, A. M. K., Valdes-Mora, F., & Gallego-Ortega, D.
- Affiliations
- Garvan Institute of Medical Research (AU)
- Histone Variants Group, Garvan Institute of Medical Research, Sydney, NSW 2010, Australia
- Tumour Development Group, The Kinghorn Cancer Centre, Garvan Institute of Medical Research, Sydney, NSW 2010, Australia
- Corresponding author
- Law, Andrew M. K.
- Venue
- Cells
- Publisher
- MDPI AG
- Published
- 2020-02-27
- Volume
- 9
- Issue
- 3
- Pages
- 561
- ISSN
- 2073-4409 (ISSN-L)
- PMC
- PMC7140518
- OpenAlex
- W3010011098
- Cited by
- 455
- References
- 14
- Citations by year
- 2026: 26 · 2025: 58 · 2024: 76 · 2023: 86 · 2022: 95 · 2021: 88 · 2020: 26
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Cells (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Cancer Institute NSW (DG00625, CDF181218)
- Cancer Council NSW (RG18-03)
- Australian Government Research Training Program (-)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- myeloid-derived suppressor cells, cancer immunotherapy, immune checkpoint inhibitors, PD-1, CTLA-4, tumor microenvironment, immunosuppression, immunotherapy resistance, pre-metastatic niche, T cell suppression, NK cell inhibition, combination therapy
- MeSH terms
- Myeloid-Derived Suppressor Cells, Immune Checkpoint Inhibitors, Animals, Humans, Immunosuppression Therapy, Immunotherapy, Neoplasms, Carcinogenesis
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