MDSCs in infectious diseases: regulation, roles, and readjustment

Anca Dorhoi1,2,3, Estibaliz Glaría4,5, Thalia Garcia-Tellez6

  • 1Institute of Immunology, Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Südufer 10, 17493, Greifswald, Insel Riems, Germany. anca.dorhoi@fli.de.

Insights

Pathogens expand myeloid-derived suppressor cells (MDSCs) which suppress immunity. This review examines MDSC roles in various infections and malignancies, exploring host-beneficial modulation strategies.

Area of Science:

  • Immunology
  • Pathogen-Host Interactions
  • Cellular Biology

Background:

  • Pathogens, including viruses and parasites, induce the expansion of myeloid-derived suppressor cells (MDSCs).
  • MDSCs are a heterogeneous population of myeloid cells characterized by potent immunosuppressive functions.
  • The specific roles of MDSCs during infection are complex and influenced by pathogen type, virulence, disease stage, and host pathology.

Purpose of the Study:

  • To compile and critically evaluate evidence on the functional roles of distinct MDSC subsets in acute and chronic infections.
  • To investigate the involvement of MDSCs in pathogen-associated malignancies.
  • To discuss potential therapeutic strategies for modulating MDSC activity to improve host outcomes during infection and disease.

Main Methods:

  • Compilation and synthesis of existing research findings.
  • Analysis of functional assays demonstrating MDSC activity in infectious models.
  • Review of studies linking MDSCs to cancer development in the context of infection.

Main Results:

  • MDSC subsets play diverse roles in modulating immune responses during infections, varying with pathogen and disease context.
  • MDSCs are implicated in the progression of certain pathogen-associated malignancies by suppressing anti-tumor immunity.
  • Evidence suggests that manipulating MDSC populations can impact disease severity and progression.

Conclusions:

  • MDSCs are key regulators of the immune response to pathogens and are involved in infection-related cancers.
  • Understanding the specific functions of MDSC subsets is crucial for developing targeted immunomodulatory therapies.
  • Modulating MDSC dynamics offers a promising avenue for enhancing host defense and improving treatment outcomes.

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