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Targeting MDSC for Immune-Checkpoint Blockade in Cancer Immunotherapy: Current Progress and New Prospects
Tianhang Li1, Tianyao Liu1, Wenjie Zhu1
1Department of Urology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Institute of Urology, Nanjing University, Nanjing, 210008, People's Republic of China.
Abstract:
Immune-checkpoint blockade (ICB) demonstrated inspiring effect and great promise in anti-cancer therapy. However, many obstacles, such as drug resistance and difficulty in patient selection, limited the efficacy of ICB therapy and awaited to be overcome. By timely identification and intervention of the key immune-suppressive promotors in the tumor microenvironment (TME), we may better understand the mechanisms of cancer immune-escape and use novel strategies to enhance the therapeutic effect of ICB. Myeloid-derived suppressor cell (MDSC) is recognized as a major immune suppressor in the TME. In this review, we summarized the roles MDSC played in the cancer context, focusing on its negative biologic functions in ICB therapy, discussed the strategies targeted on MDSC to optimize the diagnosis and therapy process of ICB and improve the efficacy of ICB therapy against malignancies.
Insights
Immune-checkpoint blockade (ICB) shows promise in cancer therapy but faces challenges. Targeting myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment may overcome resistance and improve ICB efficacy.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Immune-checkpoint blockade (ICB) is a promising cancer therapy.
- Challenges like drug resistance and patient selection limit ICB efficacy.
- The tumor microenvironment (TME) significantly influences ICB response.
Purpose of the Study:
- To review the role of myeloid-derived suppressor cells (MDSCs) in cancer.
- To focus on MDSC's negative impact on ICB therapy.
- To discuss MDSC-targeted strategies for enhancing ICB efficacy.
Main Methods:
- Literature review of MDSC functions in cancer.
- Analysis of MDSC's role in ICB resistance.
- Exploration of therapeutic strategies targeting MDSCs.
Main Results:
- MDSCs are major immune suppressors in the TME.
- MDSCs contribute to resistance against ICB therapy.
- Targeting MDSCs can potentially overcome ICB limitations.
Conclusions:
- Understanding MDSC biology is crucial for improving ICB.
- MDSC-targeted interventions offer a strategy to enhance anti-cancer immunity.
- Optimizing ICB therapy requires addressing MDSC-mediated immunosuppression.
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