Myeloid-derived suppressor cells (MDSCs): what do we currently know about the effect they have against

Ronald Sergio Limón Tellez1,2,3,4, Lucia Reynolds2,3, Miguel A Piris4

  • 1Department of Oncology, University Social Security USS, Nº58 Colon Street, 10260 Santa Cruz, Bolivia.

PubMed

Insights

Myeloid-derived suppressor cells (MDSCs) impact cancer treatment effectiveness. These cells, including M-MDSCs and PMN-MDSCs, can promote resistance to PD-1/PD-L1 therapies by inhibiting T lymphocytes.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • PD-1/PD-L1 checkpoint inhibitors represent a significant advancement in cancer therapy.
  • Understanding factors influencing treatment response is crucial for improving patient outcomes.
  • Myeloid-derived suppressor cells (MDSCs) have been identified as a key factor in treatment failure.

Purpose of the Study:

  • To investigate the role of myeloid-derived suppressor cells (MDSCs) in the context of PD-1/PD-L1 inhibitor efficacy.
  • To elucidate the mechanisms by which MDSCs contribute to treatment resistance.

Main Methods:

  • Identification and characterization of MDSC subpopulations (M-MDSCs and PMN-MDSCs).
  • Correlation of MDSC levels with tumor volume and treatment response in preclinical models and cancer patients.

Main Results:

  • Increased numbers of MDSCs are associated with larger tumor volumes.
  • MDSC subpopulations, M-MDSCs and PMN-MDSCs, express PD-L1.
  • PD-L1 expression on MDSCs inhibits cytotoxic T lymphocyte expansion, leading to treatment resistance.

Conclusions:

  • MDSCs play a critical role in mediating resistance to PD-1/PD-L1 checkpoint inhibitor therapies.
  • Targeting MDSCs or their PD-L1 expression may represent a viable strategy to overcome treatment resistance in cancer.