Summary: | <p>Abstract</p> <p>Background</p> <p>Tumor immune tolerance can derive from the recruitment of suppressor cell populations, including myeloid-derived suppressor cells (MDSC). In cancer patients, MDSC accumulation correlates with increased tumor burden, but the mechanisms of MDSC induction remain poorly understood.</p> <p>Methods</p> <p>This study examined the ability of human tumor cell lines to induce MDSC from healthy donor PBMC using <it>in vitro </it>co-culture methods. These human MDSC were then characterized for morphology, phenotype, gene expression, and function.</p> <p>Results</p> <p>Of over 100 tumor cell lines examined, 45 generated canonical CD33<sup>+</sup>HLA-DR<sup>low</sup>Lineage<sup>- </sup>MDSC, with high frequency of induction by cervical, ovarian, colorectal, renal cell, and head and neck carcinoma cell lines. CD33<sup>+ </sup>MDSC could be induced by cancer cell lines from all tumor types with the notable exception of those derived from breast cancer (0/9, regardless of hormone and HER2 status). Upon further examination, these and others with infrequent CD33<sup>+ </sup>MDSC generation were found to induce a second subset characterized as CD11b<sup>+</sup>CD33<sup>low</sup>HLA-DR<sup>low</sup>Lineage<sup>-</sup>. Gene and protein expression, antibody neutralization, and cytokine-induction studies determined that the induction of CD33<sup>+ </sup>MDSC depended upon over-expression of IL-1β, IL-6, TNFα, VEGF, and GM-CSF, while CD11b<sup>+ </sup>MDSC induction correlated with over-expression of FLT3L and TGFβ. Morphologically, both CD33<sup>+ </sup>and CD11b<sup>+ </sup>MDSC subsets appeared as immature myeloid cells and had significantly up-regulated expression of iNOS, NADPH oxidase, and arginase-1 genes. Furthermore, increased expression of transcription factors HIF1α, STAT3, and C/EBPβ distinguished MDSC from normal counterparts.</p> <p>Conclusions</p> <p>These studies demonstrate the universal nature of MDSC induction by human solid tumors and characterize two distinct MDSC subsets: CD33<sup>+</sup>HLA-DR<sup>low</sup>HIF1α<sup>+</sup>/STAT3<sup>+ </sup>and CD11b<sup>+</sup>HLA-DR<sup>low</sup>C/EBPβ<sup>+</sup>, which should enable the development of novel diagnostic and therapeutic reagents for cancer immunotherapy.</p>
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