PMID- 29226090 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2212-1366 (Print) IS - 2212-1374 (Electronic) IS - 2212-1366 (Linking) VI - 9 DP - 2017 Nov TI - Inhibition of IL-18-mediated myeloid derived suppressor cell accumulation enhances anti-PD1 efficacy against osteosarcoma cancer. PG - 59-64 LID - 10.1016/j.jbo.2017.10.002 [doi] AB - Myeloid derived suppressor cells (MDSC) are very important in tumor immune evasion and they dramatically increased in peripheral blood of patients with osteosarcoma cancer. The association between MDSC and various cytokines has been studied in the peripheral blood. However, little is known about the mechanism drawing MDSC into tumor parenchyma. This study was to analyze the correlation between MDSC subsets and interleukin 18 (IL-18) level in osteosarcoma tumor model and its effect on the immunotherapy. MDSC were isolated from the blood and parenchyma and analyzed in the osteosarcoma tumor model. IL-18 levels were detected by enzyme-linked immunosorbent assay (ELISA) assay, real-time PCR, western blot and flow cytometry. Moreover, combination treatment with IL-18 inhibition and anti-PD1 was conducted to assess the therapeutic effects of IL-18 blockade. Results showed MDSC levels had a positive correlation with IL-18, suggesting IL-18 may attract MDSC into the parenchyma. IL-18 gene and protein expression significantly increased in blood and tumor lysates of tumor-bearing mice. Anti-IL-18 treatment significantly decreased G-MDSC and M-MDSC in the peripheral blood and tumor. Furthermore, combination therapy decreased the tumor burden and increased CD4(+) and CD8(+) T cell infiltration, as well as the production of interferon gamma (IFNgamma) and granzyme B. Our study revealed a possible correlation between MDSC subsets and IL-18 inducing MDSC migration into the tumor tissue, in addition to provide the potential target to enhance the efficacy of immunotherapy in patients with osteosarcoma. FAU - Guan, Ying AU - Guan Y AD - Department of Orthopedics, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, PR China. FAU - Zhang, Rui AU - Zhang R AD - Department of Neurology, General Hospital of Heilongjiang Province Land Reclamation Headquarter, Harbin 150001, PR China. FAU - Peng, Zhibin AU - Peng Z AD - Department of Orthopedics, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, PR China. FAU - Dong, Daming AU - Dong D AD - Department of Orthopedics, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, PR China. FAU - Wei, Guojun AU - Wei G AD - Department of Orthopedics, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, PR China. FAU - Wang, Yansong AU - Wang Y AD - Department of Orthopedics, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, PR China. LA - eng PT - Journal Article DEP - 20171101 PL - Netherlands TA - J Bone Oncol JT - Journal of bone oncology JID - 101610292 PMC - PMC5715437 OTO - NOTNLM OT - Anti-PD1 OT - IL-18 OT - Myeloid derived suppressor cells OT - Osteosarcoma EDAT- 2017/12/12 06:00 MHDA- 2017/12/12 06:01 PMCR- 2017/11/01 CRDT- 2017/12/12 06:00 PHST- 2017/09/06 00:00 [received] PHST- 2017/10/24 00:00 [revised] PHST- 2017/10/29 00:00 [accepted] PHST- 2017/12/12 06:00 [entrez] PHST- 2017/12/12 06:00 [pubmed] PHST- 2017/12/12 06:01 [medline] PHST- 2017/11/01 00:00 [pmc-release] AID - S2212-1374(17)30098-2 [pii] AID - 10.1016/j.jbo.2017.10.002 [doi] PST - epublish SO - J Bone Oncol. 2017 Nov 1;9:59-64. doi: 10.1016/j.jbo.2017.10.002. eCollection 2017 Nov.