PMID- 20414655 OWN - NLM STAT- MEDLINE DCOM- 20100816 LR - 20220408 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 59 IP - 10 DP - 2010 Oct TI - Myeloid-derived suppressor cells: more mechanisms for inhibiting antitumor immunity. PG - 1593-600 LID - 10.1007/s00262-010-0855-8 [doi] AB - Myeloid-derived suppressor cells (MDSC) accumulate in most cancer patients and experimental animals with cancer. They accumulate in response to pro-inflammatory mediators and they use a variety of mechanisms to block both innate and adaptive antitumor immunity. Because of their critical role in obstructing immune responses, MDSC are a strategic obstacle to immunotherapies that require activation of the host's cell-mediated and innate immune responses. Following a brief description of the factors that induce MDSC accumulation, this article reviews two newly discovered mechanisms that MDSC use to suppress the activation of CD4(+) and CD8(+) T cells. The first mechanism is MDSC sequestration of cysteine, an amino acid that T cells are unable to synthesize de novo and that they require for activation. The second mechanism is MDSC-mediated down-regulation of L: -selectin. T cells must have an L: -selectin(high) phenotype to home to lymph nodes and inflammatory sites where they encounter antigen and are activated. By down-regulating L: -selectin on T cells, MDSC perturb T cell trafficking patterns and thereby inhibit T cell activation. Given the complexity of conditions that regulate MDSC accumulation and the variety of suppressive mechanisms used by MDSC, it is essential to understand which conditions and mechanisms are dominant so MDSC accumulation and/or activity can be targeted in individual patients to minimize MDSC-induced immune suppression. FAU - Ostrand-Rosenberg, Suzanne AU - Ostrand-Rosenberg S AD - Department of Biological Sciences, University of Maryland Baltimore County, Baltimore, MD 21250, USA. srosenbe@umbc.edu LA - eng GR - R01 CA084232/CA/NCI NIH HHS/United States GR - R01 CA115880/CA/NCI NIH HHS/United States GR - R01CA115880/CA/NCI NIH HHS/United States GR - R01CA84232/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20100423 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (Cancer Vaccines) SB - IM MH - Animals MH - CD8-Positive T-Lymphocytes/*immunology MH - *Cancer Vaccines MH - Humans MH - *Immunotherapy MH - Myeloid Cells/*immunology PMC - PMC3706261 MID - NIHMS484892 COIS- Conflict of interest statement: The author has no conflict of interest with the organization sponsoring this research. EDAT- 2010/04/24 06:00 MHDA- 2010/08/17 06:00 PMCR- 2013/07/09 CRDT- 2010/04/24 06:00 PHST- 2010/03/10 00:00 [received] PHST- 2010/04/01 00:00 [accepted] PHST- 2010/04/24 06:00 [entrez] PHST- 2010/04/24 06:00 [pubmed] PHST- 2010/08/17 06:00 [medline] PHST- 2013/07/09 00:00 [pmc-release] AID - 10.1007/s00262-010-0855-8 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2010 Oct;59(10):1593-600. doi: 10.1007/s00262-010-0855-8. Epub 2010 Apr 23.