PMID- 21324923 OWN - NLM STAT- MEDLINE DCOM- 20110711 LR - 20220409 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 71 IP - 7 DP - 2011 Apr 1 TI - COX-2 blockade suppresses gliomagenesis by inhibiting myeloid-derived suppressor cells. PG - 2664-74 LID - 10.1158/0008-5472.CAN-10-3055 [doi] AB - Epidemiologic studies have highlighted associations between the regular use of nonsteroidal anti-inflammatory drugs (NSAID) and reduced glioma risks in humans. Most NSAIDs function as COX-2 inhibitors that prevent production of prostaglandin E(2) (PGE(2)). Because PGE(2) induces expansion of myeloid-derived suppressor cells (MDSC), we hypothesized that COX-2 blockade would suppress gliomagenesis by inhibiting MDSC development and accumulation in the tumor microenvironment (TME). In mouse models of glioma, treatment with the COX-2 inhibitors acetylsalicylic acid (ASA) or celecoxib inhibited systemic PGE(2) production and delayed glioma development. ASA treatment also reduced the MDSC-attracting chemokine CCL2 (C-C motif ligand 2) in the TME along with numbers of CD11b(+)Ly6G(hi)Ly6C(lo) granulocytic MDSCs in both the bone marrow and the TME. In support of this evidence that COX-2 blockade blocked systemic development of MDSCs and their CCL2-mediated accumulation in the TME, there were defects in these processes in glioma-bearing Cox2-deficient and Ccl2-deficient mice. Conversely, these mice or ASA-treated wild-type mice displayed enhanced expression of CXCL10 (C-X-C motif chemokine 10) and infiltration of cytotoxic T lymphocytes (CTL) in the TME, consistent with a relief of MDSC-mediated immunosuppression. Antibody-mediated depletion of MDSCs delayed glioma growth in association with an increase in CXCL10 and CTLs in the TME, underscoring a critical role for MDSCs in glioma development. Finally, Cxcl10-deficient mice exhibited reduced CTL infiltration of tumors, establishing that CXCL10 limited this pathway of immunosuppression. Taken together, our findings show that the COX-2 pathway promotes gliomagenesis by directly supporting systemic development of MDSCs and their accumulation in the TME, where they limit CTL infiltration. FAU - Fujita, Mitsugu AU - Fujita M AD - Brain Tumor Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, USA. FAU - Kohanbash, Gary AU - Kohanbash G FAU - Fellows-Mayle, Wendy AU - Fellows-Mayle W FAU - Hamilton, Ronald L AU - Hamilton RL FAU - Komohara, Yoshihiro AU - Komohara Y FAU - Decker, Stacy A AU - Decker SA FAU - Ohlfest, John R AU - Ohlfest JR FAU - Okada, Hideho AU - Okada H LA - eng GR - R21 NS055738/NS/NINDS NIH HHS/United States GR - P01 NS040923/NS/NINDS NIH HHS/United States GR - 2P01NS40923/NS/NINDS NIH HHS/United States GR - 1R01NS055140/NS/NINDS NIH HHS/United States GR - P01 NS040923-08/NS/NINDS NIH HHS/United States GR - 1R21NS055738/NS/NINDS NIH HHS/United States GR - P01 CA132714/CA/NCI NIH HHS/United States GR - P3CA047904/CA/NCI NIH HHS/United States GR - P01 CA132714-02/CA/NCI NIH HHS/United States GR - P30 CA047904/CA/NCI NIH HHS/United States GR - R01 NS055140/NS/NINDS NIH HHS/United States GR - 1P01CA132714/CA/NCI NIH HHS/United States GR - R21 NS055738-02/NS/NINDS NIH HHS/United States GR - P30 CA047904-22/CA/NCI NIH HHS/United States GR - R01 NS055140-03/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110215 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL10) RN - 0 (Cyclooxygenase 2 Inhibitors) RN - 0 (Lysosomal-Associated Membrane Protein 1) RN - 0 (Pyrazoles) RN - 0 (Sulfonamides) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - JCX84Q7J1L (Celecoxib) RN - K7Q1JQR04M (Dinoprostone) RN - R16CO5Y76E (Aspirin) SB - IM MH - Alleles MH - Animals MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacology MH - Aspirin/pharmacology MH - CD8-Positive T-Lymphocytes/immunology MH - Celecoxib MH - Chemokine CCL2/immunology MH - Chemokine CXCL10/immunology MH - Cyclooxygenase 2/biosynthesis/genetics MH - Cyclooxygenase 2 Inhibitors/*pharmacology MH - Dinoprostone/antagonists & inhibitors/biosynthesis MH - Female MH - Glioma/enzymology/immunology/pathology/*prevention & control MH - Lysosomal-Associated Membrane Protein 1/immunology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myeloid Cells/*drug effects/enzymology/immunology/pathology MH - Pyrazoles/pharmacology MH - Sulfonamides/pharmacology MH - T-Lymphocytes, Cytotoxic/immunology PMC - PMC3075086 MID - NIHMS273699 EDAT- 2011/02/18 06:00 MHDA- 2011/07/12 06:00 PMCR- 2012/04/01 CRDT- 2011/02/18 06:00 PHST- 2011/02/18 06:00 [entrez] PHST- 2011/02/18 06:00 [pubmed] PHST- 2011/07/12 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - 0008-5472.CAN-10-3055 [pii] AID - 10.1158/0008-5472.CAN-10-3055 [doi] PST - ppublish SO - Cancer Res. 2011 Apr 1;71(7):2664-74. doi: 10.1158/0008-5472.CAN-10-3055. Epub 2011 Feb 15.