IntroductionMucin 1 (MUC1) is a tumor antigen that is overexpressed on the surface of various epithelial tumor cells. The transmembrane isoform of MUC1 can promote tumor progression by creating a barrier around tumor cells against immune cells, sequestering compounds that suppress immune responses, interacting with growth-promoting signaling molecules, and aiding in the metastatic process. 1 Furthermore, MUC1 has been shown to accelerate premalignant inflammatory lesion transformation to malignancy. 2 We have previously reported on antitumor properties of a splice variant of MUC1, which is secreted and known as MUC1/sec. [3][4][5] MUC1/sec is found in normal 6,7 and tumor tissue, 8 but, interestingly, malignancy in ovarian lesions has been correlated with loss of its expression. 9 DA-3 murine mammary tumor cells expressing MUC1/sec (DA-3/sec) are rejected from BALB/c mice, whereas expression of the transmembrane isoform of MUC1 (MUC1/TM; DA-3/TM) has little effect. [3][4][5] DA-3/sec cells, however, lead to tumor development in immunocompromised BALB/c nude mice, or BALB/c mice depleted of T lymphocytes. Furthermore, depletion of innate immune cells allows initial tumor growth, followed by tumor regression once the adaptive immune response develops. 3 We have determined that MUC1/sec modulates various factors involved in tumorigenesis, such as up-regulating signal transducer and activator of transcription 1 (Stat1), leading to the downregulation of tumor-derived urokinase plasminogen activator (uPA), a serine protease correlated with tumor progression in human cancers. 5 Other investigators have reported that tumor cell expression of MUC1/TM recruits immature dendritic cells (DCs). 10 In our previous studies, we analyzed whether there was a difference in recruitment of immune cells to DA-3/TM or DA-3/sec cells, and we reported that DA-3/TM cells recruit more GR-1 ϩ cells than DA-3/sec tumor cells. 3 We and others have also previously described that a myeloid population that accumulates in many tumor models, and are known as CD11b ϩ GR-1 ϩ myeloid-derived suppressor cells (MDSCs), [11][12][13][14][15][16] orchestrate immunosuppression by suppressing T cells. 13 In this study, we show that GR-1 ϩ cells that are recruited to high levels by DA-3/TM cells, but not DA-3/sec, are in fact MDSCs. Furthermore, we report for the first time that uPA, which is down-regulated by MUC1/sec, is capable of recruiting MDSCs. This is a new mechanism by which uPA may be augmenting and contributing to tumor development.MUC1 has also been shown to impair differentiation and function of DCs, 17 along with inducing a regulatory phenotype with immune-suppressive cytokine secretion. 10,17,18 We therefore investigated whether in addition to modulating recruitment of MDSCs, MUC1/sec can alter MDSC-suppressive mechanisms. We found that whereas DA-3/TM cells induce high levels of arginase in MDSCs, associated with suppression, 19 DA-3/sec cells block that induction. Furthermore, a unique peptide found in MUC1/sec and called immunoenhancing pe...