T-cell nonresponsiveness is a critical factor in immune escape and myeloid-derived suppressor cells play a major role in organizing this phenomenon. Recent findings indicate that myeloid-derived suppressor cells can induce antigen-specific CD8 + T-cell tolerance through a posttranslation mechanism which involves modification (nitration) of CD8 and the T-cell receptor itself on the T-cell surface. Elucidation of this mechanism of T-cell tolerance offers new opportunities for therapeutic corrections of immune escape in cancer. [Cancer Res 2008;68(8):2561-63]
Myeloid-Derived Suppressor Cells and Tumor EscapeDefective T-cell function represents one of the major mechanisms of tumor escape and one of the critical factors limiting the success of cancer vaccines. Tumor-induced T-cell abnormalities include antigen-specific nonresponsiveness (anergy/tolerance), deletion of T cells by apoptosis, and nonspecific suppression of T-cell function.In both animal models of cancer and in the clinical setting, unresponsiveness of T cells to tumor-specific antigens has been shown to be an early event in tumor progression. Studies have established that in tumor-bearing mice, a group of bone marrow-derived cells recently termed myeloid-derived suppressor cells (MDSC) are directly involved in the suppression of immune responses in cancer. These cells express both myeloid lineage differentiation antigen Gr-1 (Ly6G and Ly6C) and a M integrin CD11b, and in control mice represent f20% to 30% of normal bone marrow cells, 2% to 4% of all nucleated splenocytes, and are practically absent in lymph nodes. Inoculation with tumor cells or the development of spontaneous tumors results in a marked systemic expansion of these cells (1, 2). The number of MDSCs in spleens increase by 5-to 20-fold depending on the tumor model. These cells are also easily detected in lymph nodes or tumor sites. Similar expansion, albeit to a lesser degree, is observed in patients with cancer. In humans, MDSC are generally defined as CD14
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CD11b+ cells, or more narrowly, as the cells that express the common myeloid marker CD33, but lack the expression of markers of mature myeloid and lymphoid cells (1, 2).Numerous studies have established the potent immunosuppressive potential of MDSC. MDSCs may exert an immunosuppressive effect in both an antigen-specific and nonspecific manner depending on their localization and the specific characteristics of the tumor. Several different factors are implicated in MDSC-mediated immune suppression. They include arginase, reactive oxygen and nitrogen species, as well as inhibitory surface molecules. It seems that in the tumor site, the immunosuppressive activity of MDSC is antigen-nonspecific and is primarily mediated by the production of nitric oxide (NO) in combination with a high arginase activity. NO could inhibit T cells via a variety of different mechanisms involving the blockade of phosphorylation and activation of Janus kinase 3, STAT5 transcription factor, inhibition of MHC class II gene expression, and induction o...