Summary : Tumor-induced immune suppression is a major impediment to many potentially effective cancer therapies. TGF-β has previously been described as having both tumor-promoting and tumor-suppressive characteristics. In this issue of Cancer Discovery , Pang and colleagues show that myeloid-specifi c TGF-β signaling is a critical mediator in tumor metastasis. These fi ndings point to a more specifi c means to reduce cancer immunosuppression, prevent metastasis, and minimize treatment-related adverse events. Cancer Discov; 3(8);
©2013 AACR.See related article by Pang et al., p. 936 (3).Immune evasion represents one of the most contemporary hallmarks of cancer, and myeloid cells are one of the most important cell types in the suppression of host immune surveillance, consequent tumor progression ( 1 ), and premetastatic niche formation ( 2 ). These tumor-infi ltrating myeloid cells include tumor-associated macrophages (TAM, CD11b
CD11b+ myeloid-derived suppressor cells that can be divided into myeloid monocytes (CD11b. All of these cell types potentially produce TGF-β within the tumor microenvironment. TGF-β is also overexpressed in advanced human cancers, and its expression correlates with metastasis and poor prognosis. In addition to the fact that many cell types can both produce and respond to TGF-β, another great challenge in our understanding of TGF-β cancer biology and the successful application of TGF-β-targeted therapy is that TGF-β works as both a tumor suppressor and a tumor promoter.Consequently, there has been a great need to understand which TGF-β-sensitive cell type is the most important in tumor promotion and spread. Now, Pang and colleagues ( 3 ) report that genetic deletion of TGF-β type II receptor ( Tgfbr2 ) specifi cally in mouse myeloid cells using the LysM-cre strain ( Tgfbr2 MyeKO ) signifi cantly inhibited tumor metastasis. Importantly, the Tgfbr2MyeKO mice had no alteration in the number or percentage of T, B, NK, or Gr1+ and F4/80 + cells.
Reconstitution of tumor-bearing mice with Tgfbr2MyeKO bone marrow recapitulated the reduced metastasis phenotype. Reduced metastasis was mediated through decreased production of type II cytokines, TGF-β1, arginase 1, and iNOS, which promoted IFN-γ production and improved systemic CD8 +
T-cell systemic immunity in the Tgfbr2MyeKO mice (Fig. 1) . This work follows on from other intensive efforts in this area. In particular, by crossing LysM-Cre and Tgfbr2 fl oxed mice, Novitskiy and colleagues ( 4 ) also achieved specifi c deletion of Tgfbr2 in myeloid cells in the C57BL/6 strain background. In contrast to Pang and colleagues ( 3 ), where no, or only modest, effects on orthotopic tumor growth were noted, Novitskiy and colleagues ( 4 ) showed the slower growth of a variety of subcutaneously transplanted syngeneic tumors in Tgfbr2MyeKO mice. They also reported an increase in the percentage of T cells (CD3
+
) in the primary tumors in Tgfbr2MyeKO mice, but no change in the myeloid cell infi ltrates. The dendritic cells from tumor tissue of Tgfbr2MyeKO mice...