Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy

Abstract The advent of immunotherapy represents a significant breakthrough in cancer treatment, with immune checkpoint inhibitors (ICIs) targeting PD-1 and CTLA-4 demonstrating remarkable therapeutic efficacy. However, patient responses to immunotherapy vary significantly, with immunosuppression wit...

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Main Authors: Shuyan He, Lu Zheng, Chunjian Qi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-024-02208-3
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author Shuyan He
Lu Zheng
Chunjian Qi
author_facet Shuyan He
Lu Zheng
Chunjian Qi
author_sort Shuyan He
collection DOAJ
description Abstract The advent of immunotherapy represents a significant breakthrough in cancer treatment, with immune checkpoint inhibitors (ICIs) targeting PD-1 and CTLA-4 demonstrating remarkable therapeutic efficacy. However, patient responses to immunotherapy vary significantly, with immunosuppression within the tumor microenvironment (TME) being a critical factor influencing this variability. Immunosuppression plays a pivotal role in regulating cancer progression, metastasis, and reducing the success rates of immunotherapy. Myeloid-derived suppressor cells (MDSCs), due to their potent immunosuppressive capabilities, emerged as major negative regulators within the TME, facilitating tumor immune evasion by modulating various immune cells. In addition to their immunosuppressive functions, MDSCs also promote tumor growth and metastasis through non-immunological mechanisms, such as angiogenesis and the formation of pre-metastatic niches. Consequently, MDSCs in the TME are key regulators of cancer immune responses and potential therapeutic targets in cancer treatment. This review describes the origins and phenotypes of MDSCs, their biological roles in tumor progression, and regulatory mechanisms, with a focus on current therapeutic approaches targeting tumor-associated MDSCs. Furthermore, the synergistic effects of targeting MDSCs in combination with immunotherapy are explored, aiming to provide new insights and directions for cancer therapy.
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spelling doaj-art-32477942459542369b0f88325c8d17122025-01-12T12:10:27ZengBMCMolecular Cancer1476-45982025-01-0124112410.1186/s12943-024-02208-3Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapyShuyan He0Lu Zheng1Chunjian Qi2Department of Tumor Center, The Affiliated Jiangyin Hospital of Nantong UniversityClinical Medical Research Center, The Third Affiliated Hospital of Soochow UniversityLaboratory of Oncology, Basic Research Center, The Affiliated Changzhou Second People’s Hospital of Nanjing Medical UniversityAbstract The advent of immunotherapy represents a significant breakthrough in cancer treatment, with immune checkpoint inhibitors (ICIs) targeting PD-1 and CTLA-4 demonstrating remarkable therapeutic efficacy. However, patient responses to immunotherapy vary significantly, with immunosuppression within the tumor microenvironment (TME) being a critical factor influencing this variability. Immunosuppression plays a pivotal role in regulating cancer progression, metastasis, and reducing the success rates of immunotherapy. Myeloid-derived suppressor cells (MDSCs), due to their potent immunosuppressive capabilities, emerged as major negative regulators within the TME, facilitating tumor immune evasion by modulating various immune cells. In addition to their immunosuppressive functions, MDSCs also promote tumor growth and metastasis through non-immunological mechanisms, such as angiogenesis and the formation of pre-metastatic niches. Consequently, MDSCs in the TME are key regulators of cancer immune responses and potential therapeutic targets in cancer treatment. This review describes the origins and phenotypes of MDSCs, their biological roles in tumor progression, and regulatory mechanisms, with a focus on current therapeutic approaches targeting tumor-associated MDSCs. Furthermore, the synergistic effects of targeting MDSCs in combination with immunotherapy are explored, aiming to provide new insights and directions for cancer therapy.https://doi.org/10.1186/s12943-024-02208-3TMEMDSCsImmunotherapyImmunosuppressionTherapeutic targets
spellingShingle Shuyan He
Lu Zheng
Chunjian Qi
Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
Molecular Cancer
TME
MDSCs
Immunotherapy
Immunosuppression
Therapeutic targets
title Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
title_full Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
title_fullStr Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
title_full_unstemmed Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
title_short Myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment and their targeting in cancer therapy
title_sort myeloid derived suppressor cells mdscs in the tumor microenvironment and their targeting in cancer therapy
topic TME
MDSCs
Immunotherapy
Immunosuppression
Therapeutic targets
url https://doi.org/10.1186/s12943-024-02208-3
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AT luzheng myeloidderivedsuppressorcellsmdscsinthetumormicroenvironmentandtheirtargetingincancertherapy
AT chunjianqi myeloidderivedsuppressorcellsmdscsinthetumormicroenvironmentandtheirtargetingincancertherapy