Fang Zhaoxu, Wen Chengwen, Chen Xiaolan, Yin Rongping, Zhang Chenglin, Wang Xiaohua, Huang Yuhui
Cyrus Tang Hematology Center, Jiangsu Institute of Hematology, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China.
Institute of Pediatric Research, Affiliated Children's Hospital, Soochow University, Suzhou, China.
Oncotarget. 2017 Apr 10;8(33):54173-54186. doi: 10.18632/oncotarget.17013. eCollection 2017 Aug 15.
The immunosuppressive tumor microenvironment is a key obstacle to hinder a cancer immunotherapy. Myeloid-derived suppressor cells (MDSCs) have been considered as a major player in immunosuppression. In this study, we find that tumor-infiltrating MDSCs (tiMDSCs) are less immunosuppressive than tumor-associated macrophages (TAMs) in multiple murine orthotopic breast tumor models. Compared to TAMs, tiMDSCs produce higher levels of pro-inflammatory factors and lower levels of anti-inflammatory factors. Furthermore, tiMDSCs are preferentially located in hypoxic areas and are more pro-angiogenic than TAMs. Consistent with these functional disparities, a shift from tiMDSCs to TAMs is observed during the progression of breast cancer. Moreover, infiltration of tiMDSCs is also noted in distal colonization of breast cancer cells in the lung. Taken together, our findings indicate that tiMDSCs are more pro-angiogenic and promote tumor initiation, while TAMs are more immunosuppressive and facilitate tumor immune evasion. This study suggests that selectively targeting on TAMs could alleviate the immunosuppressive tumor microenvironment and potentiate cancer immunotherapy.
免疫抑制性肿瘤微环境是阻碍癌症免疫治疗的关键障碍。髓系来源的抑制性细胞(MDSCs)被认为是免疫抑制的主要参与者。在本研究中,我们发现在多个小鼠原位乳腺肿瘤模型中,肿瘤浸润性MDSCs(tiMDSCs)的免疫抑制作用比肿瘤相关巨噬细胞(TAMs)弱。与TAMs相比,tiMDSCs产生更高水平的促炎因子和更低水平的抗炎因子。此外,tiMDSCs优先位于缺氧区域,并且比TAMs更具促血管生成作用。与这些功能差异一致,在乳腺癌进展过程中观察到从tiMDSCs向TAMs的转变。此外,在乳腺癌细胞肺远端定植中也注意到tiMDSCs的浸润。综上所述,我们的研究结果表明,tiMDSCs更具促血管生成作用并促进肿瘤起始,而TAMs更具免疫抑制作用并促进肿瘤免疫逃逸。本研究表明,选择性靶向TAMs可以减轻免疫抑制性肿瘤微环境并增强癌症免疫治疗效果。