Skin Cancer Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany and Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, Mannheim, Germany.
Skin Cancer Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany and Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, Mannheim, Germany.
Cell Immunol. 2021 Jan;359:104254. doi: 10.1016/j.cellimm.2020.104254. Epub 2020 Nov 29.
Myeloid-derived suppressor cells (MDSC) are generated during tumor progression and suppress the anti-tumor functions of T and natural killer (NK) cells. Their enrichment is associated with a bad prognosis and a worse outcome of immunotherapy in cancer patients. The cytokine interleukin (IL)-6 was found to be a crucial regulator of MDSC accumulation and activation as well as a factor, stimulating tumor cell proliferation, survival, invasiveness and metastasis. Accordingly, IL-6 can serve as a negative prognostic marker in cancer. On the other hand, this cytokine is also involved in T cell activation. This review discusses the pleiotropic effects of IL-6 on immune cell populations that are critical for tumor development, such as MDSC and T cells, and summarizes the data on targeting IL-6 or IL-6 receptor (IL-6R) for tumor immunotherapy to block MDSC-mediated immunosuppression in cancer patients.
髓源性抑制细胞 (MDSC) 在肿瘤进展过程中产生,抑制 T 细胞和自然杀伤 (NK) 细胞的抗肿瘤功能。它们的富集与癌症患者预后不良和免疫治疗效果更差有关。细胞因子白细胞介素 (IL)-6 被发现是 MDSC 积累和激活的关键调节剂,也是刺激肿瘤细胞增殖、存活、侵袭和转移的因素。因此,IL-6 可以作为癌症的预后不良标志物。另一方面,这种细胞因子也参与 T 细胞激活。这篇综述讨论了 IL-6 对免疫细胞群体的多效性影响,这些细胞群体对于肿瘤的发展至关重要,如 MDSC 和 T 细胞,并总结了靶向 IL-6 或 IL-6 受体 (IL-6R) 用于肿瘤免疫治疗以阻断癌症患者 MDSC 介导的免疫抑制的相关数据。