Tumor growth coincides with an accumulation of myeloid-derived suppressor cells (MDSCs), which exert immune suppression and which consist of two main subpopulations, known as monocytic (MO) CD11bEur. J. Immunol. 2013Immunol. . 43: 2930Immunol. -2942 Immunomodulation 2931
IntroductionThe discovery of tumor-specific antigenic peptides recognized by CD8 + T cells has laid the foundation for immunotherapeutic approaches aimed at maximizing cytotoxic T lymphocyte (CTL) mediated eradication of cancer cells. The optimization of such therapies requires a thorough knowledge of the mechanisms regulating CTL induction and activity and of the countermeasures taken by tumors to avoid destruction. Naive CD8 + T cells constantly sample APCs in the secondary lymphoid organs. As a function of this activity, naive T cells express low levels of CD44 and high levels of the homing receptor CD62L, ensuring entry into LNs [1]. Upon activation at these sites, a series of events is initiated that dramatically alters the molecular repertoire of CD8 + T cells, enabling these cells to proliferate, migrate, and acquire effector functions [2]. Importantly, distinct features of CTL activation are obtained in different phases of the activation process and are not necessarily interdependent [3,4]. Thus, a brief DC-T-cell encounter is sufficient to upregulate the early activation markers CD44 and CD69, but longer stable contacts are needed to initiate IL-2 and IFN-γ secretion and the abundant expression of activation markers (including CD25, generating a high-affinity trimeric IL-2R , and IRF-1 −/− C57BL/6 mice bearing similarly sized EG7-OVA tumors. These MDSCs were added in various amounts to OVA-stimulated (250 μg/mL) OT-1 splenocytes and proliferation was measured after 42 h. The percentage suppression induced by various MDSC-SPC ratios is shown as individual replicates, measured via 3 H-thymidine incorporation. Each symbol represents an individual replicate, bars represent means, and data are pooled from two to six independent experiments. *p < 0.05, **p < 0.01, ***p < 0.001; ns, not significant, Mann-Whitney test.be reverted by the iNOS inhibitor L-NG-monomethyl arginine (L-NMMA) ( Fig. 2A(ii)), corroborating the existence of parallel IRF-1/iNOS-dependent and -independent suppressive pathways. This conclusion is strengthened by the partial reduction in suppressive capacity by WT MO-MDSCs upon L-NMMA addition ( Fig. 2A(ii)), and the fact that the NO-donor S-nitroso-N-acetyl-D,L-penicillamine (SNAP) could never decrease T-cell proliferation to the same extent as MO-MDSCs despite comparable NO concentrations in the culture ( Fig. 2A(i) and (ii)).Conversely, IFN-γR −/− , STAT-1 −/− , and IRF-1 −/− PMN-MDSCs displayed an NO-independent suppressive capacity, which was moderately, but significantly, lower than WT cells (Fig. 1B and 2B(ii)). Again, IFN-γ −/− PMN-MDSC-mediated suppression was not hampered (data not shown). The relatively minor importance of IFN-γ is not due to a lack of IFN-γ responsiveness, since IFN-γ treatment of PMN-MDSCs u...