2012
DOI: 10.1378/chest.11-0205
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Circulating Myeloid-Derived Suppressor Cells Are Increased and Activated in Pulmonary Hypertension

Abstract: Pulmonary hypertension (PH) is a progressive syndrome with a poor prognosis that results in right-sided heart failure. 1 Although heterogeneous in its pathobiologic characteristics, it is distinguished in children and adults by cellular and structural changes in the full thickness of the walls of pulmonary arteries and by perivascular accumulation of infl ammatory cells. 2,3 Evidence for active, maladaptive infl ammatory processes is manifest in both humans with PH and animal models of the disease. 4 The scien… Show more

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Cited by 38 publications
(38 citation statements)
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“…The dramatic expansion of the CD14 + HLA-DR -/low MDSC population in response to ACS is very similar to that previously described in patients with other inflammatory diseases [13,29,30,31]. Although the direct mechanism of MDSC generation has not been fully elucidated, several lines of evidence offer clues as to how the high frequency of circulating MDSCs might occur in the context of ACS.…”
Section: Discussionsupporting
confidence: 79%
See 1 more Smart Citation
“…The dramatic expansion of the CD14 + HLA-DR -/low MDSC population in response to ACS is very similar to that previously described in patients with other inflammatory diseases [13,29,30,31]. Although the direct mechanism of MDSC generation has not been fully elucidated, several lines of evidence offer clues as to how the high frequency of circulating MDSCs might occur in the context of ACS.…”
Section: Discussionsupporting
confidence: 79%
“…Although the role of MDSCs in cancer has been intensively explored, additional work also implicates MDSCs in the pathogenesis of chronic inflammatory and autoimmune diseases, including inflammatory bowel disease [29], viral infection-related diseases [13], rheumatoid arthritis [30], and pulmonary hypertension [31]. However, little is known about the role of MDSCs in patients with ACS.…”
Section: Introductionmentioning
confidence: 99%
“…In this respect, abnormalities of T lymphocyte subsets have been documented in patients with pulmonary hypertension [131,132]. In pulmonary hypertension patients, circulating activated MDSC numbers were significantly increased in comparison to control subjects and correlated with increasing mean pulmonary artery pressure [133]. A direct mechanistic role for MDSCs in pulmonary hypertension and inflammation-associated vascular remodelling has not yet been defined.…”
Section: Pulmonary Hypertensionmentioning
confidence: 99%
“…They found significant enrichment of circulating fibrocytes and a positive correlation (albeit weak) between PAP and age. With the knowledge of ongoing inflammation in PH in which the innate and adaptive immune systems have been implicated, Yeager et al also examined myeloidderived suppressor cells (MDSCs) [37], a subpopulation of which (monocyte-derived dendritic cells) was suggested to be functionally impaired in IPAH. Circulating MDSCs have been shown to be increased in human and animal PH lung.…”
Section: The Current State Of Ph Biomarkersmentioning
confidence: 99%