“…Furthermore, factors within the TME impair the cDC-mediated differentiation of T h 1 cells, recruitment of cytotoxic T-cells and promote activation of T regulatory cells through regulation of cDC production of IL-12, IL-10, and TGF-B (De Smedt et al, 1997;Hilkens et al, 1997;Kaliński et al, 1998;Platten et al, 2001;Zong et al, 2016;Flórez-Grau et al, 2018). Together these findings suggest that TA-cDCs likely contribute to both local and systemic immunosuppression Fallarino et al, 2006;Walker et al, 2006;Mahata et al, 2015 T cell suppression by cells of GME Increased infiltration of regulatory T cells TAM-mediated T cell suppression via iNOS, Arg1 and AHR activation GME-derived PGE2, IL6, IL10 and TGF-β, suppress T cell proliferation and effector function Hao et al, 2002;Kumar et al, 2016;Panek et al, 2019;Takenaka et al, 2019;Cao et al, 2020;Wang et al, 2021 Regulation of specific T cell molecular programs GBM-derived tenascin-C (TNC)-mediated inhibition of T cell proliferation and activation Increased T cell expression of PD-1, TIM-3, CTLA-4 and IDO-1 Imbalance of T H 1/T H 2 resulting in pro-tumor T H 2 bias IDO-mediated induction of regulatory T cells HIF-1a, ICOSLG, and IL2-mediated proliferation of regulatory T cells Kortylewski et al, 2005;Fallarino et al, 2006;Shimato et al, 2012;Mirzaei et al, 2017Mirzaei et al, , 2018Romani et al, 2018;Takashima et al, 2018;Woroniecka et al, 2018;Miska et al, 2019;Iwata et al, 2020 Ignorance Anatomical barriers promote antigen or T cell sequestration [e.g., BBB, bone marrow (BM)]…”