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2016 ; 18
(6
): 807-18
Nephropedia Template TP
gab.com Text
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English Wikipedia
CD4+ T effector memory cell dysfunction is associated with the accumulation of
granulocytic myeloid-derived suppressor cells in glioblastoma patients
#MMPMID26578623
Dubinski D
; Wölfer J
; Hasselblatt M
; Schneider-Hohendorf T
; Bogdahn U
; Stummer W
; Wiendl H
; Grauer OM
Neuro Oncol
2016[Jun]; 18
(6
): 807-18
PMID26578623
show ga
BACKGROUND: Myeloid-derived suppressor cells (MDSCs) comprise a heterogeneous
population of myeloid cells that are significantly expanded in cancer patients
and are associated with tumor progression. METHODS: Multicolor flow cytometry was
used to study the frequency, phenotype, and function of MDSCs in peripheral blood
and freshly resected tumors of 52 participants with primary glioblastoma (GBM).
RESULTS: The frequency of CD14(high)CD15(pos) monocytic and CD14(low)CD15(pos)
granulocytic MDSCs was significantly higher in peripheral blood of GBM
participants compared with healthy donors. The majority of granulocytic MDSCs
consisted of CD14(low)CD15(high) neutrophilic MDSCs with high T-cell suppressive
capacities. At the tumor side, we found an increase in CD14(high)CD15(pos)
monocytic MDSCs and high frequencies of CD14(low)CD15(pos) granulocytic MDSCs
that displayed an activated phenotype with downregulation of CD16 and
upregulation of HLA-DR molecules, which did not inhibit T-cell proliferative
responses in vitro. However, a strong association between granulocytic MDSCs and
CD4(+) effector memory T-cells (TEM) within the tumors was detected.
Tumor-derived CD4(+) TEM expressed high levels of PD-1 when compared with their
blood-derived counterparts and were functionally exhausted. The respective
ligand, PD-L1, was significantly upregulated on tumor-derived MDSCs, and T-cell
co-culture experiments confirmed that glioma-infiltrating MDSCs can induce PD-1
expression on CD4(+) TEM. CONCLUSIONS: Our findings provide a detailed
characterization of different MDSC subsets in GBM patients and indicate that both
granulocytic MDSCs in peripheral blood and at the tumor site play a major role in
GBM-induced T-cell suppression.