Target intelligence / Profile preview

Myeloid-derived suppressor cell (MDSC) (MDSC)

Target
MDSC
Molecular classification
Other (Heterogeneous population of immune/myeloid lineage cells), Myeloid lineage cell, Immune cell, Granulocyte (for PMN-MDSC subtype), Monocyte (for M-MDSC subtype)
01

Overview

Myeloid-derived suppressor cells (MDSCs) are a heterogeneous group of immature myeloid-lineage immune cells with potent immunosuppressive functions, expanding during pathological states such as cancer, chronic infection, trauma, and sepsis[1][3][7][9]. The population is subdivided into polymorphonuclear (PMN-MDSC or G-MDSC; granulocytic-like) and monocytic (M-MDSC) subtypes, distinguished by cell surface markers and functional properties[4][5][7]. MDSCs suppress anti-tumor and anti-pathogen immune responses by inhibiting T cell proliferation, producing immunosuppressive molecules (arginase 1, iNOS, ROS), modulating other immune cells, and inducing regulatory T cells[1][3][6]. These cells contribute to disease progression, particularly by promoting tumor growth, metastasis, and resistance to immunotherapy, making them an active therapeutic target in cancer research[2][6][7][8]. However, therapies face challenges due to the lack of unique markers differentiating MDSCs from normal myeloid cells, their functional heterogeneity, and overlap with physiological immune functions.

Other names
Polymorphonuclear myeloid-derived suppressor cell (PMN-MDSC)Granulocytic myeloid-derived suppressor cell (G-MDSC)Monocytic myeloid-derived suppressor cell (M-MDSC)Immature myeloid cellSuppressor myeloid cell
02

Mechanism of action

Inhibition of immunosuppressive enzymes (e.g., arginase 1, inducible nitric oxide synthase) Depletion of MDSCs Inhibition of MDSC expansion, recruitment, or survival Promotion of MDSC differentiation into mature non-suppressive myeloid cells Blocking cytokines and signals driving MDSC activation (e.g., GM-CSF, G-CSF, VEGF inhibitors)

03

Biological functions

Immune response regulationImmunosuppressionRegulation of T cell proliferationProduction of immunosuppressive mediators (arginase 1, nitric oxide, reactive oxygen species, cytokines)Promotion of tumor progression and angiogenesisInduction of regulatory T cellsModulation of myeloid differentiation
04

Disease associations

CancerInflammationInfectionSepsisAutoimmunity (less established)Trauma
05

Safety considerations

Non-specific targeting: Many drugs affect both MDSCs and other myeloid or immune cells, raising risks of broad immune modulationImpaired host defense: Potent inhibition or depletion of MDSCs may increase susceptibility to infection or compromise wound healingHeterogeneity: The lack of specific markers and functional overlap with normal myeloid and granulocytic populations can lead to off-target effects[6][8].
06

Interacting drugs

There are no approved drugs with exclusive and specific action against MDSCs; multiple agents in development include:

6 more in the full profile.

07

Biomarkers

Cell surface markers (for human PMN-MDSCs: CD11b+, CD15+, CD14-, CD33+/lo, CD66b+)Enzymes (arginase 1, iNOS)Low HLA-DR (for M-MDSCs)S100A9 (investigational)Circulating MDSC count in blood (clinical research)No single universally validated clinical biomarker[5][7].

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