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Myeloid-derived suppressor cell population (MDSC)

Target
MDSC
Molecular classification
Other (Immune cell population of myeloid origin; often subclassified as monocytic MDSC (M-MDSC) and granulocytic/polymorphonuclear MDSC (G-MDSC/PMN-MDSC))
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Overview

Myeloid-derived suppressor cells (MDSCs) are a diverse population of immature myeloid lineage cells with strong immunosuppressive function, especially in pathological states such as cancer, chronic infection, and inflammation. They expand massively in the tumor microenvironment and other sites of pathology, inhibiting T cell and NK cell responses and inducing regulatory T cells via mechanisms including high arginase 1, inducible nitric oxide synthase (iNOS), reactive oxygen species (ROS), and secretion of cytokines such as IL-10 and TGF-β. MDSCs contribute to tumor immune escape, progression, metastasis, and therapeutic resistance. Due to their central regulatory role and impact on therapy efficacy, MDSCs are considered a critical therapeutic target in cancer immunotherapy and other diseases driven by pathologic immune suppression. However, the term "myeloid-derived suppressor cell population" is not a specific molecular entity but a collective designation for various cell subtypes sharing functional immunosuppression.

Other names
Myeloid-derived suppressor cellsMDSCssuppressive myeloid cells
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Mechanism of action

Targeting MDSCs may involve depletion of MDSCs, inhibition of their function via metabolic blockade (arginase, iNOS, ROS pathways), inhibition of their recruitment or differentiation, and reprogramming to non-suppressive phenotypes; frequently these mechanisms are indirect.

03

Biological functions

Immune response regulationImmunosuppressionInhibition of T cell and NK cell activationPromotion of regulatory T cell generationModulation of the tumor microenvironment
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Disease associations

CancerChronic inflammationInfectionAutoimmune diseaseSepsis
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Safety considerations

Targeting MDSCs can compromise normal immune regulation and increase risk of autoimmunity or infectionOff-target effects due to overlap with normal immature myeloid cellsLack of specificity in depleting only pathological MDSCs, risking impairment of beneficial immune responses
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Interacting drugs

Drugs in clinical and preclinical development target MDSCs indirectly, including chemotherapeutics (e.g., gemcitabine, 5-fluorouracil), tyrosine kinase inhibitors (sunitinib), phosphodiesterase-5 inhibitors (sildenafil), and others. No single drug universally targets all MDSCs because they are a population, not a defined protein.
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Biomarkers

Blood or tissue levels of MDSCs (CD11b+CD33+HLA-DR-/low in humans; Gr-1+CD11b+ in mice) as a prognostic marker in cancerSubtype-specific markers (CD14+ for monocytic, CD15+ for granulocytic in humans)S100A9, HLA-DR^low/−, ARG1, iNOS, ROS production

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