Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective

In recent years, the immune system has emerged as a critical regulator of tumor development, progression and dissemination. Advanced therapeutic approaches targeting immune cells are currently under clinical use and improvement for the treatment of patients affected by advanced malignancies. Among t...

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Main Authors: Augusto Bleve, Francesca Maria Consonni, Chiara Porta, Valentina Garlatti, Antonio Sica
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/3/510
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author Augusto Bleve
Francesca Maria Consonni
Chiara Porta
Valentina Garlatti
Antonio Sica
author_facet Augusto Bleve
Francesca Maria Consonni
Chiara Porta
Valentina Garlatti
Antonio Sica
author_sort Augusto Bleve
collection DOAJ
description In recent years, the immune system has emerged as a critical regulator of tumor development, progression and dissemination. Advanced therapeutic approaches targeting immune cells are currently under clinical use and improvement for the treatment of patients affected by advanced malignancies. Among these, anti-PD1/PD-L1 and anti-CTLA4 immune checkpoint inhibitors (ICIs) are the most effective immunotherapeutic drugs at present. In spite of these advances, great variability in responses to therapy exists among patients, probably due to the heterogeneity of both cancer cells and immune responses, which manifest in diverse forms in the tumor microenvironment (TME). The variability of the immune profile within TME and its prognostic significance largely depend on the frequency of the infiltrating myeloid cells, which often represent the predominant population, characterized by high phenotypic heterogeneity. The generation of heterogeneous myeloid populations endowed with tumor-promoting activities is typically promoted by growing tumors, indicating the sequential levels of myeloid reprogramming as possible antitumor targets. This work reviews the current knowledge on the events governing protumoral myelopoiesis, analyzing the mechanisms that drive the expansion of major myeloid subsets, as well as their functional properties, and highlighting recent translational strategies for clinical developments.
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spelling doaj.art-99d5c1402c8640b0aa81679b73d120c82023-11-23T16:04:03ZengMDPI AGCancers2072-66942022-01-0114351010.3390/cancers14030510Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational PerspectiveAugusto Bleve0Francesca Maria Consonni1Chiara Porta2Valentina Garlatti3Antonio Sica4Humanitas Clinical and Research Center—IRCCS, 20089 Rozzano, ItalyDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, 28100 Novara, ItalyDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, 28100 Novara, ItalyDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, 28100 Novara, ItalyHumanitas Clinical and Research Center—IRCCS, 20089 Rozzano, ItalyIn recent years, the immune system has emerged as a critical regulator of tumor development, progression and dissemination. Advanced therapeutic approaches targeting immune cells are currently under clinical use and improvement for the treatment of patients affected by advanced malignancies. Among these, anti-PD1/PD-L1 and anti-CTLA4 immune checkpoint inhibitors (ICIs) are the most effective immunotherapeutic drugs at present. In spite of these advances, great variability in responses to therapy exists among patients, probably due to the heterogeneity of both cancer cells and immune responses, which manifest in diverse forms in the tumor microenvironment (TME). The variability of the immune profile within TME and its prognostic significance largely depend on the frequency of the infiltrating myeloid cells, which often represent the predominant population, characterized by high phenotypic heterogeneity. The generation of heterogeneous myeloid populations endowed with tumor-promoting activities is typically promoted by growing tumors, indicating the sequential levels of myeloid reprogramming as possible antitumor targets. This work reviews the current knowledge on the events governing protumoral myelopoiesis, analyzing the mechanisms that drive the expansion of major myeloid subsets, as well as their functional properties, and highlighting recent translational strategies for clinical developments.https://www.mdpi.com/2072-6694/14/3/510innate immunitytumor-associated myeloid cellstumor-associated macrophages (TAMs)myeloid-derived suppressor cells (MDSCs)tumor microenvironmentcancer immunotherapy
spellingShingle Augusto Bleve
Francesca Maria Consonni
Chiara Porta
Valentina Garlatti
Antonio Sica
Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
Cancers
innate immunity
tumor-associated myeloid cells
tumor-associated macrophages (TAMs)
myeloid-derived suppressor cells (MDSCs)
tumor microenvironment
cancer immunotherapy
title Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
title_full Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
title_fullStr Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
title_full_unstemmed Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
title_short Evolution and Targeting of Myeloid Suppressor Cells in Cancer: A Translational Perspective
title_sort evolution and targeting of myeloid suppressor cells in cancer a translational perspective
topic innate immunity
tumor-associated myeloid cells
tumor-associated macrophages (TAMs)
myeloid-derived suppressor cells (MDSCs)
tumor microenvironment
cancer immunotherapy
url https://www.mdpi.com/2072-6694/14/3/510
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