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The Journal of Immunology, 2006, 176: 284-290.
Copyright © 2006 by The American Association of Immunologists

Inflammation Induces Myeloid-Derived Suppressor Cells that Facilitate Tumor Progression1

Stephanie K. Bunt, Pratima Sinha, Virginia K. Clements, Jeff Leips and Suzanne Ostrand-Rosenberg2

Department of Biological Sciences, University of Maryland Baltimore County, Baltimore, MD 21250

Epidemiological and experimental observations support the hypothesis that chronic inflammation contributes to cancer development and progression; however, the mechanisms underlying the relationship between inflammation and cancer are poorly understood. To study these mechanisms, we have transfected the mouse 4T1 mammary carcinoma with the proinflammatory cytokine IL-1{beta} to produce a chronic inflammatory microenvironment at the tumor site. Mice with 4T1/IL-1{beta} tumors have a decreased survival time and elevated levels of immature splenic Gr1+CD11b+ myeloid-derived cells. These myeloid suppressor cells (MSC) are present in many patients with cancer and inhibit the activation of CD4+ and CD8+ T lymphocytes. 4T1/IL-1{beta}-induced MSC do not express the IL-1R, suggesting that the cytokine does not directly activate MSC. Neither T or B cells nor NKT cells are involved in the IL-1{beta}-induced increase of MSC because RAG2–/– mice and nude mice with 4T1/IL-1{beta} tumors also have elevated MSC levels. MSC levels remain elevated in mice inoculated with 4T1/IL-1{beta} even after the primary tumor is surgically removed, indicating that the IL-1{beta} effect is long lived. Collectively, these findings suggest that inflammation promotes malignancy via proinflammatory cytokines, such as IL-1{beta}, which enhance immune suppression through the induction of MSC, thereby counteracting immune surveillance and allowing the outgrowth and proliferation of malignant cells.




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