Journal
EUROPEAN JOURNAL OF IMMUNOLOGY
Volume 50, Issue 12, Pages 2067-2074Publisher
WILEY
DOI: 10.1002/eji.202048666
Keywords
neutrophil; granulocyte; granulocytic MDSC; spleen; cancer
Categories
Funding
- Scientific and Technological Research Council of Turkey, (TUBITAK) [216S264]
- European Cooperation in Science and Technology (COST-EU) Action (MyeEUNITER) [BM1404]
- EU Framework Program Horizon 2020
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In contrast to the mouse, functional assets of polymorphonuclear myeloid-derived suppressor cells (PMN-MDSC) in the human spleen remain to be better elucidated. Here, we report that the spleen in gastric and pancreatic cancer adopts an immune regulatory character, harbors excessive amount of PMN-MDSC, and anatomically enables their interaction with T cells. Compared to the peripheral blood, the spleen from cancer patients contained significantly higher levels of low-density PMN-MDSC, but not early-stage MDSC (e-MDSC) and monocytic-MDSC (M-MDSC). Low-density fraction of polymorphonuclear (PMN) cells was enriched in immature myeloid cells and displayed higher levels of CD10, CD16, and ROS than their blood-derived counterparts. They were also positive for PD-L1, LOX-1, and pSTAT3. The white pulp and periarteriolar lymphoid sheath (PALS) were strategically surrounded by PMN cells that were in contact with T cells. Unlike those from the blood, both low-density and normal-density PMN cells from the human spleen suppressed T cell proliferation and IFN-gamma production. Independent of clinical grade, high PMN-MDSC percentages were associated with decreased survival in gastric cancer. In summary, our results outline the immune regulatory role of the spleen in cancer where neutrophils acquire MDSC functions and feasibly interact with T cells.
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