4.5 Review

The role of myeloid-derived suppressor cells in gastrointestinal cancer

Journal

CANCER COMMUNICATIONS
Volume 41, Issue 6, Pages 442-471

Publisher

WILEY
DOI: 10.1002/cac2.12156

Keywords

gastrointestinal cancer; tumor immunology; myeloid-derived suppressor cells; progression; prognosis; therapy

Categories

Funding

  1. National Natural Science Foundation of China [81772957, 82002546]
  2. China Postdoctoral Science Foundation [2020M672815]
  3. National Key RAMP
  4. D Program of China [2017YFA0503900]
  5. Science and Technology Program of Guangdong Province in China [2019B030301009]
  6. Industry and Information Technology Foundation of Shenzhen [20180309100135860]
  7. SZU Top Ranking Project [86000000210]

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Gastrointestinal cancer is the most common type of cancer worldwide, with increasing incidence and mortality rates. Myeloid-derived suppressor cells (MDSCs) play a key role in regulating the immune response to tumors and may serve as prognostic markers and therapeutic targets in cancer patients.
Gastrointestinal (GI) cancer encompasses a range of malignancies that originate in the digestive system, which together represent the most common form of cancer diagnosed worldwide. However, despite numerous advances in both diagnostics and treatment, the incidence and mortality rate of GI cancer are on the rise. Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature myeloid cells that increase in number under certain pathological conditions, such as infection and inflammation, and this expansion is of particular relevance to cancer. MDSCs are heavily involved in the regulation of the immune system and act to dampen its response to tumors, favoring the escape of tumor cells from immunosurveillance and increasing both metastasis and recurrence. Several recent studies have supported the use of MDSCs as a prognostic and predictive biomarker in patients with cancer, and potentially as a novel treatment target. In the present review, the mechanisms underlying the immunosuppressive functions of MDSCs are described, and recent researches concerning the involvement of MDSCs in the progression, prognosis, and therapies of GI cancer are reviewed. The aim of this work was to present the development of novel treatments targeting MDSCs in GI cancer in the hope of improving outcomes for patients with this condition.

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