[PDF][PDF] Tumor necrosis factor-α blocks differentiation and enhances suppressive activity of immature myeloid cells during chronic inflammation

M Sade-Feldman, J Kanterman, E Ish-Shalom… - Immunity, 2013 - cell.com
M Sade-Feldman, J Kanterman, E Ish-Shalom, M Elnekave, E Horwitz, M Baniyash
Immunity, 2013cell.com
Elevated concentrations of tumor necrosis factor-α (TNF-α) are detected in pathologies
characterized by chronic inflammation. Whether TNF-α plays a role in manipulating the
host's immune system toward generating an immunosuppressive milieu, typical of ongoing
chronic inflammation, is unclear. Here we showed that TNF-α exhibited a dual function
during chronic inflammation: arresting differentiation of immature myeloid-derived
suppressor cells (MDSCs) primarily via the S100A8 and S100A9 inflammatory proteins and …
Summary
Elevated concentrations of tumor necrosis factor-α (TNF-α) are detected in pathologies characterized by chronic inflammation. Whether TNF-α plays a role in manipulating the host's immune system toward generating an immunosuppressive milieu, typical of ongoing chronic inflammation, is unclear. Here we showed that TNF-α exhibited a dual function during chronic inflammation: arresting differentiation of immature myeloid-derived suppressor cells (MDSCs) primarily via the S100A8 and S100A9 inflammatory proteins and their corresponding receptor (RAGE) and augmenting MDSC suppressive activity. These functions led to in vivo T and NK cell dysfunction accompanied by T cell antigen receptor ζ chain downregulation. Furthermore, administration of etanercept (TNF-α antagonist) during early chronic inflammatory stages reduced MDSCs' suppressive activity and enhanced their maturation into dendritic cells and macrophages, resulting in the restoration of in vivo immune functions and recovery of ζ chain expression. Thus, TNF has a fundamental role in promoting an immunosuppressive environment generated during chronic inflammation.
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