Myeloid-derived suppressor cell survival and function are regulated by the transcription factor Nrf2

DW Beury, KA Carter, C Nelson, P Sinha… - The Journal of …, 2016 - journals.aai.org
DW Beury, KA Carter, C Nelson, P Sinha, E Hanson, M Nyandjo, PJ Fitzgerald, A Majeed…
The Journal of Immunology, 2016journals.aai.org
Tumor-induced myeloid-derived suppressor cells (MDSC) contribute to immune suppression
in tumor-bearing individuals and are a major obstacle to effective immunotherapy. Reactive
oxygen species (ROS) are one of the mechanisms used by MDSC to suppress T cell
activation. Although ROS are toxic to most cells, MDSC survive despite their elevated
content and release of ROS. NF erythroid 2–related factor 2 (Nrf2) is a transcription factor
that regulates a battery of genes that attenuate oxidative stress. Therefore, we hypothesized …
Abstract
Tumor-induced myeloid-derived suppressor cells (MDSC) contribute to immune suppression in tumor-bearing individuals and are a major obstacle to effective immunotherapy. Reactive oxygen species (ROS) are one of the mechanisms used by MDSC to suppress T cell activation. Although ROS are toxic to most cells, MDSC survive despite their elevated content and release of ROS. NF erythroid 2–related factor 2 (Nrf2) is a transcription factor that regulates a battery of genes that attenuate oxidative stress. Therefore, we hypothesized that MDSC resistance to ROS may be regulated by Nrf2. To test this hypothesis, we used Nrf2+/+ and Nrf2−/− BALB/c and C57BL/6 mice bearing 4T1 mammary carcinoma and MC38 colon carcinoma, respectively. Nrf2 enhanced MDSC suppressive activity by increasing MDSC production of H 2 O 2, and it increased the quantity of tumor-infiltrating MDSC by reducing their oxidative stress and rate of apoptosis. Nrf2 did not affect circulating levels of MDSC in tumor-bearing mice because the decreased apoptotic rate of tumor-infiltrating MDSC was balanced by a decreased rate of differentiation from bone marrow progenitor cells. These results demonstrate that Nrf2 regulates the generation, survival, and suppressive potency of MDSC, and that a feedback homeostatic mechanism maintains a steady-state level of circulating MDSC in tumor-bearing individuals.
journals.aai.org