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      Generation of a novel therapeutic peptide that depletes MDSC in tumor-bearing mice

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          Abstract

          Cancer immune evasion is an emerging hallmark of disease progression. Functional studies to understand the role of myeloid-derived suppressor cells (MDSC) in the tumor microenvironment however, are limited by the lack of available specific cell surface markers. We adapted a competitive peptide phage display platform to identify candidate peptides binding MDSC specifically and generated peptide-Fc fusion proteins (peptibody). In multiple tumor models peptibody injection iv completely depleted blood, splenic, and intratumoral MDSC in tumor-bearing mice, without affecting proinflammatory immune cell types, such as dendritic cells. While control Gr-1 antibody depleted primarily granulocytic MDSC, peptibodies depleted both granulocytic and monocytic subsets. Remarkably, peptibody treatment was associated with inhibition of tumor growth in vivo, which was superior to Gr-1. Immunoprecipitation of MDSC membrane proteins identified S100 family proteins as candidate targets. Our strategy may be useful to identify novel diagnostic and therapeutic surface targets on rare cell subtypes, including human MDSC.

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          Most cited references19

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          Myeloid-derived suppressor cells as regulators of the immune system.

          Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of cells that expand during cancer, inflammation and infection, and that have a remarkable ability to suppress T-cell responses. These cells constitute a unique component of the immune system that regulates immune responses in healthy individuals and in the context of various diseases. In this Review, we discuss the origin, mechanisms of expansion and suppressive functions of MDSCs, as well as the potential to target these cells for therapeutic benefit.
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            Inhibition of dendritic cell differentiation and accumulation of myeloid-derived suppressor cells in cancer is regulated by S100A9 protein

            Accumulation of myeloid-derived suppressor cells (MDSCs) associated with inhibition of dendritic cell (DC) differentiation is one of the major immunological abnormalities in cancer and leads to suppression of antitumor immune responses. The molecular mechanism of this phenomenon remains unclear. We report here that STAT3-inducible up-regulation of the myeloid-related protein S100A9 enhances MDSC production in cancer. Mice lacking this protein mounted potent antitumor immune responses and rejected implanted tumors. This effect was reversed by administration of wild-type MDSCs from tumor-bearing mice to S100A9-null mice. Overexpression of S100A9 in cultured embryonic stem cells or transgenic mice inhibited the differentiation of DCs and macrophages and induced accumulation of MDSCs. This study demonstrates that tumor-induced up-regulation of S100A9 protein is critically important for accumulation of MDSCs and reveals a novel molecular mechanism of immunological abnormalities in cancer.
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              gp100 peptide vaccine and interleukin-2 in patients with advanced melanoma.

              Stimulating an immune response against cancer with the use of vaccines remains a challenge. We hypothesized that combining a melanoma vaccine with interleukin-2, an immune activating agent, could improve outcomes. In a previous phase 2 study, patients with metastatic melanoma receiving high-dose interleukin-2 plus the gp100:209-217(210M) peptide vaccine had a higher rate of response than the rate that is expected among patients who are treated with interleukin-2 alone. We conducted a randomized, phase 3 trial involving 185 patients at 21 centers. Eligibility criteria included stage IV or locally advanced stage III cutaneous melanoma, expression of HLA*A0201, an absence of brain metastases, and suitability for high-dose interleukin-2 therapy. Patients were randomly assigned to receive interleukin-2 alone (720,000 IU per kilogram of body weight per dose) or gp100:209-217(210M) plus incomplete Freund's adjuvant (Montanide ISA-51) once per cycle, followed by interleukin-2. The primary end point was clinical response. Secondary end points included toxic effects and progression-free survival. The treatment groups were well balanced with respect to baseline characteristics and received a similar amount of interleukin-2 per cycle. The toxic effects were consistent with those expected with interleukin-2 therapy. The vaccine-interleukin-2 group, as compared with the interleukin-2-only group, had a significant improvement in centrally verified overall clinical response (16% vs. 6%, P=0.03), as well as longer progression-free survival (2.2 months; 95% confidence interval [CI], 1.7 to 3.9 vs. 1.6 months; 95% CI, 1.5 to 1.8; P=0.008). The median overall survival was also longer in the vaccine-interleukin-2 group than in the interleukin-2-only group (17.8 months; 95% CI, 11.9 to 25.8 vs. 11.1 months; 95% CI, 8.7 to 16.3; P=0.06). In patients with advanced melanoma, the response rate was higher and progression-free survival longer with vaccine and interleukin-2 than with interleukin-2 alone. (Funded by the National Cancer Institute and others; ClinicalTrials.gov number, NCT00019682.).
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                Author and article information

                Journal
                9502015
                8791
                Nat Med
                Nat. Med.
                Nature medicine
                1078-8956
                1546-170X
                21 September 2013
                25 May 2014
                June 2014
                01 December 2014
                : 20
                : 6
                : 676-681
                Affiliations
                [1 ]Departments of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030, U.S.A.
                [2 ]Department of Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030, U.S.A.
                [3 ]Department of Immunology, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030, U.S.A.
                [4 ]Department of Stem Cell Transplantation, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030, U.S.A.
                [5 ]Center for Cancer Immunology Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, 77030, U.S.A.
                [6 ]Institute of Immunology, University of Muenster, 48149 Muenster, Germany.
                Author notes
                Corresponding author: Larry W. Kwak, MD, PhD, Professor and Chairman, Dept. of Lymphoma and Myeloma, Co-Director, Center for Cancer Immunology Research, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 0429, Houston, Texas 77030 lkwak@ 123456mdanderson.org , Telephone: (713) 745-4252, Fax: (713) 563-4625.
                [*]

                These authors contributed equally to this study

                AUTHOR CONTRIBUTIONS

                H.Q. designed the project and experiments, analyzed data and wrote the manuscript. B.L. and I.S. performed most of the experiments. G.W, S.R, S.C.C, J.Q, Y.H, R.N and K.D. assisted with mouse studies, flowcytometry experiments and cell sorting. J.R, Q,Y. and W.W.O. provided S100A9-knockout mice, EL4 tumor model and Gr-1 mAb, respectively, and also reviewed the manuscript. L.W.K supervised the project, analyzed data and wrote the manuscript.

                Article
                NIHMS523510
                10.1038/nm.3560
                4048321
                24859530
                f782fb32-bc4e-4daa-8791-012b5cca7ec3

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