Enhancing immunotherapy response in melanoma: myeloid-derived suppressor cells as a therapeutic target

Despite the remarkable success of immune checkpoint inhibitors (ICIs) in melanoma treatment, resistance to them remains a substantial clinical challenge. Myeloid-derived suppressor cells (MDSCs) represent a heterogeneous population of myeloid cells that can suppress antitumor immune responses mediat...

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Main Authors: Özbay Kurt, Feyza Gül (Author) , Lasser, Samantha (Author) , Arkhypov, Ihor (Author) , Utikal, Jochen (Author) , Umansky, Viktor (Author)
Format: Article (Journal)
Language:English
Published: 2023
In: The journal of clinical investigation
Year: 2023, Volume: 133, Issue: 13, Pages: 1-12
ISSN:1558-8238
DOI:10.1172/JCI170762
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1172/JCI170762
Verlag, kostenfrei, Volltext: https://www.jci.org/articles/view/170762
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Author Notes:Feyza Gul Ozbay Kurt, Samantha Lasser, Ihor Arkhypov, Jochen Utikal, and Viktor Umansky

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520 |a Despite the remarkable success of immune checkpoint inhibitors (ICIs) in melanoma treatment, resistance to them remains a substantial clinical challenge. Myeloid-derived suppressor cells (MDSCs) represent a heterogeneous population of myeloid cells that can suppress antitumor immune responses mediated by T and natural killer cells and promote tumor growth. They are major contributors to ICI resistance and play a crucial role in creating an immunosuppressive tumor microenvironment. Therefore, targeting MDSCs is considered a promising strategy to improve the therapeutic efficacy of ICIs. This Review describes the mechanism of MDSC-mediated immune suppression, preclinical and clinical studies on MDSC targeting, and potential strategies for inhibiting MDSC functions to improve melanoma immunotherapy. 
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