Cancer Discovery · 2013 · 157 citations · 48 references
MedicineCancer BiologyOncologyMetastasisMolecular OncologyTumor ProgressionAntitumor T Cell ResponsesCancer Cell SignalingCancer-associated FibroblastsCytokines In Tumor ImmunityInflammatory SignalingMyeloid-derived Suppressor CellsCd8 Positive T CellsMyeloid-derived Suppressor Cell FunctionMyeloid-derived Suppressor Cell Signaling PathwaysTransforming Growth Factor Beta-mediated Immune SuppressionTumor Metastasis BiologyTumor Promoter MechanismsTumor Suppressor PathwaysTumor-associated Cytokines
Abstract TGF-β is overexpressed in advanced human cancers. It correlates with metastasis and poor prognosis. However, TGF-β functions as both a tumor suppressor and a tumor promoter. Here, we report for the first time that genetic deletion of Tgfbr2 specifically in myeloid cells (Tgfbr2MyeKO) significantly inhibited tumor metastasis. Reconstitution of tumor-bearing mice with Tgfbr2MyeKO bone marrow recapitulated the inhibited metastasis phenotype. This effect is mediated through decreased production of type II cytokines, TGF-β1, arginase 1, and inducible nitric oxide synthase, which promoted IFN-γ production and improved systemic immunity. Depletion of CD8 T cells diminished the metastasis defect in the Tgfbr2MyeKO mice. Consistent with animal studies, myeloid cells from patients with advanced-stage cancer showed increased TGF-β receptor II expression. Our studies show that myeloid-specific TGF-β signaling is an essential component of the metastasis-promoting puzzle of TGF-β. This is in contrast to the previously reported tumor-suppressing phenotypes in fibroblasts, epithelial cells, and T cells. Significance: Our study identifies myeloid-specific TGF-β signaling as a critical mediator in tumor metastasis, distinct from the tumor-suppressive effect of TGF-β signaling in epithelial cells, fibroblasts, and T cells. We further provide mechanistic insight into host antitumor immunity and suggest a cell type–specific cancer-targeting strategy. Cancer Discov; 3(8); 936–51. ©2013 AACR. See related commentary by Souza-Fonseca-Guimaraes and Smyth, p. 846 This article is highlighted in the In This Issue feature, p. 826
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