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Table 2 MDSCs in multiple myeloma

From: Myeloid-derived suppressor cells in hematological malignancies: friends or foes

Disease cases (n)

MDSC subgroups/phenotype definition

Clinical finding

Mechanism/intervention

Year/reference

MM, n = 15

G-MDSCs

CD11b + CD14-CD33 + CD15+

PB and BM

Higher MDSCs vs. healthy donor

S100A9 knockout reduced MDSC accumulation in BM after injection of MM cells

2013 [41]

MM, n = 93

M-MDSCs

CD14+HLA-DRlow/−

Higher MDSCs diagnosis vs. healthy donor

Higher MDSCs in relapsed MM

Decreased M-MDSCs after treatment indicated good response

MM cells were able to induce the accumulation of M-MDSCs in vitro, MDSCs induced Treg

2014 [44]

MM, n = 17

G-MDSCs

CD11b + CD14-CD33 + CD15 + HLA-DRlow

Higher MDSCs vs. healthy donor

associated with the activity of disease in MM

MM cells induced the development of MDSCs from healthy donor peripheral blood mononuclear cells

2013 [45]

MM, n = 6

G-MDSCs

CD11b + CD14-CD33 + CD15 + HLA-DRlow

Higher MDSCs in progressive MM vs. healthy donor

MM MDSCs induced the generation of Treg

G-CSF increased G-MDSCs

2014 [46]

MM, n = 45

G-MDSCs

CD11b + CD14-CD33 + CD15 + HLA-DRlow

MGUS and MM were able to generate the same amount of MDSC, only MM-MSC-educated G-MDSC exhibited suppressive ability

MM G-MDSCs upregulated immune-suppressive factors as ARG1 and TNFalpha, expressed higher levels of PROK2, showed ability to digest bone matrix.

2016 [47]

MM, n = 72

G-MDSCs

HLA-DR−/low/CD33+/

CD11b+/CD15+/CD14−

Higher frequencies of G-MDSCs in both the PB and BM from MM patients, significantly correlated with disease burden by ISS stage.

G-MDSCs enhanced the side population, sphere formation, and expression of cancer stem cell core genes in MM cells. Silencing of piRNA-823 in MM cells reduced the stemness of multiple myeloma stem cells maintained by G-MDSCs

2019 [48]