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  • TAM Family Receptor Kinase ...
    Holtzhausen, Alisha; Harris, William; Ubil, Eric; Hunter, Debra M; Zhao, Jichen; Zhang, Yuewei; Zhang, Dehui; Liu, Qingyang; Wang, Xiaodong; Graham, Douglas K; Frye, Stephen V; Earp, H Shelton

    Cancer immunology research, 10/2019, Letnik: 7, Številka: 10
    Journal Article

    Myeloid cell receptor tyrosine kinases TYRO3, AXL, and MERTK and their ligands, GAS6 and PROTEIN S, physiologically suppress innate immune responses, including in the tumor microenvironment. Here, we showed that myeloid-derived suppressor cells (MDSC) dramatically upregulated TYRO3, AXL, and MERTK and their ligands monocytic MDSCs (M-MDSC)>20-fold, polymorphonuclear MDSCs (PMN-MDSC)>15-fold in tumor-bearing mice. MDSCs from tumor-bearing , and mice exhibited diminished suppressive enzymatic capabilities, displayed deficits in T-cell suppression, and migrated poorly to tumor-draining lymph nodes. In coimplantation experiments using TYRO3 , AXL , and MERTK MDSCs, we showed the absence of these RTKs reversed the protumorigenic properties of MDSCs Consistent with these findings, pharmacologic TYRO3, AXL, and MERTK inhibition diminished MDSC suppressive capability, slowed tumor growth, increased CD8 T-cell infiltration, and augmented anti-PD-1 checkpoint inhibitor immunotherapy. Mechanistically, MERTK regulated MDSC suppression and differentiation in part through regulation of STAT3 serine phosphorylation and nuclear localization. Analysis of metastatic melanoma patients demonstrated an enrichment of circulating MERTK and TYRO3 M-MDSCs, PMN-MDSCs, and early-stage MDSCs (e-MDSC) relative to these MDSC populations in healthy controls. These studies demonstrated that TYRO3, AXL, and MERTK control MDSC functionality and serve as promising pharmacologic targets for regulating MDSC-mediated immune suppression in cancer patients.