HMGB1 enhances immune suppression by facilitating the differentiation and suppressive activity of myeloid-derived suppressor cells

Chronic inflammation often precedes malignant transformation and later drives tumor progression. Likewise, subversion of the immune system plays a role in tumor progression, with tumoral immune escape now well recognized as a crucial hallmark of cancer. Myeloid-derived suppressor cells (MDSC) are elevated in most individuals with cancer, where their accumulation and suppressive activity are driven by inflammation. Thus, MDSC may define an element of the pathogenic inflammatory processes that driven immune escape. The secreted alarmin HMGB1 is a pro-inflammatory partner, inducer and chaperone for many pro-inflammatory molecules that MDSC development. Therefore, in this study we examined HMGB1 as a potential regulator of MDSC. In murine tumor systems, HMGB1 was ubiquitous in the tumor microenvironment, activating the NF-κB signal transduction pathway in MDSC and regulating their quantity and quality. We found that HMGB1 foments the development of MDSC from bone marrow progenitor cells, contributing to their ability to suppress antigen-driven activation of CD4+ and CD8+ T cells. Further, HMGB1 increased MDSC-mediated production of IL-10, enhanced crosstalk between MDSC and macrophages and facilitated the ability of MDSC to down-regulate expression of the naive T cell homing receptor L-selectin. Overall, our results revealed a pivotal role for HMGB1 in the development and cancerous contributions of MDSC in cancer patients.