Destress and do not suppress: targeting adrenergic signaling in tumor immunosuppression

J Clin Invest. 2019 Dec 2;129(12):5086-5088. doi: 10.1172/JCI133115.

Abstract

Tumor-induced immunosuppression is a common obstacle for cancer treatment. Adrenergic signaling triggered by chronic stress participates in the creation of an immunosuppressive microenvironment by promoting myeloid-derived suppressor cell (MDSC) proliferation and activation. In this issue of the JCI, Mohammadpour et al. elegantly delve into the mechanisms underlying MDSC contribution to tumor development. They used in vitro and in vivo mouse models to demonstrate that chronic stress results in MDSC accumulation, survival, and immune-inhibitory activity. Of therapeutic relevance, the authors showed that propranolol, a commonly prescribed β-blocker, can reduce MDSC immunosuppression and enhance the effect of other cancer therapies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Comment

MeSH terms

  • Adrenergic Agents
  • Animals
  • Immunosuppression Therapy
  • Mice
  • Myeloid Cells / immunology
  • Myeloid-Derived Suppressor Cells / immunology*
  • Neoplasms*
  • Receptors, Adrenergic, beta-2
  • Tumor Microenvironment

Substances

  • Adrenergic Agents
  • Receptors, Adrenergic, beta-2