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Publication : Tumor necrosis factor-α blocks differentiation and enhances suppressive activity of immature myeloid cells during chronic inflammation.

First Author  Sade-Feldman M Year  2013
Journal  Immunity Volume  38
Issue  3 Pages  541-54
PubMed ID  23477736 Mgi Jnum  J:194905
Mgi Id  MGI:5475044 Doi  10.1016/j.immuni.2013.02.007
Citation  Sade-Feldman M, et al. (2013) Tumor Necrosis Factor-alpha Blocks Differentiation and Enhances Suppressive Activity of Immature Myeloid Cells during Chronic Inflammation. Immunity 38(3):541-54
abstractText  Elevated concentrations of tumor necrosis factor-alpha (TNF-alpha) are detected in pathologies characterized by chronic inflammation. Whether TNF-alpha plays a role in manipulating the host's immune system toward generating an immunosuppressive milieu, typical of ongoing chronic inflammation, is unclear. Here we showed that TNF-alpha exhibited a dual function during chronic inflammation: arresting differentiation of immature myeloid-derived suppressor cells (MDSCs) primarily via the S100A8 and S100A9 inflammatory proteins and their corresponding receptor (RAGE) and augmenting MDSC suppressive activity. These functions led to in vivo T and NK cell dysfunction accompanied by T cell antigen receptor zeta chain downregulation. Furthermore, administration of etanercept (TNF-alpha antagonist) during early chronic inflammatory stages reduced MDSCs' suppressive activity and enhanced their maturation into dendritic cells and macrophages, resulting in the restoration of in vivo immune functions and recovery of zeta chain expression. Thus, TNF has a fundamental role in promoting an immunosuppressive environment generated during chronic inflammation.
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