RT Journal Article SR Electronic T1 Human G-MDSCs are neutrophils at distinct maturation stages promoting tumor growth in breast cancer JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000893 DO 10.26508/lsa.202000893 VO 3 IS 11 A1 Meliha Mehmeti-Ajradini A1 Caroline Bergenfelz A1 Anna-Maria Larsson A1 Robert Carlsson A1 Kristian Riesbeck A1 Jonas Ahl A1 Helena Janols A1 Marlene Wullt A1 Anders Bredberg A1 Eva Källberg A1 Frida Björk Gunnarsdottir A1 Camilla Rydberg Millrud A1 Lisa Rydén A1 Gesine Paul A1 Niklas Loman A1 Jörgen Adolfsson A1 Ana Carneiro A1 Karin Jirström A1 Fredrika Killander A1 Daniel Bexell A1 Karin Leandersson YR 2020 UL https://www.life-science-alliance.org/content/3/11/e202000893.abstract AB Myeloid-derived suppressor cells (MDSCs) are known to contribute to immune evasion in cancer. However, the function of the human granulocytic (G)-MDSC subset during tumor progression is largely unknown, and there are no established markers for their identification in human tumor specimens. Using gene expression profiling, mass cytometry, and tumor microarrays, we here demonstrate that human G-MDSCs occur as neutrophils at distinct maturation stages, with a disease-specific profile. G-MDSCs derived from patients with metastatic breast cancer and malignant melanoma display a unique immature neutrophil profile, that is more similar to healthy donor neutrophils than to G-MDSCs from sepsis patients. Finally, we show that primary G-MDSCs from metastatic breast cancer patients co-transplanted with breast cancer cells, promote tumor growth, and affect vessel formation, leading to myeloid immune cell exclusion. Our findings reveal a role for human G-MDSC in tumor progression and have clinical implications also for targeted immunotherapy.