RT Journal Article SR Electronic T1 Cholangiocarcinoma presents a distinct myeloid-derived suppressor cell signature compared to other hepatobiliary cancers JF bioRxiv FD Cold Spring Harbor Laboratory SP 554600 DO 10.1101/554600 A1 Defne Bayik A1 Adam J. Lauko A1 Gustavo A. Roversi A1 Emily Serbinowski A1 Lou-Anne Acevedo-Moreno A1 Christopher Lanigan A1 Mushfig Orujov A1 Alice Lo A1 Tyler J. Alban A1 Daniel J. Silver A1 J. Mark Brown A1 Daniela S. Allende A1 Federico N. Aucejo A1 Justin D. Lathia YR 2019 UL http://biorxiv.org/content/early/2019/12/11/554600.abstract AB Myeloid-derived suppressor cells (MDSCs) are immunosuppressive cells that are increased in patients with numerous malignancies including viral-derived hepatocellular carcinoma (HCC). Here, we report an elevation of MDSC in other hepatobiliary malignancies including non-viral HCC, neuroendocrine tumors (NET), colorectal carcinoma with liver metastases (CRLM), but not cholangiocarcinoma (CCA). Investigation of myeloid cell infiltration in HCC, NET and intrahepatic CCA tumors further established that the frequency of antigen-presenting cells was limited compared to benign lesions suggesting that primary and metastatic hepatobiliary cancers have distinct peripheral and tumoral myeloid signatures. Bioinformatics analysis of the Cancer Genome Atlas demonstrated that a high MDSC score in HCC patients predicted poor disease outcome. Mechanistic studies indicated that the oncometabolite D-2-hydroxyglutarate resulting from isocitrate dehydrogenase 1 mutation could be a limiting factor of MDSC accumulation in CCA patients. Given our observation that MDSCs are increased in non-CCA malignant liver cancers, they may comprise suitable targets for effective immunotherapy approaches.AFPAlpha-fetoproteinαKGαAlpha-ketoglutarateASTAspartate aminotransferaseALTAlanine transaminaseAPCAntigen-presenting cellsCCACholangiocarcinomaCEACarcinoembryonic antigenCRLMColorectal liver metastasesD2HGD-2-HydroxyglutarateDCDendritic cellgMDSCGranulocytic myeloid-derived suppressor cellsHCCHepatocellular carcinomaMDSCMyeloid-derived suppressor cellsmMDSCMonocytic myeloid-derived suppressor cellsNETNeuroendocrine tumorPBMCPeripheral blood mononuclear cellsTCGAThe Cancer Genome AtlasTregT regulatory cellsWBCWhite blood cells