作者: Jennifer Susan Ko
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摘要: The anti-angiogenic drug sunitinib is a receptor tyrosine-kinase (RTK) inhibitor with significant, yet not curative, therapeutic impacts in metastatic renal cell carcinoma (mRCC). Sunitinib also an immunomodulator, potently reversing myeloid-derived suppressor (MDSC) accumulation and T-cell inhibition the peripheral blood even of non-responder RCC patients. We observed that similarly prevented massive MDSC restored normal function spleens tumor-bearing mice, when had negligible upon tumor progression itself. Both monocytic neutrophilic splenic were highly inhibitable by sunitinib. In contrast, bone marrow proved resistant to sunitinib, ambient remained suppressed these compartments. Proteomic analyses comparing compartments demonstrated GM-CSF predicted resistance, recombinant could confer resistance vitro. conditioning inhibited STAT3 promoted STAT5 activation, whereas other hematopoietic support factors preferentially preserved both activation susceptibility. conclude compartmentaldependent exposure may account for sunitinib’s regionalized impact host modulation, hypothesize ancillary strategies decrease such