Granulocytic myeloid-derived suppressor cells are cryosensitive and their frequency does not correlate with serum concentrations of colony-stimulating factors in head and neck cancer

Innate Immun. 2013 Jun;19(3):328-36. doi: 10.1177/1753425912463618. Epub 2012 Nov 16.


Granulocytic myeloid-derived suppressor cells (MDSC) are a MDSC subset expanded in various cancer types. As many clinical studies rely on the use of stored collections of frozen blood samples, we first tested the influence of freezing/thawing procedures on immunophenotyping and enumeration of granulocytic MDSC (G-MDSC). To identify factors involved in expansion of human G-MDSC, we then analyzed correlations between G-MDSC frequencies, clinical parameters and granulocyte-related factors in the peripheral blood of head and neck cancer patients. HLA-DR, CD14, CD33 and CD66b allowed a clear discrimination of G-MDSC from monocytic MDSC and immature myeloid cells. MDSC subsets were sensitive to cryopreservation with immature G-MDSC showing the highest sensitivity. G-MDSC frequencies were increased in advanced disease stage and associated with the level of CCL4 and CXCL8, but not with colony-stimulating factors, IL-6, S100A8/9, CXCL1 and other cytokines. Our results indicate that the frequency of MDSC, in particular G-MDSC, may be underestimated in retrospective clinical analyses using frozen blood samples. Increased G-MDSC frequencies correlate with advanced disease and increased concentrations of CXCL8, but, unexpectedly, not with growth factors (such as granulocyte colony-stimulating factor), IL-6 and CXCL1. Our data suggest that CXCL8 promotes accumulation of G-MDSC in cancer patients independent of classical colony-stimulating factors.

Keywords: CXCL8; Cryopreservation; granulocyte-colony stimulating factor; granulocyte-macrophage-colony stimulating factor; immune monitoring; peripheral blood.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD / metabolism
  • Cell Differentiation
  • Cell Proliferation
  • Cells, Cultured
  • Chemokine CCL4 / metabolism
  • Colony-Stimulating Factors / blood
  • Cryopreservation / methods*
  • Granulocytes / pathology
  • HLA-DR Antigens / metabolism
  • Head and Neck Neoplasms / immunology*
  • Humans
  • Immunosuppression
  • Interleukin-8 / metabolism
  • Myeloid Cells / immunology*
  • Myeloid Cells / pathology


  • Antigens, CD
  • Chemokine CCL4
  • Colony-Stimulating Factors
  • HLA-DR Antigens
  • Interleukin-8