RT Journal Article SR Electronic T1 Maelstrom Directs Myeloid-Derived Suppressor Cells to Promote Esophageal Squamous Cell Carcinoma Progression via Activation of the Akt1/RelA/IL8 Signaling Pathway JF Cancer Immunology Research JO Cancer Immunol Res FD American Association for Cancer Research SP 1246 OP 1259 DO 10.1158/2326-6066.CIR-17-0415 VO 6 IS 10 A1 Li, Pupu A1 Chen, Xinfeng A1 Qin, Guohui A1 Yue, Dongli A1 Zhang, Zhen A1 Ping, Yu A1 Wang, Dan A1 Zhao, Xuan A1 Song, Mengjia A1 Zhao, Qitai A1 Li, Jieyao A1 Liu, Shasha A1 Wang, Dong A1 Zhang, Chaoqi A1 Lian, Jingyao A1 Cao, Ling A1 Li, Feng A1 Huang, Lan A1 Wang, Liping A1 Yang, Li A1 Huang, Jianmin A1 Li, Hong A1 Zhang, Bin A1 Zhang, Yi YR 2018 UL http://cancerimmunolres.aacrjournals.org/content/6/10/1246.abstract AB Maelstrom (MAEL) is a novel cancer/testis-associated gene, which is not only expressed in the male testicular germ cells among human normal tissues, but is also aberrantly expressed in various cancer tissues. In our study, MAEL was characterized as a tumor-promoting gene and was significantly associated with esophageal squamous cell carcinoma (ESCC) recurrence and unfavorable prognosis. Kaplan–Meier analysis showed that patients with high MAEL expression had a shorter survival time. Functional experiments showed that MAEL promoted tumor cell growth and inhibited cell apoptosis. These results prompted us to investigate the factors affecting the tumorigenicity of MAEL. Further experimentation demonstrated that MAEL enhanced the expression of phosphorylated Akt1, with subsequent phosphorylation of nuclear factor kappa B (NF-κB) subunit RelA in tumor cells, and chemoattracted myeloid-derived suppressor cells (MDSCs) by upregulating interleukin-8 (IL8) to accelerate tumor progression in the tumor microenvironment. We also found that TGFβ secreted by MDSCs could upregulate MAEL by inducing Smad2/Smad3 phosphorylation. In summary, this study revealed a mechanism by which MAEL could upregulate IL8 through Akt1/RelA to direct MDSCs homing into the tumor, suggesting that MAEL could be an attractive therapeutic target and a prognostic marker against ESCC. Cancer Immunol Res; 6(10); 1246–59. ©2018 AACR.