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. 2023 Nov 27;14:1245421. doi: 10.3389/fimmu.2023.1245421

Figure 8.

Figure 8

The interaction between MDSCs and BCSCs. Representative image of the interaction between MDSCs and BCSCs. MDSCs are recruited to the tumor site by ΔNp63-dependent activation of chemokines CXCL2 and CCL22. They secrete pro-metastatic factors such as MMP9 and chitinase 3-like 1 to induce BCSC enrichment. MDSCs cause IL-6-dependent phosphorylation of STAT3 that promotes NOTCH signaling (NOTCH2, NOTCH3, HEY1, HEY2, and CHERP transcripts and the intracellular domain of NOTCH) expression through nitric oxide (NO), leading to persistent STAT3 activation that results in the induction of EMT with high expression genes like Vimentin, CK14, and TWIST.