MDSCs are elevated in peripheral blood from patients with psoriasis. (A) Psoriasis and healthy control PBMCs negative for the lymphocyte markers CD3, CD19, CD20 and CD56 were analyzed for HLA-DR, CD14 and CD15 expression. PBMCs isolated from patients with psoriasis had increased percentages of (B) HLA-DRlo/−CD14+ and (C) HLA-DRlo/−CD15+ cells, compared with healthy controls. (D) No significant differences were observed in the percentage of HLA-DR+CD14+ cells between the two groups. (E) CFSE-labeled PBMCs were stimulated with anti-CD3 and -CD28 in the presence or absence of autologous MDSCs at the indicated ratios. CFSE dilution indicating proliferation is presented following gating on CD4+ or CD8+ T cells. CD4+ and CD8+ T-cell proliferation was suppressed by MDSCs in a dose-dependent manner. A representative example of three experiments is presented. MDSCs, myeloid-derived suppressor cells; PBMCs, peripheral blood mononuclear cells; CD, cluster of differentiation; HLA, human leukocyte antigen; CFSE, 5-(and 6) carboxyfluorescein diace-tate succinimidyl ester.