RT Journal Article T1 Immunogenomic identification and characterization of granulocytic myeloid-derived suppressor cells in multiple myeloma. A1 Perez, Cristina A1 Botta, Cirino A1 Zabaleta, Aintzane A1 Puig, Noemi A1 Cedena, Maria-Teresa A1 Goicoechea, Ibai A1 Alameda, Daniel A1 San José-Eneriz, Edurne A1 Merino, Juana A1 Rodríguez-Otero, Paula A1 Maia, Catarina A1 Alignani, Diego A1 Maiso, Patricia A1 Manrique, Irene A1 Lara-Astiaso, David A1 Vilas-Zornoza, Amaia A1 Sarvide, Sarai A1 Riillo, Caterina A1 Rossi, Marco A1 Rosiñol, Laura A1 Oriol, Albert A1 Blanchard, María-Jesús A1 Rios, Rafael A1 Sureda, Anna A1 Martin, Jesus A1 Martinez, Rafael A1 Bargay, Joan A1 de la Rubia, Javier A1 Hernandez, Miguel-Teodoro A1 Martinez-Lopez, Joaquin A1 Orfao, Alberto A1 Agirre, Xabier A1 Prosper, Felipe A1 Mateos, Maria-Victoria A1 Lahuerta, Juan-José A1 Blade, Joan A1 San-Miguel, Jesús F A1 Paiva, Bruno AB Granulocytic myeloid-derived suppressor cells (G-MDSCs) promote tumor growth and immunosuppression in multiple myeloma (MM). However, their phenotype is not well established for accurate monitoring or clinical translation. We aimed to provide the phenotypic profile of G-MDSCs based on their prognostic significance in MM, immunosuppressive potential, and molecular program. The preestablished phenotype of G-MDSCs was evaluated in bone marrow samples from controls and MM patients using multidimensional flow cytometry; surprisingly, we found that CD11b+CD14-CD15+CD33+HLADR- cells overlapped with common eosinophils and neutrophils, which were not expanded in MM patients. Therefore, we relied on automated clustering to unbiasedly identify all granulocytic subsets in the tumor microenvironment: basophils, eosinophils, and immature, intermediate, and mature neutrophils. In a series of 267 newly diagnosed MM patients (GEM2012MENOS65 trial), only the frequency of mature neutrophils at diagnosis was significantly associated with patient outcome, and a high mature neutrophil/T-cell ratio resulted in inferior progression-free survival (P YR 2020 FD 2020 LK http://hdl.handle.net/10668/15418 UL http://hdl.handle.net/10668/15418 LA en DS RISalud RD Apr 10, 2025