This work reveals that macrophage migration inhibitory factor (MIF) in breast tumor-derived exosomes drives MDSC differentiation and immunosuppression by upregulating MARCO, and demonstrates that targeting MARCO—alone or in combination with PD-1 blockade—effectively reprograms the tumor microenvironment and enhances anti-tumor immunity.
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https://www.nature.com/articles/s41420-025-02627-1.pdf