STAT3 mediates down-regulation of MHC class II on antigen presenting cells [24, 25] and IL-10 production by macrophages [25] Previous work shows that suppressive M-MDSCs in pancreatic cancer have down-regulation of miRNAs that bind and repress the STAT3 promoter, have enhanced expression of pSTAT3 and that STAT3 inhibition abrogates CD14 + suppressivity [26] CRC M-MDSCs are mainly localised at the invasive margin of the cancer in line with the monocyte and TGF-β enrichment characteristic of consensus molecular subtype 4, the molecular subtype associated with the invasive front [27, 28]. This evidence concerns the gene STAT3 and familial pancreatic carcinoma.