Background Radiotherapy (RT) has been shown to stimulate an antitumor immune response in irradiated tumors as well as unirradiated distant sites (abscopal effect). Previous studies have demonstrated a role for the tumor-draining lymph node (LN) in mediating an anti-programmed death-1 (PD-1)/programmed death ligand-1 (PD-L1) stimulated antitumor immune response. Here, we investigated whether the LN is also important in mediating a RT alone stimulated abscopal response.
Methods We used a subcutaneous modified B16F10 flank tumor model injected bilaterally. Our B16F10 cell line has an inserted viral glycoprotein which facilitated identification of tumor-specific T-cells. RT was directed at one flank tumor alone or one flank tumor and the tumor-draining LN. We evaluated response by tumor growth measurements and flow cytometry of both tumor-infiltrating and LN T-cells.
Results We show that local tumor irradiation improves distant tumor control (abscopal effect). Depletion of CD8+ T-cells significantly reduced this abscopal response. We have previously shown, in a chronic lymphocytic choriomeningitis virus (LCMV) infection, that the T-cell proliferative burst following blockade of PD-1/L1 is provided by a ‘stem-like’ CD8+ T-cell subset which then differentiate into terminally differentiated effectors. These terminally differentiated effectors have the potential to kill virally infected or tumor cells following PD-1/L1 blockade. In the chronic LCMV infection, stem-like CD8+ T-cells were found exclusively in secondary lymphoid organs. Similarly, here we found these cells at high frequencies in the tumor-draining LN, but at low frequencies within the tumor. The effect of RT on this T-cell subset in unknown. Interestingly, tumor irradiation stimulated total CD8+ and stem-like CD8+ T-cell proliferation in the LN. When the LN and the tumor were then targeted with RT, the abscopal effect was reduced, and we found a concomitant reduction in the number of total tumor-specific CD8+ T-cells and stem-like CD8+ T-cells in both the irradiated and unirradiated tumor.
Conclusions These correlative results suggest the tumor-draining LN may be an important mediator of the abscopal effect by serving as a stem-like CD8+ T-cell reservoir, a site for stem-like T-cell expansion, and a site from which they can populate the tumor.
- adaptive immunity
- CD8-Positive T-Lymphocytes
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- adaptive immunity
- CD8-Positive T-Lymphocytes
Although classically radiotherapy (RT) was only considered a local therapy, it occasionally led to tumor control outside the radiation field termed the ‘abscopal effect’.1 The abscopal effect arises via stimulation of the antitumor immune response, particularly CD8+ T-cells. RT can, therefore, be considered a form of immunotherapy or in situ vaccination with resultant systemic effects.2–4 It increases major histocompatibility complex (MHC)-I expression5 and PD-L16 on tumor cells while promoting type I interferon (IFN) signaling via the cyclic GMP-AMP synthase (cGAS) and stimulator of interferon genes (STING) pathway in antigen-presenting cells.7–9 Although the tumor is capable of T-cell priming and activation,10 lymph nodes (LN) are the classical sites for immune response generation. Tumor-draining LN have rich tumor drainage and are a site of high tumor antigen load.11 They are also important sites for dendritic cell mediated antitumor T-cell stimulation—a critical step in T-cell reinvigoration with αPD-L1.12–14 The impact of nodal disruption with either surgery or tumor-draining LN-directed RT on local tumor growth following tumor irradiation has also been evaluated. Takeshima et al15 demonstrated reduced local tumor control in mice genetically deficient for LN (Aly/Aly) or with the LN surgically ablated. More recently, Marciscano et al16 showed that stereotactic irradiation of the tumor-draining LN leads to reduced local control and reduced tumor immune infiltrates. These data and observations suggest that the tumor-draining LN may also have an important role in an abscopal response.
Based on these preliminary observations, we investigated the impact of disrupting the tumor-draining LN on the abscopal effect. This is a critical question. If the tumor-draining LN is important in mediating the abscopal effect, patients treated with tumor and nodal irradiation or surgical LN removal who harbor undetected, distant micrometastatic disease may be compromising long-term survival if nodal disruption blunts an otherwise robust abscopal response.
Additionally, our lab has performed detailed studies of T-cell exhaustion, a phenomenon first reported in a chronic lymphocytic choriomeningitis virus (LCMV) infection.17–19 Using this system, disruption of the PD-1/PD-L1 interaction was shown to reinvigorate CD8+ T-cells.20 Our group has shown that the proliferative burst following αPD-L1 therapy of exhausted CD8+ PD-1+ T-cells is provided by a distinct T-cell subset.21 This T-cell subset has a unique ‘stem-like’ phenotype. αPD-L1 therapy stimulates self-renewal and proliferation of this subset followed by differentiation into terminally differentiated effectors capable of cell killing.21 Understanding the impact of RT on stem-like CD8+ T-cells and terminally differentiated effectors in the context of the abscopal effect may allow for enhancement of anti-tumor immune responses and improved response rates with αPD-1/L1.
Materials and methods
Mice and cell lines
Female C57BL/6 mice aged 6–8 weeks were purchased from Jackson Laboratories. All mice were used in accordance with the Emory University Institutional Animal Care and Use Committee guidelines. Mice were sacrificed if they becamed sick, lethargic or had >10% wt loss prior to tumor volume defined endpoint. The B16F10 cell line was obtained from American Type Culture Collection (ATCC). A B16F10 cell line expressing the glycoprotein (GP) of the LCMV Armstrong strain was generated by lentiviral transduction as described previously.22 Briefly, the codon-optimized GP was cloned into the bicistronic replication deficient lentiviral vector pLVX-IRES-ZsGreen1 (Takara) followed by production of lentiviral particles in 293 T cells (ATCC) and lentiviral transduction of B16F10 cells. A stable B16F10GP cell line was established by sorting B16F10 cells expressing high levels of the green fluorescent protein ZsGreen1 using a FACSAriaII (BD Biosciences) 2 weeks after transduction. The cell line was grown in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% FBS, 100 U/mL penicillin and 100 ug/mL streptomycin, 2 mM glutamine. The cells were cultured at 37°C with 5% CO2.
In vivo tumor irradiation experiments
5×105 B16F10GP cells were injected into bilateral flanks subcutaneously on day 0. After the tumor was palpable (10–12 days), mice were irradiated on one side with a Superflab bolus (0.5 cm tissue equivalent material) placed over the tumor, and thereafter tumor measurements were taken as indicated. During radiation, mice were anesthetized with tribromoethanol. The dose to the tumor was 10 Gy using 320 kVp photons at 10 mA. To avoid scatter radiation, the light field was focused on the tumor with a 5–8 mm margin, and all other regions were shielded with lead.
For tumor-draining LN identification, the tumor-draining LN was initially localized using a contrast micro-CT-scan as well as LN mapping. For the LN mapping, 5% Evans Blue was injected intratumorally or into the right flank of a naïve mouse. Mice were sacrificed at 5 min and 30 min following injection, and at necropsy, blue LN were identified.
For tumor-draining LN irradiation, mice were set up clinically based on anatomic and CT-scan-guided landmarks. To minimize scatter to non-ipsilateral tumor-draining LN sites, all regions including the ipsilateral tumor were lead shielded. To confirm minimal scatter to the ipsilateral tumor and the correct dose to the tumor-draining LN, an optically stimulated luminescent dosimeter was implanted at both sites (Landauer, Glenwood, Illinois, USA). The prescribed dose to the tumor-draining LN were 3 Gy x three for a total of 9 Gy over 6 days. Mice were sacrificed according to the guidelines put forward by Emory University Institutional Animal Care and Use Committee.
For CD8 T-cell depletion, we injected 500 µg of αCD8 (Clone 2.43) injected IP on days 0, 7 and 14.
For FTY720 experiment, FTY720 (Sigma) was placed in drinking water (2 µg/mL) 1 day prior to tumor-directed RT (T-RT). FTY720 treatment was continued throughout the entire experimental course.
For T-cell analysis, mice were sacrificed on Day 17 when tumor, spleen and tumor-draining LN were harvested. CD8+ T-cells were purified from tumors using a histopaque gradient (Sigma, St. Louis, MO). Tumors were weighed at time of sacrifice and recorded in grams. For cytokine staining, tumor infiltrating lymphocytes were cultured in RPMI +10% FBS for 5 hours with an LCMV GP peptide pool in the presence of brefeldin A and monensin.
For tumor measurement, tumor diameters were assessed using calipers. Tumor volume was calculated using the formula for ellipse, that is, 4/3π.(l.w.h), where l, w and h represent the three diameters of the tumor taken perpendicular to each other.
Representative flow plots and tumor kinetics for figures 1, 4, 6-7 are taken from one experiment with all three experimental arms included. All experiments were done in duplicate or triplicate, and quantified data represent combined data unless otherwise noted.
Flow cytometric analysis was performed on an FACS Canto II or LSR II (BD Biosciences). Direct ex vivo staining and intracellular cytokine staining were performed as described previously23 with fluorochrome-conjugated antibodies (purchased from BD Bioscience, eBioscience, BioLegend, R&D, Cell Signaling Technology, Vector Laboratories and Invitrogen). To detect tumor-specific CD8+ T-cell responses, MHC-I tetramers were prepared as described previously.24 For intracellular detection of transcription factors such as T-cell factor-1 (TCF-1), cells were surface stained for 45 min on ice, fixed and permeabilized using the Foxp3 Permeabilization/Fixation Kit according to manufacturer’s instructions (eBioscience), followed by intracellular staining for 45 min. All staining was performed in a 96 well plate using 1–5 x 106 total cells per well. Following staining, a minimum of 104 CD8+ T-cells were collected by flow cytometer. Splenocytes were used for single color controls. TCF-1 gating was determined based on naïve CD8+ T-cell expression. Full gating strategy can be seen in (online supplemental figure 1). FACS data were analyzed with FlowJo software (TreeStar). The following antibodies were used: CD8a (Clone 53–6.7, BD), CD4 (Clone GK1.5, BD), CD44 (Clone IM7, BD), PD-1 (Clone 29F.1A12, Biolegend), IFN-γ (Clone XMG1.2, Biolegend), IL-2 (Clone JES6-5H4, BD), TNF-α (Clone MP6-XT22, BD), TCF-1 (S33-966, BD), Tim-3 (Clone RMT3-23, Biolegend), GzmB (Clone GB11, BD), Ki-67 (Clone B56, BD), FoxP3 (Clone R16-715, BD).
All experiments were analyzed using Prism 6 (GraphPad Software). Statistical differences were assessed using a Student’s t-test or as detailed in the figure legend. P values of <0.05 were considered statistically significant (*).
The abscopal effect is induced by tumor-directed RT
To assess whether tumor-directed RT (T-RT) alone can improve distant tumor control, we implanted syngeneic B16F10GP tumor cells into the bilateral flanks of immunocompetent mice. The use of the B16F10GP cell line expressing LCMV GP allows us to identify and track tumor-specific T-cells with MHC-I tetramers in various organs. In mice treated with T-RT, the tumor received 10 Gy x 1 with a 0.5 cm bolus to ensure appropriate surface dose (figure 1A). Following T-RT, we observed slowing of tumor growth of the irradiated (tumor 1) (figure 1B,C top) and a reproducible abscopal effect at the unirradiated site (tumor 2) (figure 1B C bottom). To characterize and quantify the intraumoral T-cell response, we evaluated tumor-specific (Gp33+) CD8+ T-cells. Our gating strategy is shown in online supplemental figure 1. There was an increase in the number of tumor-specific CD8+ T-cells per gram in the unirradiated tumor (tumor 2) with a trend towards an increase in the irradiated tumor (Tumor 1) (figure 1D, online supplemental figure 2A). Increased proliferation of tumor-specific CD8+ T-cells in tumor 1 was also observed (figure 1D, right). Both tumor 1 and tumor 2 had an increased frequency and tumor 1 showed increased number with a trend for tumor 2 of IFN-γ+ CD8+ T-cells following T-RT (figure 1E, left, middle). There was also an increased frequency of polyfunctional CD8+ T-cells in Tumor 2 (figure 1E, right) which represent a less exhausted T-cell subset. To verify that the observed effect was CD8+ T-cell dependent, we depleted CD8+ T-cells prior to tumor irradiation (figure 2A,E). This significantly reduced the abscopal effect (figure 2B,C,D).
To determine whether this abscopal response is dependent on the strong antigen (Gp33), we performed the same experiment with the B16F10 parental line, and we observed improved local control with tumor irradiation, but no abscopal effect (online supplemental figure 2B) with minimal increase in the density of CD8+PD-1+T cells in the unirradiated tumor (online supplemental figure 2C).
We then performed a dose escalation experiment from 0, 10 and 20 Gy to assess whether increasing dose would increase the magnitude of the abscopal effect using B16F10GP tumors. We found that both 10 and 20 Gy had similar local control (figure 2F,G top) and distant control (figure 2F,G bottom). We also found a similar trend towards increased tumor-specific CD8+ T-cells per gram in the 10 and 20 Gy groups with a trend towards a higher T-cell frequency in the 10 Gy cohort (figure 2H).
Stem-like CD8+ T-cells are found in the tumor and tumor-draining LN
Next, we wished to characterize the tumor-specific T-cell population in the tumor and tumor-draining LN in more detail. We found that the majority (>85%) of the Gp33+ T-cells in the tumor were terminally differentiated effectors (figure 3A). Given the importance of stem-like CD8+ T-cells (Tim-3- TCF-1+) in response to αPD-L1,21 we next evaluated the stem-like CD8+ T-cell population in the tumor. After gating on the tumor-specific CD8+ T-cells, we found CD8+ T-cells with a stem-like phenotype in the tumor although at low frequencies (figure 3A, top). In the chronic LCMV infection, stem-like CD8+ T-cells were found at greatest frequencies in secondary lymphoid organs, therefore, we next evaluated the tumor-draining LN. In the LN, we found tumor-specific CD8+ T-cells with intermediate expression levels of PD-1 (figure 3A, bottom left). After gating on the tumor-specific CD8+ T-cells, we found that >75% of these cells have a stem-like phenotype (figure 3A, bottom middle). We confirmed that the GzmB expression was much higher in the terminally differentiated effectors both in the tumor and LN than the stem-like CD8+ T-cells as has been shown previously21 (figure 3A, right). Finally, we quantified the frequency differences between the stem-like CD8+ T-cells in both the LN and tumor and the terminally differentiated effectors (figure 3B). These data clearly show that the frequency of stem-like CD8+ T-cells is dramatically higher in the LN than the tumor. A similar difference in stem-like T-cell frequency between the tumor and LN was observed in the parental B16F10 cell line (online supplemental figure 2D).
The impact of tumor RT on T-cells subsets in the tumor and LN
Next, we evaluate the impact of tumor irradiation on the T-cell subsets in both the tumor and the tumor-draining LN. We found that T-RT increased the number of stem-like CD8+ T-cells, but not their frequency in tumor 1 with a similar trend for tumor 2 and for terminal effectors (figure 4A). In the parental B16F10 cell line, no significant increase in stem-like CD8+ T-cells was observed following T-RT in tumor 1 or 2 (data not shown).
We found no statistically significant or trends in changes in the frequency of stem-like or terminal effectors in the LN 7 days following T-RT (figure 4B). We did, however, see an increase in the frequency of proliferating tumor-specific CD8+ T-cells (figure 4C, left and middle), stem-like CD8+ T-cells (figure 4C, right) and a more modest increase in terminal effectors (online supplemental figure 2E). As this proliferative response suggests the LN may play a role in the abscopal effect, we next focused our attention on the LN.
Tumor-draining LN directed RT is feasible
To evaluate the importance of the tumor-draining LN in mediating the abscopal effect, we depleted tumor-draining LN lymphocytes by targeted RT (LN-RT). To first confirm that we were able to identify the first echelon tumor-draining LN anatomically, we injected Evans Blue at the site of flank tumor inoculation and sacrificed the mice at 5 min postinjection. At that time, the only LN that demonstrated visible uptake of the dye was the ipsilateral inguinal node (figure 5A). To confirm that this node could be accurately targeted with kilovoltage X-rays, we acquired a contrasted micro CT (figure 5B) and performed dosimetric calculations based on planned field size, and depth of the inguinal nodal basin. We then confirmed prescribed dose delivery by dosimeter implantation at the LN site and tumor site demonstrating minimal scatter to the tumor with appropriate shielding (not shown). As a further confirmation, we evaluated for lymphocyte death in the targeted node following RT by sacrificing mice 36 hours after the first RT fraction (figure 5C) and performing Annexin-V and 7-AAD staining (figure 5D). We observed increased cell death in the irradiated node (figure 5D). To confirm that there was actual depletion of T-cells from the targeted tumor-draining LN, mice were sacrificed on day 7 following 3 Gy x 3 fractions to the CT-assessed location. Fractionated LN-RT was selected after 10 Gy x 1 showed no depletion of lymphocytes in the irradiated LN at day 7 post-RT (data not shown). This was likely due to rapid LN repopulation from the blood. The inguinal LN in the prescribed radiation field demonstrated a consistent two log decrease in the number of CD4+ and CD8+ T-cells (figure 5E). No concomitant decrease in the number of splenic lymphocytes was observed (figure 5F) demonstrating that the radiation is specifically targeting the LN and not causing a global decrease in the circulating lymphocyte population. We next performed a time course and found the nadir of the LN T-cells was at day 10 following the first radiation fraction (figure 5G). However, day 7 was selected for sacrifice as there was a significant decrease in LN cell numbers at this time point and it represented the apex of the T-cell infiltration into the tumor.
Tumor-draining LN directed RT reduces the abscopal effect
Next, we evaluated the impact of LN irradiation on tumor growth. We irradiated both the tumor-draining LN of tumor 1 with fractionated RT (3 Gy x 3 fractions) and tumor 1 with the single 10 Gy dose (figure 6). Irradiating the tumor-draining LN and the tumor (T-RT+LN RT) did not significantly impair local tumor control (figure 6B,C top), however, there was a reduction in the abscopal effect (figure 6B,C bottom).
For T-cell analysis, mice were sacrificed 1 day following the last fraction of tumor-draining LN-directed RT (day 17) (figure 6A). The increase in tumor-specific CD8+ T-cells seen in tumor 2 (unirradiated tumor) with tumor 1-directed RT was decreased in the T-RT+LN RT group (figure 6D, right). Tumor-draining LN-directed RT also reduced the frequency of proliferating tumor-specific CD8+ T-cells in the irradiated tumor (Tumor 1) (figure 6D, bottom). Frequencies of both IFN-γ+ CD8+ T-cells and IFN-γ+ TNF-α+ CD8+ T-cells were reduced in tumor 2 in the T-RT+LN RT compared with the T-RT group (figure 6E).
Tumor-draining LN RT decreases the number of stem-like CD8+ T-cells in the tumor
We next evaluated whether tumor-draining LN-directed RT reduced the stem-like CD8+ T-cell numbers in the LN. We found a significant decrease in the T-RT+LN RT group in the irradiated (tumor 1 side) as well as the un-irradiated (tumor 2 side) tumor-draining LN (figure 7A, left). The magnitude of the decrease was much greater in the irradiated compared with the unirradiated tumor-draining LN. Next, we looked in the tumor and found that in both tumor 1 and tumor 2 of the T-RT+LN RT group there was a reduction in stem-like CD8+ T-cell numbers relative to the T-RT group (figure 7B, left). There was similar trend towards a reduction for terminally differentiated effectors in Tumor 1, but not for tumor 2 (figure 7B, right). No significant difference was observed in the frequency of tumor-infiltrating regulatory T-cells with T-RT or T-RT+LN RT in either tumor 1 or tumor 2 (online supplemental figure 2F).
To further confirm the importance of the LN in the abscopal response, mice were treated with FTY720, which sequesters lymphocytes in secondary lymphoid tissue, prior to T-RT (online supplemental figure 3A,B). A significant decrease in the abscopal effect at tumor 2 was observed with T-RT+FTY720 (online supplemental figure 3C,D bottom) relative to T-RT alone.
It has been shown that RT is immunogenic, in part, by stimulating de novo T-cell priming via neo-antigen liberation,25 26 and can synergize with checkpoint blockade to improve local as well as distant tumor control.27 28 It has also been demonstrated that tumors themselves can act as a site of T-cell priming and activation.10 We confirmed that T-RT stimulated an antitumor immune response in our system and improved distant tumor control (figure 1B–D). We next investigated the importance of the tumor-draining LN in this effect, and found that T-RT+LN RT reduced the abscopal effect (figure 6B,C). This was further confirmed by treatment with FTY720 with T-RT (online supplemental file 3). As noted earlier, stem-like CD8+ T cells differentiate into terminally differentiated effectors, which have the potential for tumor-cell killing following αPD-L1 treatment.21 We hypothesized that the stem-like CD8+ T-cells and terminally differentiated effectors in the tumor are supplied by the tumor-draining LN stem-like CD8+ T-cells due to their high frequency (figure 3A,B). We found that T-RT increased the stem-like T-cells in the distant tumor, but this was reduced by LN-RT (figure 7B). This observation is correlative, but does support our hypothesis. Interestingly, we also noted robust proliferation of tumor-specific CD8+ T-cells in the bilateral tumor-draining LN following T-RT (figure 4C) to one tumor suggesting the contralateral tumor-draining LN may also be important in the abscopal effect. This may be due to either antigen liberated following tumor irradiation or antigen presenting cells in the tumor trafficking to both the ipsilateral and contralateral nodes to enhance tumor control. Alternatively, T-cells primed/reinvigorated in the ipsilateral tumor-draining LN may also circulate to the contralateral node to help with tumor control. A third possibility is that CD8+ T-cells activated in the ipsilateral LN traffic to the contralateral tumor (tumor 2), liberate tumor antigen which drains to Tumor 2’s tumor-draining LN and stimulates T-cell proliferation.
The role of the tumor-draining LN in anti-tumor T-cell activation has been evaluated by other groups who demonstrated reduced local control following either tumor-draining LN irradiation, genetic deficiency (Aly/Aly) or surgical disruption.15 16 16 We found that tumor-draining LN irradiation blunted distant tumor control (figure 6B,C bottom). Interestingly, the tumor-draining LN-directed RT without checkpoint blockade did not significantly reduce local control in contrast to these earlier reports. This may be because of shortened experiment length due to the limitations imposed by distant tumor size or variations in tumor cell line radiosensitivity. It may also be due to the highly immunogenic cell line we developed utilizing the LCMV GP. Finally, it may be due to the dose of 10 Gy used. Vanpouille-Box et al 8 9 have shown that doses from 12 to 18 Gy induce TREX1, an exonuclease, which attenuates radiation’s immunogenicity. The dose we selected may also explain why we observe a modest, but reproducible abscopal effect following tumor irradiation in the absence of concurrent checkpoint blockade.
Although our data do not formally confirm the following model, we propose that tumor-specific stem-like CD8+ T-cells in the tumor-draining LN provide a reservoir for the terminally differentiated effectors in the tumor which are capable of tumor cell killing; and stem-like CD8+ T-cell expansion in the tumor-draining LN and potentially migration to the tumor is stimulated by RT. An important question is whether the stem-like CD8+ within the tumor and tumor-draining LN are both capable of producing terminally differentiated effectors, and whether the quality of the terminally differentiated effectors may be different between the two. The tumor-resident stem-like CD8+ T-cells may be more exhausted and produce suboptimal terminally differentiated effectors. To further evaluate these findings, future adoptive transfer, RNA-seq and conditional knock-out experiments are planned. The results presented here, however, correlative, are intriguing. They build on the result of multiple groups who have shown that the tumor-draining LN is the main site for exhausted T-cell proliferation following αPD-1 treatment.29 30 Additionally, although this study’s generalizability may be somewhat limited due the immunogenic, modified cell line used, human tumors show a wide range of immunogenicity. We contend that our model may reflect one end of this tumor spectrum and helps elucidate RT’s immuno-stimulatory effects in that context.
Our findings have significant clinical implications for anticancer regimens which incorporate both primary tumor, nodal irradiation and immunotherapy for improved local control, especially in patients who are at high risk for distant disease failure. Multiple clinical trials are investigating the impact of stereotactic body radiotherapy and αPD-1/L1 on an abscopal response in oligometastatic disease.31 However, it is relatively recent that immunotherapy has moved into the stage III setting. In melanoma, there is demonstrated improved recurrence free survival when pembrolizumab (αPD-1) is administered adjuvantly,32 with similar results for other checkpoint agents.33 34 The landmark PACIFIC Trial which showed an overall survival benefit for adjuvant durvalumab (αPD-L1) following definitive chemoradiation for Stage III non-small cell lung cancer is one of the first trials to incorporate both radiation and checkpoint blockade in the stage III setting.35 Despite a reduced frequency of new lesions, there was still a very high incidence in the durvalumab arm. It is the high distant failure, that may be improved with avoidance of LN irradiation when co-administered with αPD-L1 therapy.
In humans, studies in both melanoma and breast cancer have shown that immediate complete LN dissection, despite sentinel node involvement, did not provide an overall survival benefit.36–38 In fact, in the case of the Multicenter Selective Lymphadenectomy Trial (MSLT) II trial in melanoma patients, there appeared to be a very weak trend towards improved distant disease free survival with observation compared with immediate complete LN dissection for pathologically detected metastases. These data show that removing tumor-draining LN, under certain clinical circumstances, is not beneficial. Furthermore, our data show that the targeting of the tumor-draining LN with radiation may actually be deleterious for the control of distant disease. Micrometastatic disease at non-regional sites below the threshold of imaging detection or circulating tumor cells have important implications for outcomes.39 It is conceivable that tumor-draining LN irradiation in patients with previously seeded distant sites, will have reduced distant control if tumor-draining LN are included in a regimen of local T-RT. This could have a significant impact on future clinical trial design and should be a consideration going forward with active investigation of concurrent RT with or without checkpoint blockade.
Finally, data are now emerging about stem-like CD8+ T-cells in human malignancies and human tumor-draining LN.40 41 Recent studies suggest a correlation between the loss of CXCR5+ CD8+ T-cells (stem-like) and worse cancer outcomes.42 43 The impact of RT on this subset and its potential role in the abscopal effect in humans remains unknown. The results of this preclinical study yield a number of interesting hypotheses, and they will require detailed follow-up studies/clinical trials for validation and to provide a deeper mechanistic framework to fully understand these phenomena.
Cristian Badea: Mouse micro-CT imaging was performed at the Duke Center for In Vivo Microscopy, an NIH/NIBIB national Biomedical Technology Resource Center (P41 EB015897), and was also supported by the NIH National Cancer Institute (R01 CA196667, U24 CA220245). Eduard Schriebman, Anees Dahbaan, Jaymin Jhaveri and Nivedh Manohar for assistance with radiation dosimetry and treatment planning.
THN and JL contributed equally.
Contributors ZSB, RA, MKK, DL and WC were involved in the project conceptualization. ZSB, THN, JL, CSE and AW performed all experiments. SJI, DL, RA, MKK and ZSB were involved in data analysis. ZSB wrote the manuscript. All authors assisted with editing the manuscript. All authors read and approved the manuscript.
Funding ZSB: ASCO Young Investigator Award; RA: NIH NIAID R01; MKK: American Cancer Society- Institutional Research Grant; Seed Grant from the Melanoma Research Fund of Winship Cancer Institute.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval IACUC approval was obtained for all animal studies.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data are available on request.
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