Evidence map›Paper›PMID 35314434›Full record

ArticleJournal for immunotherapy of cancer2022

Harnessing radiotherapy-induced NK-cell activity by combining DNA damage-response inhibition and immune checkpoint blockade.

Emmanuel C Patin, Magnus T Dillon, Pablo Nenclares, Lorna Grove, Heba Soliman, Isla Leslie, Davina Northcote, Galabina Bozhanova, Eva Crespo-Rodriguez, Holly Baldock and 11 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  7. ATR kinase inhibitors induce mitochondrial fission in CD8bioRxiv : the preprint server for biology · 2026
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  17. A CMTM6 Nanobody Overcomes EGFR-TKI Resistance in Non-Small Cell Lung Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 3 institutions in 1 country.

Emmanuel C PatinDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK emmanuel.patin@icr.ac.uk.ORCID 0000-0001-5390-5733
Magnus T DillonDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Pablo NenclaresDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.ORCID 0000-0002-1750-3179
Lorna GroveDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Heba SolimanHead and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK.
Isla LeslieHead and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK.
Davina NorthcoteHead and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK.
Galabina BozhanovaDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Eva Crespo-RodriguezDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Holly BaldockBiological Services Unit, The Institute of Cancer Research, London, UK.
Harriet WhittockBiological Services Unit, The Institute of Cancer Research, London, UK.
Gabriella BakerDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Joan KyulaDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Jeane GuevaraHead and Neck Unit, Royal Marsden Hospital NHS Trust, London, UK.
Alan A MelcherDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
James HarperEarly Oncology R&D, AstraZeneca, Cambridge, UK.
Hormas GhadiallyEarly Oncology R&D, AstraZeneca, Cambridge, UK.
Simon SmithEarly Oncology R&D, AstraZeneca, Cambridge, UK.
Malin PedersenDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.ORCID 0000-0003-1887-733X
Martin McLaughlinDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.ORCID 0000-0002-9739-7133
Kevin J HarringtonDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.ORCID 0000-0002-6014-348X
Institute of Cancer Research · GBRoyal Marsden Hospital · GBAstraZeneca (United Kingdom) · GB

Funding

Cancer Research UK 28724
6 · The paper itself

Abstract

backgroundDespite therapeutic gains from immune checkpoint inhibitors (ICI) in many tumor types, new strategies are needed to extend treatment benefits, especially in patients failing to mount effective antitumor T-cell responses. Radiation and drug therapies can profoundly affect the tumor immune microenvironment. Here, we aimed to identify immunotherapies to increase the antitumor response conferred by combined ataxia telangiectasia and Rad3-related kinase inhibition and radiotherapy.

methodsUsing the human papillomavirus (HPV)-negative murine oral squamous cell carcinoma model, MOC2, we assessed the nature of the antitumor response following ataxia telangiectasia and Rad3-related inhibitor (ATRi)/radiotherapy (RT) by performing RNA sequencing and detailed flow cytometry analyses in tumors. The benefit of immunotherapies based on T cell immunoreceptor with Ig and ITIM domains (TIGIT) and Programmed cell death protein 1 (PD-1) immune checkpoint blockade following ATRi/RT treatment was assessed in the MOC2 model and confirmed in another HPV-negative murine oral squamous cell carcinoma model called SCC7. Finally, immune profiling was performed by flow cytometry on blood samples in patients with head and neck squamous cell carcinoma enrolled in the PATRIOT clinical trial of combined ATRi/RT.

resultsATRi enhances radiotherapy-induced inflammation in the tumor microenvironment, with natural killer (NK) cells playing a central role in maximizing treatment efficacy. We demonstrated that antitumor activity of NK cells can be further boosted with ICI targeting TIGIT and PD-1. Analyses of clinical samples from patients receiving ATRi (ceralasertib) confirm the translational potential of our preclinical studies.

conclusionThis work delineates a previously unrecognized role for NK cells in the antitumor immune response to radiotherapy that can be augmented by small-molecule DNA damage-response inhibitors and immune checkpoint blockade.

Indexed as

Ataxia TelangiectasiaCarcinoma, Squamous CellHead and Neck NeoplasmsMouth NeoplasmsPapillomavirus InfectionsAnimalsDNA DamageHumansImmune Checkpoint InhibitorsMiceProgrammed Cell Death 1 ReceptorReceptors, ImmunologicSquamous Cell Carcinoma of Head and NeckTumor MicroenvironmentImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorReceptors, Immunologichead and neck neoplasmsimmunotherapyradiotherapy

Identifiers

PMID35314434
PMCPMC8938703
OpenAlexW4220791510

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.