Evidence map›Paper›PMID 40229241›Full record

ArticleNature communications2025

Combination radiation and αPD-L1 enhance tumor control by stimulating CD8+ PD-1+ TCF-1+ T cells in the tumor-draining lymph node.

Yang Shen, Erin Connolly, Meili Aiello, Chengjing Zhou, Prasanthi Chappa, Haorui Song, Patan Tippitak, Tarralyn Clark, Maria Cardenas, Nataliya Prokhnevska and 18 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Focal radiotherapy improves CAR T cell therapy targeting prostate cancer.bioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Yang Shen *Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Erin Connolly *Bioinformatics Graduate Program, Georgia Institute of Technology, Atlanta, GA, USA.
Meili AielloDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Chengjing ZhouDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Prasanthi ChappaDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Haorui SongDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0009-0005-6940-9298
Patan TippitakDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Tarralyn ClarkDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Maria CardenasDepartment of Urology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-8566-9576
Nataliya ProkhnevskaMarc and Jennifer Lipschultz Precision Immunology Institute, Icahn School of Medicine at Mount Sinai (ICMMS), New York City, NY, USA.
Annapaola MarinielloDepartment of Pathology and Immunology, University of Geneva, Geneva, Switzerland.
Isabelle De BruykerWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0009-0004-0540-495X
Meghana S PagadalaMedical Scientist Training Program, University of California San Diego, La Jolla, CA, USA.
Vishal R DhereDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-8364-7488
Sarwish RafiqDepartment of Hematology and Medical Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-9295-3065
Aparna H KesarwalaDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-8297-9643
Alexandre OrthweinDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-7350-3413
Susan N ThomasWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.
Shirley L ZhangDepartment of Cell Biology, Emory University School of Medicine, Atlanta, GA, USA.
Mohammad K KhanDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
J Brandon DixonWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-0351-4587
Gregory B LesinskiDepartment of Hematology and Medical Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-8787-7678
Michael C LoweDepartment of Surgery and Winship Cancer Institute of Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-4853-7352
Haydn KissickDepartment of Urology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-7624-5598
David S YuDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Chrystal M PaulosDepartment of Surgery and Winship Cancer Institute of Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-0784-2601
Nicole C SchmittDepartment of Otolaryngology - Head and Neck Surgery and Winship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-0571-3531
Zachary S BuchwaldDepartment of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, GA, USA. zbuchwa@emory.edu.ORCID http://orcid.org/0000-0003-4407-7264

Funding

TRAINING PROGRAM IN CANCER THERAPYT32CA078207 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI James J Manfredi · 1999 to 2026
$11.6M
Translational and Clinical Trial Correlates CoreU54CA274513 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI Claudia Marcela Diaz-Montero · 2022 to 2026
$9.3M
The role of stem-like CD8 T-cells in the abscopal responseK08CA270401 · NCI · EMORY UNIVERSITY · PI Zachary Scott Buchwald · 2023 to 2026
$970k
NCI NIH HHS K08 CA270401NCI NIH HHS T32 CA078207NCI NIH HHS U54 CA274513U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 5K08CA270401-02
6 · The paper itself

Abstract

Combination radiotherapy (RT) and αPD-L1 therapy has potential to enhance local and distant (abscopal) tumor control, however, clinical results in humans have been variable. Using murine melanoma models, we found RT + αPD-L1 increases intra-tumor progenitor CD8+ PD-1+ TCF-1+ T cells. This increase depends on trafficking of the PD-1+ TCF-1+ cells from the tumor-draining lymph node (TdLN) to the tumor. RT alone promotes the expansion and differentiation of the TdLN derived PD-1+ TCF-1+ cells into TIM-3+ GZMB+ TCF-1- effector-like cells in the tumor with further enhancement after the addition of αPD-L1. In the TdLN, combination therapy enriches for a novel PD-1+ TCF-1+ TOX- LY6A+ subset with expression of a type I interferon and migratory signature. This subset is able to traffic to the tumor and differentiate into TIM-3+ TCF-1- cells. Finally, we found that ablation of the PD-1+ TCF-1+ T cell population attenuates the enhanced tumor control observed with combination RT + αPD-L1. These results suggest that abscopal response failures may be secondary to impaired stimulation of TdLN CD8+ PD-1 + TCF-1+ T cells or an inability of PD-1+ TCF-1+ cells in the TdLN to traffic to the tumor.

Indexed as

B7-H1 AntigenCD8-Positive T-LymphocytesLymph NodesMelanoma, ExperimentalAnimalsAntigens, LyCell Line, TumorCombined Modality TherapyFemaleHepatitis A Virus Cellular Receptor 2Hepatocyte Nuclear Factor 1-alphaMembrane ProteinsMiceMice, Inbred C57BLProgrammed Cell Death 1 ReceptorT Cell Transcription Factor 1Antigens, LyB7-H1 AntigenCd274 protein, mouseHavcr2 protein, mouseHepatitis A Virus Cellular Receptor 2Hepatocyte Nuclear Factor 1-alphaHnf1a protein, mouseLy6a protein, mouseMembrane ProteinsPdcd1 protein, mouseProgrammed Cell Death 1 ReceptorT Cell Transcription Factor 1

Identifiers

PMID40229241
PMCPMC11997041

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Registered trials

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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.