Evidence map›Paper›PMID 40675962›Full record

ArticleNature communications2025

The tumor-sentinel lymph node immuno-migratome reveals CCR7⁺ dendritic cells drive response to sequenced immunoradiotherapy.

Robert Saddawi-Konefka, Riyam Al Msari, Shiqi Tang, Chad Philips, Sayed Sadat, Lauren M Clubb, Sarah Luna, Santiago Fassardi, Riley Jones, Ida Franiak Pietryga and 14 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
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  3. [Reflections on surgical management strategies for locally advanced gastric cancer after neoadjuvant immunotherapy].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
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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

24 authors.

Robert Saddawi-KonefkaDepartment of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, USA. rsaddawi@health.ucsd.edu.ORCID http://orcid.org/0000-0002-9936-1695
Riyam Al MsariMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Shiqi TangMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Chad PhilipsMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Sayed SadatMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Lauren M ClubbMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Sarah LunaMoores Cancer Center, UC San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0009-0002-7211-5539
Santiago FassardiMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Riley JonesMoores Cancer Center, UC San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-8942-4699
Ida Franiak PietrygaMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Farhoud FarajiDepartment of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, USA.ORCID http://orcid.org/0000-0001-5078-813X
Shiruyeh SchokrpurMoores Cancer Center, UC San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-9441-9547
Bryan S YungMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Michael M AllevatoMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Kelsey E DeckerMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Chanond A NasamranCenter for Computational Biology & Bioinformatics, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Daisy Chilin-FuentesCenter for Computational Biology & Bioinformatics, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Sara Brin RosenthalCenter for Computational Biology & Bioinformatics, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-6548-9658
Shawn M JensenEarle A Chiles Research Institute, Robert W Franz Cancer Research Center, Providence Portland Medical Center, Portland, OR, USA.ORCID http://orcid.org/0000-0002-4843-5930
Bernard A FoxEarle A Chiles Research Institute, Robert W Franz Cancer Research Center, Providence Portland Medical Center, Portland, OR, USA.ORCID http://orcid.org/0000-0002-4452-5947
R Bryan BellEarle A Chiles Research Institute, Robert W Franz Cancer Research Center, Providence Portland Medical Center, Portland, OR, USA.
J Silvio GutkindMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Andrew SharabiMoores Cancer Center, UC San Diego, La Jolla, CA, USA.
Joseph A CalifanoDepartment of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, USA. jcalifano@health.ucsd.edu.ORCID http://orcid.org/0000-0002-4715-6761

Funding

Optimizing immunoradiotherapy for HNSCCR01CA281285 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joseph A Califano, Andrew B. Sharabi · 2023 to 2026
$2.7M
Neoadjuvant immunoradiotherapy for HPV mediated oropharynx cancerR01CA281286 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joseph A Califano · 2023 to 2026
$2.5M
Reprogramming the Tumor Immune Microenvironment with Chemokines to Potentiate Immune Oncology Treatments in Oral CancerR01DE033909 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jorge Silvio Gutkind, Tracy M Handel · 2024 to 2026
$1.8M
Exploiting the HER3-PI3K/mTOR-Immune Axis to Design Precision Immune Oncology Therapy for Head & Neck CancerF32DE029990 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SADDAWI-KONEFKA, ROBERT · 2020 to 2020
$72k
AHNS | Research and Education Foundation of the American Head and Neck Society (Research & Education Foundation of the American Head & Neck Society) Pilot Grant AwardNCI NIH HHS R01 CA281285NCI NIH HHS R01 CA281286NIDCR NIH HHS F32 DE029990NIDCR NIH HHS R01 DE033909U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA281286-01U.S. Department of Health & Human Services | NIH | National Institute of Dental and Craniofacial Research (NIDCR) F32DE029990-01
6 · The paper itself

Abstract

Surgical ablation or broad radiation of tumor-draining lymph nodes can eliminate the primary tumor response to immunotherapy, highlighting the crucial role of these nodes in mediating the primary tumor response. Here, we show that immunoradiotherapy efficacy is dependent on treatment sequence and migration of modulated dendritic cells from tumor to sentinel lymph nodes. Using a tamoxifen-inducible reporter paired with CITE-sequencing in a murine model of oral cancer, we comprehensively characterize tumor immune cellular migration through lymphatic channels to sentinel lymph nodes at single-cell resolution, revealing a unique immunologic niche defined by distinct cellular phenotypic and transcriptional profiles. Through a structured approach of sequential immunomodulatory radiotherapy and checkpoint inhibition, we show that sequenced, lymphatic-sparing, tumor-directed radiotherapy followed by PD-1 inhibition achieves complete and durable tumor responses. Mechanistically, this treatment approach enhances migration of activated CCR7+ dendritic cell surveillance across the tumor-sentinel lymph node axis, revealing a shift from their canonical role in promoting tolerance to driving antitumor immunity. Overall, this work supports rationally sequencing immune-sensitizing, lymphatic-preserving, tumor-directed radiotherapy followed by immune checkpoint inhibition to optimize tumor response to immunoradiotherapy by driving activated dendritic cells to draining sentinel lymph nodes.

Indexed as

Dendritic CellsMouth NeoplasmsReceptors, CCR7Sentinel Lymph NodeAnimalsCell Line, TumorCell MovementFemaleHumansImmune Checkpoint InhibitorsImmunotherapyMiceMice, Inbred C57BLProgrammed Cell Death 1 ReceptorSingle-Cell AnalysisCcr7 protein, mouseImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorReceptors, CCR7

Identifiers

PMID40675962
PMCPMC12271439

What OpenQuestion holds

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LicenceCC BY
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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.