Evidence map›Paper›PMID 41454187›Full record

ArticleBritish journal of cancer2026

PD-1 inhibitor improves radiosensitivity by tumor vessel normalization.

Shengnan Hao, Dashan Ai, Quanxin Wang, Xiangyan Zhang, Xiangli Ma, Ihsuan Tseng, Jingyi Shen, Yun Chen, Qi Liu, Jiaying Deng and 3 more

Abstract read
In one paragraph

Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
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

13 authors.

Shengnan Hao *Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Dashan Ai *Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Quanxin Wang *Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China.
Xiangyan ZhangThe Institute of Radiation Medicine, Fudan University, Shanghai, China.
Xiangli MaThe Institute of Radiation Medicine, Fudan University, Shanghai, China.
Ihsuan TsengDepartment of Radiation Oncology, Shanghai Proton and Heavy Ion Center, Shanghai, China.
Jingyi ShenDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Yun ChenDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Qi LiuDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Jiaying DengDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Hongcheng ZhuDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID http://orcid.org/0000-0001-7444-5123
Zhaolu KongThe Institute of Radiation Medicine, Fudan University, Shanghai, China. kongzhaolu@fudan.edu.cn.
Kuaile ZhaoDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. kuaile_z@fudan.edu.cn.ORCID http://orcid.org/0000-0001-8663-2874

Funding

National Natural Science Foundation of China (National Science Foundation of China) 31870846National Natural Science Foundation of China (National Science Foundation of China) 82003033National Natural Science Foundation of China (National Science Foundation of China) 82503671National Natural Science Foundation of China (National Science Foundation of China) U22A20326, 81872454 and 21441010
6 · The paper itself

Abstract

backgroundHost immunity status and hypoxia are the hallmarks of radiosensitivity. Induction of anti-PD-1 immunotherapy demonstrates promise in locally advanced tumor radiotherapy, but whether anti-PD-1 immunotherapy improves radiosensitivity is unclear.

methodsIn vivo experiments were performed in mouse models (4T1 and LLC) treated with anti-PD-1 antibodies or X-ray irradiation. Tumor tissues were subjected to bulk-RNA sequencing. The immune cell profile was characterised by flow cytometry. The hypoxia level was detected by immunofluorescence and Hypoxyprobe and measured using the hypoxia gene score. Vessel normalization was determined by the pericyte-endothelial cell ratio. Anti-CD4 and anti-CD8 monoclonal antibodies were used to deplete CD4

resultsInduction immunotherapy increased radiosensitivity and maximized anti-tumor response compared with concurrent administration of immunotherapy by mitigating hypoxia. Immune cell profile analysis showed that the number of CD4

conclusionsPD-1 inhibitors improve radiosensitivity through vasculature and immune reprogramming, and vessel normalization may be a biomarker for distinguishing patients who will benefit from radiotherapy after induction immunotherapy.

Indexed as

Immune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorRadiation ToleranceAnimalsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCell Line, TumorFemaleHumansImmunotherapyMiceMice, Inbred BALB CImmune Checkpoint InhibitorsPdcd1 protein, mouseProgrammed Cell Death 1 Receptor

Identifiers

PMID41454187
PMCPMC12905340

What OpenQuestion holds

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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.