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29
Radiotherapy (RT)
Tumor microenvironment
CD8+T-cell
proliferation
[step 6, 7] RT enhances tumor immunogenicity
and helps antigen-specific T-cells
recognize and kill tumor cells.
RT-induced
peptide- MHC I complex
antigen-specific T-cells
Tumor antigen
MHC I
tumor
cell kill
[step 4, 5] RT enhances
T-cell trafficking & infiltration
Endothelium
[step 3] RT enhances priming of
antigen-specific T cells
ICAM-1
Integrin
MHC I TCR
[step 1] RT-induced
immunogenic cell death
[step 2] RT-induced
DC maturation and
antigen release from tumors
cGAS-STING
pathway
CD80 CD28
/86
Tumor-antigen, DAMPs, IFNs
Tumor-draining lymph nodes
Tumor cell
Dead
tumor cell
Dendritic
cell
CD8+T-cell
Irradiated site
Immune
suppressor cell
Activated cells
...