Radiotherapy orchestrates natural killer cell dependent antitumor immune responses through CXCL8

T Walle, JA Kraske, B Liao, B Lenoir, C Timke… - Science …, 2022 - science.org
T Walle, JA Kraske, B Liao, B Lenoir, C Timke, E von Bohlen und Halbach, F Tran, P Griebel
Science Advances, 2022science.org
Radiotherapy is a mainstay cancer therapy whose antitumor effects partially depend on T
cell responses. However, the role of Natural Killer (NK) cells in radiotherapy remains
unclear. Here, using a reverse translational approach, we show a central role of NK cells in
the radiation-induced immune response involving a CXCL8/IL-8–dependent mechanism. In
a randomized controlled pancreatic cancer trial, CXCL8 increased under radiotherapy, and
NK cell positively correlated with prolonged overall survival. Accordingly, NK cells …
Radiotherapy is a mainstay cancer therapy whose antitumor effects partially depend on T cell responses. However, the role of Natural Killer (NK) cells in radiotherapy remains unclear. Here, using a reverse translational approach, we show a central role of NK cells in the radiation-induced immune response involving a CXCL8/IL-8–dependent mechanism. In a randomized controlled pancreatic cancer trial, CXCL8 increased under radiotherapy, and NK cell positively correlated with prolonged overall survival. Accordingly, NK cells preferentially infiltrated irradiated pancreatic tumors and exhibited CD56dim-like cytotoxic transcriptomic states. In experimental models, NF-κB and mTOR orchestrated radiation-induced CXCL8 secretion from tumor cells with senescence features causing directional migration of CD56dim NK cells, thus linking senescence-associated CXCL8 release to innate immune surveillance of human tumors. Moreover, combined high-dose radiotherapy and adoptive NK cell transfer improved tumor control over monotherapies in xenografted mice, suggesting NK cells combined with radiotherapy as a rational cancer treatment strategy.
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