ArticleNeoplasia (New York, N.Y.)2026
Low dose radiotherapy-induced tumor-preferential antigens enhance antibody-drug conjugate efficacy in solid tumors.
Article in Neoplasia (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Antibody-drug conjugate (ADC) efficacy in solid tumors is often limited by low or heterogeneous antigen expression. Here, we investigated low-dose radiotherapy (LDRT) as a noninvasive sensitization strategy to enhance tumor surface antigen expression and improve ADC activity. Transcriptomic profiling and flow cytometry identified ICAM1 as the most strongly radiation-inducible antigen after 2 Gy irradiation, showing an approximately 4-fold increase and exceeding several established ADC targets. Mechanistic studies revealed that radiation-induced reactive oxygen species (ROS) and oxidative stress signaling upregulated ICAM1, enhanced antibody internalization, and improved ICAM1-targeted ADC delivery. In xenograft models, LDRT combined with ICAM1-targeted ADCs achieved >70% tumor growth inhibition with minimal toxicity. Transcriptomic and immunohistochemical (IHC) staining analyses further showed that LDRT induced recruitment of immunosuppressive CCL8
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