Figure 5.
Abscopal responses after focal radiation. Abscopal responses in the untreated tumor are indicated by a green (+). Accelerated growth of an untreated metastatic tumor (negative abscopal response) is indicated by a red (−). A primary tumor grows and seeds a metastasis at time t = 200 days. Seeding order does not influence the respective tumor volumes at radiation time t = 800. (A,B) Radiation to the lung tumor with higher blood flow fraction. Irradiation of the lung tumor allows the previously redirected immune response to return to its site of activation in the breast, inducing a prolonged abscopal response here. (C,D) Radiation to the breast tumor with lower blood flow fraction. Irradiation of the breast tumor yields an initial, transient abscopal effect. At onset of radiation, the immune cell population initially increases at both sites due to radiation-induced immunity. As the breast tumor volume decreases, fewer immune cells are stimulated and the lung tumor is return to its intrinsic faster growth. This yields a transient decay followed by decelerated growth of the primary lung tumor (Fig. 2D).