Radiotherapy plus camrelizumab remodel TCR diversity.
(a) Changes of Shannon index, clonality and Simpson’s index during combination treatment. (b) Intratumoral clonotypes identified at baseline expanded or contracted in on-treatment tumors. (c) Intratumoral expansion of persistent clonotypes during treatment was associated with patient survival. (d) Intratumoral clonotypes identified at baseline expanded or contracted in peripheral CD8+ T cells during treatment. Expanded, TCR frequency higher in on-treatment tumors (b and c) or in on-treatment peripheral blood (d) compared with their corresponding samples at baseline. Contracted, TCR frequency lower in on-treatment tumors (b) or in on-treatment peripheral blood (d) compared with their corresponding samples at baseline. RTT, intratumoral T cells after 40 Gy radiation and 2 rounds of camrelizumab. RTC, peripheral CD8+ T cells after 40 Gy radiation and 2 rounds of camrelizumab. N = 15 paired tumor tissues (a-c), 18 paired peripheral CD8+ T cells (a), and 17 (d). P < .05, significant difference.