Abstract
Radiotherapy (RT) transforms tumour tissues into in situ vaccines that trigger antitumor immunity.
Immunogenicity depends on how RT is delivered, since heterogeneous RT (spatially fractionated
RT, SFRT) elicits more prominent responses than the conventional homogenous one. However,
this phenomenon cannot be clinically harnessed, unless the relevant pathways are identified. To
gain insights , we de veloped a hybrid dry -lab/wet-lab approach that integrates systems-level
immune phenotypes established by homogenous or heterogenous RT (SFRT) with the
transcriptomic profiling of irradiated tumors . By further combining feature extraction with
machine-learning, including m ultilayer perceptron modelling , we ranked predictors of immune
infiltration and patient survivability for each RT type . We found that conventional RT induce s
coordinated upregulation of cytosolic sensors of RNA viruses (OASes and RIG I -like receptors)
along with ERV RNAs predominately 400-800 base-pairs long, which might serve as their ligands.
For schemes establishing abscopal effects, a coordinated upregulation of the OAS sensors and
shared ERV transcripts was observed in both irradiated and distant tumours. Compared to
homogenous RT, SFRT triggered earlier and stronger activation of OAS signaling along with NK cell
responses. Overall, we show a co-involvement of tumour cell-intrinsic ERVs and their cytosolic
RNA sensors in RT-induced antitumor immunity. This key finding could guide mechanistic studies
and future precision oncology.
Keywords
ERV; viral mimicry; OAS/RIG -I system; irradiation -induced antitumor immunity; NK
cells; SFRT; microbeams
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Introduction
Radiotherapy (RT) is traditionally employed in the clinical setting for cancer treatment either as a
standalone practice or in combination with other therapeutic modalities. Beyond its conventional
cytotoxic role, RT reprograms tumours into immunogenic tissues, which train the immune system
to recognize and eradicate cancer cells within and beyond the irradiated site. At rare clinical
cases, tumours outside the irradiated area respond to RT, a phenomenon known as “abscopal
effect” 1. Hence, RT has re -surfaced as a powerful means to enhance the efficacy of
immunotherapeutics, because its combination with immune checkpoint inhibitors is envisaged
to overcome resistance to immunotherapy and increase the frequency of abscopal effects 1. The
signaling pathways through which RT transforms tumours to in situ vaccines capable or eliciting
durable antitumour immunity have remarkable translationa l value, and their elucidation is
essential to guide the design of personalized radioimmunotherapy regimens.
The immune response to RT entails tumour cell -intrinsic reprogramming, cell -cell
interactions in the tumour microenvironment (TME), and systems-level regulation of the immune
system. Induction of the DNA damage response and repair (DDR/R) in the irradiated tumour is
fundamental 2, as it triggers immunogenic cell stress and death (ICD) 3. RT-activated DDR/R
promotes cell cycle arrest and death. In turn, stressed and dying cancer cells produce and release
a repertoire of bioactive molecules, including but not limited to Damage -Associated Molecular
Patterns (DAMPs), that act on immune cells to elicit antitumour responses 3. Once the innate
immune system senses DAMPs through sensors, called pattern recognition receptors (PRRs) in a
motif-specific manner, it promotes a pro -inflammatory milieu and sterile inflammation . DAMPs
further activate cytotoxic T lymphocytes, promoting immunological memory and adaptive
immune responses 3. Transcriptional reprogramming of the irradiated tumour is a key event , as
the transcriptomic profiles induced by different RT types and doses trigger divergent signalling
cascades, ultimately establishing differential tumour-immune cell interactions and therapeutic
outcomes 4.
A central signal transduction pathway linking RT -induced DNA damage with immune
responses via transcriptional reprogramming is the interferon (IFN) cascade. Cytoplasmic DNA
fragments are sensed by the cyclic GMP-AMP synthase (cGAS) which activates the stimulator of
interferon genes (STING). STING subsequentlyrecruits kinases like TBK1 (TANK-binding kinase 1),
which in turn phosphorylate the transcription factor IRF3 (interferon responsive factor 3). The
activated IRF3 drives the transcription of a set of immunomodulatory genes, leading to interferon
secretion and immune response 5. In certain cancer types, RT also depends on RNA sensors,
whereby ionizing radiation amplifies type I interferon signalling via the RIG -I/MAVs-dependent
RNA-sensing pathway 6. Most interestingly, transposable elements (TEs), particularly transcripts
from long-terminal repeats (LTRs) serve as the RNA ligands of RIG-I that trigger this cascade 6. TEs
reside in the so -called “junk DNA” regions and are emerging as under-noticed instructors of the
immune system 7. Although most TE copies are non -functional, a subset can be mobilized and
transcribed in cancer cells . RT-mediated activation of these elements generates a reservoir of
immunogenic RNA species capable of eliciting IFN cascades via RNA-protein interactions 7. This
novel non-coding RNA arm of RT-induced immunogenicity remains largely enigmatic, compared
to the well-characterized cGAS/STING pathway.
Tumour immunogenicity depends on the delivery mode of RT, whether homogenous or
heterogeneous 8. Spatially heterogeneous distribution of RT (spatially fractionated RT, SFRT) has
fewer side effects and elicits stronger anti-tumor responses that the traditional, homogenous RT.
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In colorectal cancer mouse models, simultaneous administration of high-dose to one half of the
tumour and low -dose to the other half, generated a more reactive tumo ur immune
microenvironment compared to the homogenously irradiated controls 8. Other studies used
microbeam (MRT) or minibeam (MBRT), wher e a collimator delivers extremely high -dose-rates
into high -dose areas (‘peaks’), separated from low -dose regions (‘valleys’) by a few hundred
micrometers or millimiters, correspondingly 9. In preclinical rodent models, this type of spatial
fractionation consistently induced superior in vivo antitumour immunity phenotypes 10-12. Most
recently, minibeam RT achieved a complete clinical response and triggered abscopal effects in a
patient with recurrent metastatic sinosinal melanoma who had been unresponsive to
conventional X-rays combined with checkpoint inhibitors (CPIs) 13. These findings highlight a novel
paradigm, in which heterogeneous intratumour irradiation represents an appealing
immunotherapy partner, due to its reduced toxicity and increased immunogenicity 14.
Uncovering the transcriptional pathways activated in tumo urs that drive in situ vaccine
effects, in relation to irradiation type, dose and delivery mode, is urgently needed. Herein, we
leverage studies on murine cancer models in which homogeneous or heterogeneous RT elicited
broad antitumo ur immunity throughout the organism. We associate the phenotypes of RT -
induced anti-tumour immunity and abscopal effects with transcriptional changes in both protein
coding genes and TEs within the targeted tumo urs. Our an alysis unveiled in detail the
transcriptional reprogramming induced by conventional X -rays and SFRT and highlight ed key
differences in terms of immunogenic response to RT and survivability prediction in patients.
Results
Broad antitumour immunity phenotypes are associated with tumour transcriptional
reprograming in response to conventional RT and SFRT
We mined for all the publicly available studies where rodent tumour models received any type of
RT and demonstrated robust phenotypes of local and/or systemic anti -tumour immune
responses. Eight studies across six cancer types with their corresponding bulk transcriptomics
data (RNS-Seq or RNA microarrays) were eligible 10,12,15-20 (Table 1), whereby conventional X -ray
irradiation (CONV) was applied in a total dose range of 8 -30 Gy. In the lymphoma study 19, one
sequenced tumour was located within the RT -targeted field and the other one outside the field.
This setting allowed us to detect DEGs in non-irradiated (NIR) tumours that represent reporters of
abscopal effects. In two studies ( 10 and GSE56113), CONV was compared to microbeam RT
(hereafter referred to as SFRT), providing insights into transcriptional reprogramming associated
with the in situ vaccine effects of each dose delivery modality . For each dataset, transcriptomic
analyses identified up- and down-regulated transcripts (logFC 1.5; p value < 0.05) in
treated versus untreated controls. The number of DEGs varied across cancer types, perhaps due
to differences in cancer type, irradiation dose, and transcriptomic platforms.
To extrapolate the transcriptional changes related to the mouse anti -tumour immunity
phenotypes to humans, we identified the human orthologues of the RT -upregulated transcripts
and performed downstream functional in silico analyses according to the pipeline described in
Fig. 1A. Most upregulated rodent genes have human counterparts, while the small percentage of
non-conserved genes may account for rodent-specific responses (Fig. 1B). Interestingly, although
CONV transactivates relatively few genes in melano ma and glioblastoma, this trend is reversed
by SFRT, implying the ability of the latter to boost transcriptional activation (Fig. 1C). We then
pooled the human homologues of all CONV-upregulated (across six cancer types) and the SFRT-
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upregulated transcripts (across two cancer types). We found a substantial overlap of genes
transactivated by both RT types (Fig. 1D), which are associated with the activation and/or
regulation of several immune cells, such as lymphocytes, T cells and mononuclear cells (Fig. 1E).
There were also genes specific for each RT modality. Hence, based on the above observations, we
postulated that some of these genes may account for the reported differential effects of SFRT
versus CONV and proceeded to analyse the t ranscriptional responses for each modality
separately.
Figure 1: Association of antitumour immunity/abscopal phenotypes with transcriptional changes in response to
CONV RT vs. SFRT (A) workflow of the systemic meta -analysis (created with Biorender). RNAseq data from irradiated
tumors extracted from mice with phenotypes of antitumor immune response were compared to their non -irradiated
controls. The human orthologues of upregulated genes were defined and subjected to functional enrichment and
network analysis, as well as machine learning -facilitated correlations with clinical patient data , (B) number of CONV
RT-upregulated transcripts per analyzed cancer type. (C) number of SFRT - vs. CONV RT -upregulated transcripts in
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glioblastoma and melanoma. The grey columns represent rodent genes with conserved human orthologues (D) Venn
diagram of conserved genes upregulated by SFRT vs. CONV RT (E) GSEA reactome analysis of the 613 genes shared
between CONV and SFRT
Conventional radiotherapy activates tumour cell-intrinsic pathways of IFN-dependent RNA
viral immune responses
Analysis of CONV-treated tumours versus their untreated contols across the six types of cancers
(Table 1) identified 161 genes that were commonly upregulated in ≥ 3 of the 6 cancer types (Fig.
2A). GSEA of their human homologues revealed relevant intratumoural pathways and processes
(Fig. 2B -D). As expected 21, the upregulated transcripts were associated with interferon (IFN)
cascades. Viral responses mediated by the 2′ -5′ oligoadenylate synthase (OAS) proteins, that
particularly sense cytosolic viral dsRNA 22, were remarkably enriched. The IFN-dependent ISG15
pathway, which closes the cell gates to DNA and RNA viruses by marking them through a post -
translational modification 23, was also enriched. Biological processes were associated with
response to viruses, cytokine production and signaling, and activation of innate immunity and
inflammatory responses (Fig. 2C), while molecular functions highlighted double -stranded RNA
binding and adenyltransferase activity (Fig. 2D). These findings suggest enhanced sensing and
response to cytosolic dsRNA following CONV RT. We then reconstructed the physical and
functional associations among the protein products of the 161 genes using STRING, to explore
any protein-protein interactions. K-means clustering revealed a highly interconnected network of
64 proteins, with a prominent submodule (46 hubs) related to interferon signaling and response
to viruses. This submodule entails the entire family of OAS proteins (OAS1, OAS2, OAS3, OASL),
key components of the ISG15 machinery (ISG15 and USP18), STAT1 and interferon -stimulated
genes (ISGs) which combat RNA and DNA viruses (Fig. 2E). A smaller submodule also includes
proteins associated with striated mu scle contraction (Fig. 2E). Although this may reflect stress-
induced epigenetic alterations with lineage trans-differentiation, or myofibroblast differentiation
from pericytes or fibroblasts of the TME, some recent studies also implicate sarcomeric proteins
in radiosensitivity 24.
Given that the abovementioned findings are inferred from the human homologues of RT-
induced mouse genes, we validated their relevance in humans by using RNA -Seq data from
irradiated human tumor cell monocultures known to exhibit robust cellular phenotypes of
immunogenic cell death (ICD). CONV R T has been demonstrated to induce ICD in pancreatic
cancer cell lines when administered as a 3x8 Gy regimen 5. By analyzing the corresponding
transcriptomes (ArrayExpress, E -MTAB-13096), we found 64 significantly upregulated genes
shared across the three irradiated pancreatic cancer cell lines 72h post-treatment (Fig 2E). These
genes were enriched for the IFN -dependent viral innate immunity pathways OAS, RIG -I/MDA5,
and ISG15 (Fig. 2F), as well as for molecular functions such as PRR, adenylase activity, and for
RNA binding (Fig 2G). Furthermore, we irradiated human cell lines from three different cancer
types (col on, pancreatic and melanoma) and monitored the transcriptional changes of key
players of the abovementioned pathways (Fig. 2H), post 72h and 48h exposure to 1x8 Gy and 1x12
Gy, respectively. All candidates were actively transcribed within the tumour cell m onocultures.
For most candidates, induction was more robust at 8 Gy/72 h, implying that adequate time after
irradiation may be required for the establishment of tumour transcriptional programs related to
RT-induced immunogenic responses. Altogether, these findings suggest that immunogenic CONV
RT doses facilicate intratumoural transcription of IFN-dependent pathways of viral immunity, with
a particular preference for cytosolic sensors of RNA viruses.
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Figure 2: Activation of innate immune response of tumor cells to RNA viruses following CONV RT (A) Venn diagram
of CONV-RT upregulated gene transcripts per cancer type. Genes common across ≥ 3 cancer types are denoted with a
number, with a total number of 141. (B-D) GSEA for reactome (B), biological process (C) and molecular function (D) of
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the 141 shared genes, (E) STRING network reconstruction of the interactions among the protein products of the 141
genes. The submodule of 46 red hubs are associated with IFN signaling and response to viruses, incliding OAS proteins,
ISGylation proteins, an d ISGs. The light -yellow submodule contains 5 proteins highly specific for striated muscle
contraction. (F) Venn diagram of upregulated gene transcripts in Panc1, BxPC3, and MIA PaCa2 cell lines undergoing
ICD 72 h after CONV -RT (3x8 Gy) reveals 64 shared genes (G) GSEA of reactome of the 64 genes, (H) qPCR for
components of the OAS/RIG-I system and ISG15 pathway in irradiated Panc1 (pancreatic), SW620 (colorectal) and A375
(melanoma) cell lines 48h after 12 Gy and 72h after 8 Gy. RNA levels are presented r elative to corresponding levels in
non-irradiated cancer cell lines (0 Gys) after 72 h. Statistically significant differences with p value ≤ 0.05 (*), ≤ 0.01 (**)
and ≤ 0.001 (***) are denoted.
SFRT transactivates RNA viral sensors and NK cell responses earlier and more robustly than
conventional radiotherapy
In the melanoma and the glioblastoma studies (Table 1, GSE268311 and GSE56113, respectively)
mice were treated with SFRT or CONV RT, and tumo ur mRNA profiling expression was assessed
via microarrays 2 days or 1 week (168 -192h) post-irradiation. These datasets were analysed by
utilizing our pipeline to detect conserved genes commonly responsive to SFRT in a time -
dependent manner. An early common response pattern included the activation of members of
the CCL and CXCL cytokine families, Toll -like receptors, an d OAS proteins, all of which are
involved in the recognition and/or response to pathogen-derived ligands (Supplementary Fig. 1A).
At a later stage, 101 commonly SFRT-responsive DEGs were upregulated (Supplementary Fig. 1B),
particularly enriched for DNAX-activating protein of 12kDa (DAP12) signaling, which promotes NK
cell and DC cell cytotoxicity 25 (Supplementary Fig. 1C).
SFRT conferred immunogenic advantages and improved tumour control compared to
CONV RT 10-12. To further delineate the SFRT -primed immunogenic signaling, we focused on the
melanoma dataset, as the most recent and comprehensive study and incorporates more updated
probeset annotations than the older glioblastoma studies. GSEA of the inferred human
homologues revealed upregulation of a set of 76 transcripts at day 2, eight of which are commonly
activated by SFRT and CONV , while the remaining are SFRT -specific. By day 7, 216 conserved
transcripts were induced by SFRT and 227 by both SFRT and CONV . Notably, 70 of the 7 6 genes
induced by SFRT at day 2 remained actively transcribed in SFRT -treated melanomas and only
began to be expressed in the CONV -irradiated ones at day 7 (Fig. 3A). Comparison of the top -
enriched pathways following SFRT indicated that the prominent earli er induced pathways are
related to the OAS antiviral response, IL10 and interferon signaling, DAP12 signaling, and antigen
processing cross -representation (Fig. 3B). Late SFRT responses are associated with the
maintenance of IL10 activity and the induction of additional interleukins, such as IL2, IL6 and
IL4/IL13 (Fig. 3B). In contrast, the CONV RT triggeredearly activation of ISG15 antiviral responses
and interferon signaling, followed by late activation of the PD-1 and TCR signaling pathways at day
7 (Fig. 3B).
The persistently upregulated set of 70 DEGs was enriched for pathways asso ciated with
the OAS antiviral response, ubiquitin-independent proteosomal degradation and DAP12 signaling
(Fig. 3C), along with immunoglobin binding and activity (Fig. 3D). Their encoded proteins form a
core network of 47 proteins, related to IFN alpha/beta signaling (red cluster, 33 hubs), NK cell -
mediated toxicity (green cluster, 11 hubs) and peptide antigen assembly with the MHC II protein
complex (blue cluster, 3 hubs). The compon ents of the OAS viral response are clustered in a
distinct submodule that connects to IFNγ via STATs. Several network components are associated
with favorable prognosis in melanoma patients (Fig 3E) . Finally, considering the coordinated
enrichment of the OAS antiviral response and the DAP12 signaling, to which NK cells and myeloid
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DCs respond 25, we next examined whether OAS gene expression is associated with these cell
types in patient melanomas. Analysis using TIMER2.0 26 revealed that all OAS genes are positively
correlated with NK (Fig. 4A) and DC (Fig. 4B) infiltration. Conversely, melanoma patients with
OAS2 mutations exhibited decreased NK infiltration (Fig. 4C). Collectively, these results suggest
that SFRT induces O AS-mediated RNA antiviral immunity, interferon responses and DAP12
signalling earlier and more robustly tha n CONV . The enhanced stimulation of these innate
immune responses likely contributes to better tumour growth control following SFRT.
Figure 3: SFRT transactivates OAS antiviral and NK cell responses earlier and more robustly than CONV RT (A)
Venn diagrams of SFRT or CONV-RT upregulated gene transcripts in melanomas excised at day 2 (left) or day 7 (right)
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after irradiation treatments. Comparison of SFRT transcriptomes at days 2 and 7 with CONV RT transcriptomes at day
7 unveils 70 shared upregulated genes. (B) heatmaps of overrepresented reactomes 2 and 7 days after SFRT or CONV
RT (C) heatmaps of overrepresented reactome processes of the 70 common genes (D) A timeline summary of activation
of reactome processes by CONV RT vs SFRT (E) STRING analysis of the protein products of the 70 genes
SFRT induces tumour signatures with higher predictability for long er patient survival than
conventional RT
Unlike CONV RT, SFRT prolongs the survival of the irradiated mice 10. To investigate whether this
association is clinically relevant, we sought to define characteristic signatures induced by each
RT type and compare their ability to predict survival outcomes in human melanoma patients.
Given the lack of microbeam studies in humans, we used survival data from the SKCM cohort of
the TCGA, as a commonly referenced clinical setting. We hypothesized that if SFRT confers
superior disease outcomes rel ative to CONV RT, then the SFRT -activated transcriptome should
correlate more strongly with longer patient survival. In order to derive manageable signatures from
the irradiated mouse transcriptomes, we prioritized the most significant upregulated transcripts
by decreasing significance using XGBoost and Random Forest, identified their human
homologues, and selected the top 10 homologues for each RT modality.
Using TIMER2.0, we assessed how the RNA expression of each gene in the CONV- or SFRT-
specific signatures is associated with immune cell infiltration in the TME of melanomas in the
SKCM TCGA cohort. The analysis included CD4+ and CD8+ T lymphocytes, DCs, a nd NKs which
together shape an immunoreactive TME, as well as myeloid -derived suppressor cells (MDSCs),
which promote immune evasion. Both signatures exhibited similar positive correlations with
CD4+ T cells, CD8+ T cells, DCs and NKs, and negative cor relations with MDSCs, implying an
overall immune-hot TME, although the SFRT signature showed a stronger association with CD4+
T cells infiltration (Fig. 4D, E). We then performed multilayer perceptron modelling to estimate the
predictive potential of the SFRT- and CONV RT-induced signatures for patient survivability at 1, 3
or 5 years after initial diagnosis. As indicated by the ROC curves (Fig. 4F , G), the SFRT -induced
immunogenic signature performed better than the CONV-induced signature, especially for the 3-
year period cut-off, with 69.4% accuracy (AUC: 0.72) versus 60% accuracy (AUC: 0.63). For the 5-
year survival cut -off, the respective values were 71.1% (AUC: 0.60) and 58.5% (AUC: 0.54).
Collectively, both characteristic signatures are associated with an immunoreactive TME, but the
SFRT-induced one exhibited better predictive capacity for patient survivability.
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Figure 4: Gene expression signatures of response to SFRT are correlated with immune cell infiltration and better
predictability of ≥ 3-year survival in melanoma patients (A-B) Spearman correlation diagrams of RNA expression of
OAS1, OAS2, OAS3, and OASL with NK cell (A) and DC (B) infiltration of melanomas from human patients. (C)
association of OAS2 mutation and NK cell infiltration in human melanoma patients. (D -E) Heat map of Spearman
correlation values of the 10-gene signature for SFRT (D) or CONV (E) with CD4 T c ells, CD8 T cells, DCs, NK cells, and
MDSCs (F) ROC curves correlating the SFRT-induced immunogenic signature with survival of melanoma patients ≥ 3
years (left) and ≥ 5 years (right) after initial diagnosis, (G) Same as SFRT -induced immunogenic signatur e. Survival
prediction accuracy is higher in the case of the SFRT signature, for both cut-offs.
RT-induced intratumoural upregulation of viral RNA cytosolic sensors is accompanied by
global changes in TE transcription
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Considering that OAS and RIG -I, which are recurrently upregulated in irradiated cancer cells ,
require binding of cytosolic dsRNA in order to be activated 27, we searched for potential
endogenous dsRNA molecules that could serve as their ligands. Retrotransposons, a
heterogenous superclass of TEs 28, represent a important source for dsRNAs (Fig. 5A). TE
transcripts can bind to RIG -I and induce an immune -hot phenotype, as observed in the
oesophageal squamous cell carcinomas. LTRs were found to be the most abundant TE ligands of
RIG-I 6. We hypothesized that this mechanism may extend to other cancer types, where irradiated
cells undergoing ICD exhibit increased TE transcription, which could in turn act as the
intratumoural stimuli of the overexpressed RNA sensors.
TEs represent a substantial portion of the transcriptome but are generally ignored by the
standard RNA-Seq pipelines, due to their repetitive nature and their incomplete mapping and
annotation 29. For this reason, we preferably used TEtranscripts2, a specialized software that
incorporates TE-associated reads in the differential expression analysis of human RNA-Seq data,
discriminates between Class I (retrotransposons, including LTR/ERVs, LINEs and SINEs) and
Class II TEs (DNA transposons), and has outperformed other similar tools 29. Analysis of RNA-Seq
data from the pancreatic cancer cell lines 5, indicated global TE changes in irradiated tumour cells
with the LTR family (mainly ERVs) exhibiting the most frequent changes, accounting for 49-65% of
the differentially transcribed TEs. We evaluated the clinical relevance of this finding in surgically
excised tumours from PDAC patients manifesting immune res ponses following RT compared to
matched untreated patients 30, as well as in colorectal (CRC) tumours obtained from patients pre-
and post-RT 31. The pattern of TE alterations in the irradiated tumours was consistent with that of
the human PDAC cell monocultures (Fig. 5B). Collectively, these results indicate that
immunogenic RT induces intratumoural upregulation of cytosolic RNA sensors, such as O ASes
and RIG -I-like receptors (RLRs), is accompanied by a massive accumulation of TE transcripts,
predominately LTR/ERVs.
Autonomous LTR/ERVs are re -expressed in mouse and human tumours that exhibit RT -
induced immunogenicity
Most of the ERVs in the human genome are non -autonomous LTRs that do not encode
proteins and primarily act as cis regulators. However, a small subset is autonomous, composed
of LTRs flanking potential protein -coding sequences and approximating near full -length proviral
sequences (Fig. 5A). The autonomous ERVs retain their ability to synthesize viral proteins 29, which
can act as tumour-associated antigens eliciting T cell-mediated immunological recognition 32. Of
note, anti-ERV antibodies have been shown to enhance cancer immunotherapy 33, while ERV
activation has been associated with more favourable outcomes of clinical trial patients 31.
To investigate whether autonomous ERVs are transcribed within irradiated tumours, we
utilized the ERVmap pipeline, which is highly suitable for the sensitive quantification of human
ERVs from RNAseq data, due to its annotated database of 3.220 autonomous E RVs that
approximate near full-length proviruses 29. We re-implemented the original Perl pipeline in Python
and integrated up-to-date bioinformatics tools. Analysis of RNA-Seq data from irradiated human
PDAC cell line monocultures (Fig. 5C), as well as PDAC (Fig. 5D) and CRC (Fig. 5E) patient
tumours, revealed global deregulation of autonomous ERVs, with plenty of them being strongly
upregulated. In PDACs, ERVs 400 -600 bps and 600 -800 bps long were most frequently
upregulated, corresponding to RNA duplexes specifically recognized by the RIG -like receptors
RIG-I (22-500 bps) and MDA5 (500-1000 bps) 27. CRCs also show an enhancement of ERVs at the
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range of 50-200 bps, a length correlated with peak activity of RIG-I (Fig. 5F). Hence, these findings
suggest that RT induces ERVs with the potential to both activate RNA sensors via their transcripts
and to be translated into proteins able of eliciting T-cell driven immune responses.
We further examined whether global ERVome changes are conserved between mouse and
human irradiated tumours, by complementarily applying the Repenrich 2.0 pipeline 34 to the
datasets in Table 1. Similar to the patient tumours, we observed genome-wide ERVome changes
in the CONV -irradiated PDAC (Fig. 5G) and CRC (Fig. 5H) mouse tumours versus the non -
irradiated controls. Similar changes were also observed in lymphoma and breast cancer (Fig 5I),
indicating a cancer type -independent tendency of immunogenic RT to reactivate LTR/ERVs in
mouse tumours. Unfortunately, similar analyses could not be performed for the RT -treated
melanomas and glioblastomas, where the transcriptomic data were generated using microarray
technology, which does not capture LTR/ERV transcripts.
Figure 5: Global TE transcriptome changes in mouse and human tumours that exhibit RT-induced immunogenicity
(a) Classification of eucaryotic TEs. Class I (retrotransposons, including LTR/ERVs, LINEs and SINEs) require an RNA
intermediate to transpose, and Class II (DNA transposons) move through a DNA intermediate. PLEs: Penelope -like
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elements, LINEs: Long interspersed nuclear elements; SINEs: Short interspersed nuclear elements (adapted and
modified from 28 ), (B) Doughnut plots of the differentially expressed groups of TEs in irradiated vs. non-irradiated PDAC
cell lines, PDAC patients and colorectal cancer patients. In all cases, the most prominent transcriptional changes are
observed for the LTR family (m ainly ERVs), followed by upregulation of DNA retroposons. (C -E) Volcano plots of
deregulated expression of LTR/ERVs in PDAC cell lines (C), PDAC patients (D) and colorectal cancer patients (E), (F)
Spider diagram of the length distribution of the upregulated autonomous LTR/ERV transcripts in the irradiated vs. non-
irradiated pooled PDAC cell lines (red line), PDAC patients (blue line) and CRC patients (purple line) (G-H) Volcano plots
of upregulated and downregulated LTR/ERV transcripts in irradiated vs non-irradiated mouse PDACs; red and green dots
indicate up - and down-regulated genes, respectively, while gray and blue dots represent genes without statistically
significant changes. (G) and colorectal tumors (H), (I) diagram of numbers of LTR/ERVS significa ntly deregulated in
irradiated versus non-irradiated colorectal, pancreatic, lymphoma and breast mouse tumours.
Enhanced abscopal effects are associated with common ERV activation and spreading of
viral RNA sensing from irradiated to non-irradiated tumours
In the lymphoma study (Table 1, GSE281695), A20 cells were injected into both sides of the mice,
and two irradiation regimens were tested s eparately, 1x8-Gy or 2×4 -Gy. One of the developed
tumours (IR) received irradiation, while the other tumour remained non-irradiated (NIR). Although
both regimens exerted similar effects on the IR tumo urs, enhanced abscopal effects in the NIR
tumours were reported only for the 2x4 -Gy regiment, 7 days post -RT, but not for 1x8 -Gy.
Transcriptome analysis of the 2x4-Gy NIR tumour revealed activation of the same pathways as in
the matched IR tumo ur, since 10 of the 12 top -enriched pathways in the IR (83.3%) were
reproduced in the NIR tumour. Contrariwise, the 1x8-Gy sheme transactivated far fewer pathways
in the NIR versus IR tumo ur (25%, 3 of the 12 -top enriched in IR tumo urs) (Fig. 6A). Among the
most enriched pathways shared between the 2x4 Gy IR and NIR tumo urs were the OAS-induced
response to dsRNA viruses and the activation of C3 and C5 complement. Interferon pathways
along with interleukin (IL0, IL4/IL13) and cytokine cascades were also recapitulated in the NIR
tumour (Fig. 6A). Notably, the OAS-mediated sensing was not enriched in the 1x8-Gy NIR tumour
transcriptome, d espite the presence of interferon and interleukin pathways and the C3/C5
complement cascade. Moreover, half of the DEGs (116/242) detected in the 2x4 Gy IR tumo urs
were also deregulated in the NIR tumours, compared to 17% (129/726) of the DEGs for the 1x8 Gy
regimen (Fig. 6B). Therefore, the most efficient 2x4 Gy IR scheme achieved a higher reproducibility
of the transcriptional changes and pathways between the IR and the NIR tumo urs. We further
compared LTR/ERVome changes between the IR and NIR tumo urs. When the more efficient 2x4
Gy dose was applied, 62.9% of the LTR/ERVs activated in the IR tumours were also transcribed in
the NIR tumours (Fig. 6C). In contrast, under 1x8 Gy, there were markedly fewer LTR/ERVs shared
between the IR and NIR sites (16.6% versus 63%, respectively). Overall, the 2x4 Gy IR scheme
promoted the dissemination of OAS -mediated sensing of dsRNA viruses along with
transcriptional upregulation of ERVs common from IR to NIR sites.
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Figure 6: Enhanced abscopal effects are associated with transactivation of the same ERVs and viral RNA sensing
in both IR and NIR sites (A) Heatmap of overrepresented reactome processes based on the transcriptomes of
lymphomas inside (IR) and outside (NIR) the irradiation field following treatment of mice with 2x4 Gy vs. 1x8 Gy. For the
2x4 Gy regimen, which elicited enhanced abscopal effects, OAS response is overrepresented both in IR and NIR sites.
(B) circle diagrams of upregulated PCGs in the IR and NIR tumours treated with 2x4 Gy (outer circle) versus 1x8 Gy (inner
circle). Purple segments represent the percentage of common PCGs (B) and LTR/ERVs (C) between IR and NIR tumors.
In the case of 2x4 Gy, the purple segment is larger, representing greater overlap. (C) Same as (B) for upregulated
LTR/ERVs.
Discussion
Herein, we show that CONV RT, at doses known to induce broad antitumor immune
responses in vivo, transactivates IFN-I, OAS, and ISG15 pathways, along with IL-10 signaling. In
the case of microbeams, an experimental form of SFRT, these pathways are activated earlier and
more robustly along with NK cell responses, a fact that may be related to its superior performance
relative to CONV RT. The SFRT-induced immunogenic signatures predict patient surviva l more
accurately than those induced by CONV RT. We also identified conserved, global changes of TE
Class I transcripts, particularly LTR/ERVs. In RT regimens that elicit abscopal effects, activation of
the OAS dsRNA-sensing pathway and upregulation of the same LTR/ERV elements are observed
in both IR and NIR sites. Parallel induction of LTR/ERVs and RNA viral sensors occurs inside the
tumour cells.
RT is known to elicit intratumoural type I IFN responses 21. Members of the OAS family are
conserved components of the IFN I pathway that recognize non-self dsRNA in a template length-
dependent, but sequence -independent manner 35. In this way, they respond to viral infections
while tolerating self dsRNA structures 35. Although transactivation of OAS genes is expected in this
context, a breakthrough study suggests that they are not merely markers of IFN cascades but may
also assert active roles in the establishment of an immunoreactive TME 36. OASes bind to non-self
dsRNA in the cytoplasm to catalyze the production of 2-5A from ATP , which subsequently binds to
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15
and activates RNase L 36. The activated RNAse L cleaves RNA to smaller fragments that serve as
RIG-I ligands, eventually amplifying IRF3/ IRF7-mediated transactivation and interferon response.
Our observation that OASes and RLR receptors are co -elevated supports the existence of a
possible dsRNA-triggered OAS/RIG-I/RNAse L axis of IFN activation. More intriguingly, 2-5A is a
novel immunotransmitter that travels from donor to recipient cancer cells via gap junctions,
thereby extending the reach of RNase L-mediated innate signaling 36. Therefore, transactivation of
OAS genes may faciliate the paracrine transmission of innate immune signal across the irradiated
tumour cells. This novel mechanism is particularly relevant to SFRT, where IR and NIR
compartments of the tumour are in close spatial proximity. Based on our results, OAS-mediated
signaling is persistently enhanced in SFRT -treated melanomas. A compelling hypothesis is that
OAS-derived 2-5A is transported easier between alternating high- and low-dose regions, thereby
propagating innate immune signaling more rapidy and ultimately accelarating the establishment
of tumour immune responses.
Immunogenic responses to RT have traditionally been attributed to cyto solic dsDNA,
which is sensed by the cGAS/STING pathway, whereas the co -elevated dsRNA fraction has
received little attention 37. Nevertheless, RT increases IFNβ even in cGAS/STING-deficient cancer
cells, indicating that cytosolic dsRNA accumulation may - alternatively or complementarily to
dsDNA - activate IFN-I-mediated antitumour immunity, in certain contexts 37. Although the effect
of the dsRNA-induced OAS-RNase L pathway on IFN production is relatively weak as compared
to the most prominent cGAS/STING, it can be augmented selectively by the crosstalk between
OASes and RIG -I 38, depletion of suppressors of the OAS -RNAseL interaction 39, and/or
overexpression of the Sp1 transcription factor 40. Our findings are consistent with such
upregulation of RNA -mediated IFN I response in irradiated tumours. This concept is further
supported by the enrichment not only of RNA -specific PRRs, but also of other RNA -responsive
pathways, such as ISG15 23 and/or NK signaling 41.
The cytosolic accumulation of nucleic acids signals viral invasion and ignites cell-intrinsic
antiviral pathways. In the absence of viral infection, these pathways can be activated by
endogenous RNA originating, in part, from the re-suppression of otherwise silenced endogenous
retrotransposons. The same PRRs detecting exogenous RNA viruses also sense retrotransposon
RNA, establishing a ‘viral mimicry’ state that amplifies IFN response and eradicates cancer cells.
Viral mimicry refers to the induction of ant iviral responses by endogenous stimuli, such as
retroelement-derived cytosolic nucleic acids, rather than by exogenous viral infection 42. Thus, TE
transcripts repurpose the cellular defence machinery against RNA viruses to combat cancer 7,43-
47. Since RT disrupts global epigenetic regulation 48, it could plausibly ‘awaken’ normally repressed
repetitive elements 7, thereby increasing their transcription activity . These transcripts could, in
turn, alarm for a virus infection at the tumour-bearing organ. In support to this notion, RT sparks
ERV transcription and downstream activation of an innate antiviral MDA5/MAVS/IFN axis, thereby
promoting antitumour immunity 49. Consistently, we found that following immunogenic RT doses,
LTR/ERVs are co-upregulated with OASes and RLRs; this pattern is conserved in both human and
mouse tumours. Although the binding specificities of these PRRs for distinct LTR classes have not
yet been characterized, the LTR/ERVs transcripts may serve as cues of the upregulated RNA
sensors and have been shown to bind to RIG-I 6.
ERVs are remnants of ancient retroviruses embedded in the so-called `junk DNA` regions
of the human genome. They co-evolved with humans and established a complex relationship with
the immune system. During tumorigenesiss, ERVs lose their strictly controlled spatiotemporal
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16
silencing, and their promoter/enhancer activity can be hijacked by oncogenes. Nevertheless, this
out-of-context activation can backfire for the tumour, because the products of re-expressed ERVs
can be recognized as viral threats . At the RNA level, ERV -derived transcripts activate IFN -
regulated innate immune response, whilst at the protein level, ERV peptides may act as
neoantigens, triggering B -cell mediated responses 50. By awakening ERVs, RT may generate a
tumour-intrinsic reservoir of antigenic molecules that recruit innate and adaptive immunity
against the tumour. ERVs-generated antigens drive humoral B cell responses from tertiary
lymphoid structures (TLS), which are increasingly recognized as favorable biomarkers for
immunotherapy responses. It would be of interest to investigate whether RT-induced ERV
expression primarily launches a humoral B cell response, establishing or maturing existing TLS
structures that complement and boost T-cell driven immunotherapy responses 50.
Conventional homogenous RT delivers the maximum tolerated dose but can also initiate
adverse events. In contrast, SF RT leverages the distinct biological effects of varying doses to
optimize the simultaneous activation of multiple immunogenic effects in a single TME, preserve
antitumour immunity, and at the same time mitigate toxicity in healthy tissues 14. The superiority
of SFRT relies on the spatial heterogeneity of immune features. For example, administration of
heterogeneous RT on tumour -bearing mice by high -dose-rate brachytherapy demonstrated
superior in situ vaccine effects, especially in combination with immunotherapy 51. Even more
intriguingly, when one half of the tumour receives high and the other half low dose, bilateral
crosstalk is established between the heterogeneously irradiated regions, boosting immune
responses 14. In the case of minibeam or microbeam irradiation, whereby the repetitive pattern of
peaks and valleys generates an array of alternating high -and low-dose regions within the same
tumour, the number of such favorable interactions is theoretically maximized, in proportion to the
high/low-dose interfaces. In melanoma, SFRT does not induce transcriptional programs that are
markedly distinct from those of CONV RT; rather, it triggers IFN I -associated antiviral pathways
early and more robustly, with particularly accelerated activation of OASes. It would be of interest
to investigate whether this temporal feature contributes causally to the superior efficacy of SFRT.
Our study represents the first systematic approach to correlat e organismal-level
phenotypes of broad antitumour immunity with tumour transcriptional reprogramming upon
exposure to homogenous or spatially heterogenous RT, offering insights into the underlying
mechanisms. We demonstrated that RT-induced immunogenicity is associated with tumour cell-
intrinsic activation of IFN -dependent antiviral pathways, that respond mainly to RNA viruses.
These findings provide a framework for the rational design of future functional studies
investigating the mechanisms of abscopal effects. V iral mimicry via RT -induced ERV de -
repression emerges as an appealing strategy to boost antitumour responses, but several
questions remain open. First, it is unidentified which TE(s) bind to which innate RNA sensor(s).
Second, the conditions under which awaking of ERVs turns beneficial for the host, especially for
promoting abscopal effects, need thorough characteriza tion, since ERVs could also act as
double-edged swords favoring autoimmunity 42, aging 52, neurodegenerative disorders 53 or (upon
chronic expression) evolution of tumour immune evasion 54. Third, the systemic signals released
by irradiated tumo ur cells to recapitulate ERV and OAS -mediated responses at distant sites
remain to be fully characterized. Furthermore, optimization of SFRT parameteres such as
geometry and size of the high -dose regions is essential to ensure maximal antitumour immunity
while sparing healthy tissue 9. Single-cell and spatial omics can capture the heterogeneity and
architecture of the irradiated tumo urs. ERVome profiling and RNA -protein interaction analyses
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17
can uncover non -coding RNA -mediated pathways. Application of these interdisciplinary
methodologies provides a fertile ground for elucidating the key underlying mechanisms and
advancing personalized patient management.
Materials and methods
Mouse studies for phenotype -transcriptome correlations and identification of human
orthologues
We queried the NCBI Gene Expression Omnibus (GEO) datasets using the following combinations
of keywords: (“mouse” and “in vivo tumour immune response” and “irradiation”), (“mouse” and
“carbon ion ” and “tumour immune response ”), (“ mouse model ” and “irradiation” and
“immunogenicity”), (“ mouse” and “irradiation” and “ antitumour immunity”), (“irradiation” and
“antitumour immunity”), (“murine”, “irradiation”, “anti-tumour immunity”), (“spatial fractionated
irradiation”). We extracted all studies where mice exhibited broad antitumour responses to RT,
either alone or in combination with immunotherapy, and for which bulk RNA sequencing (RNA -
seq) data from both irradiate d and non -irradiated (untreated) tumours are provided (last
accession date: March 20, 2025). The differentially expressed genes (DEGs) in irradiated tumours
compared to non -irradiated controls were detected through RNAseq analysis. The human
homologues of the significantly upregulated mouse genes (log2FC >1.5 , p value < 0.05) were
identified as previously described 55,56.
Bulk RNA sequencing analysis
The SRA files were downloaded from NCBI GEO and converted into FASTQ using the Sequence
Read Archive (SRA) Toolkit v.3.0.0 (available at https://github.com/ncbi/sra-tools) with the fasterq-
dump utility. Adapters and low -quality bases were removed from the raw RNA -Seq reads using
Trimmomatic and the filtered reads were then aligned to either the mouse (mm10) or human
genome (hg38) using STAR v2.7.1.1. Alignment files were sorted using Samtools an d transcript
abundance was quantified with StringTie 57. Samples were clustered based on their expression
profiles with Principal Component Analysis (PCA) in an R environment. Differential expression
analysis was performed using the DESeq (v2 1.12.3) 58 package in R.
TE identification from RNA-Seq data
Transcript-level TE quantification was performed using TEtranscripts (v2.2.3) 59. A dedicated
Conda virtual environment was created using Miniconda3, incorporating Python (v3.8), pysam
(v0.16.0.1), and R (v4.3.0). The FASTQ files corresponding to the GSE207717, GSE185311, and
GSE179351 datasets were obtained from NCBI GEO, and, for each dataset, the sorted BAM files
generated as intermediate outputs from the ERVMAP (v1.1) pipeline were used as input for this
analysis 29. TE annotations were derived from the GRCh38_Ensembl_rmsk_TE.gtf file and its
associated hg38_rmsk_TE.gtf.ind index file, both curated and publicly released by Oliver Tam
(NYU Langone Health; released on May 7, 2024).
TEtranscripts was executed in multi -mapping mode to ensure quantification of reads
mapping to both genes and repetitive elements. Differential TE expression analysis between the
RT-treated and untreated (control) samples was conducted using DESeq2 version 1.12.3 58. For
the GSE207717 dataset, three biological comparison groups (BxPC3, MIA -PaCa2, PANC1) were
defined, each consisting of three treatment and three control samples. The GSE185311 dataset
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18
included 9 SBRT-treated and 13 untreated samples, while the GSE179351 dataset comprised 6
treatment and 13 control CRC samples.
The transcript -level quantification was complemented with TElocal (v1.1.1) for locus -
specific expression analysis of transposable elements 59. The previously established Conda
environment was reused, with Python (v3.8) and pysam (v0.16.0.1), thus complying with TElocal's
software requirements. Input data consisted of the sorted BAM alignment files generated by
ERVmap (v1.1) 29. Locus-level annotations were provided by the GRCh38_Ensembl_rmsk_TE.gtf
and the corresponding GRCh38_Ensembl_rmsk_TE.gtf.locInd locus index file (courtesy of Oliver
Tam). TElocal was executed in multi-mapping mode, processing each sample iteratively using a
SLURM job submission script. Dynamic output directories and project -specific naming
conventions were created for each sample to maintain data integrity and traceability. HERVd 60, a
database of human endogenous retroviruses, was utilized for assigning each element to its
corresponding class (i.e. ERV , LINE, Retroposon, Satellite etc.).
Identification of human autonomous LTRs from transcriptomic data
To identify autonomous LTR elements, we modified a previously published Perl-scripted pipeline
29. Specifically, we re -implemented the original Perl script in Python by integating updated
bioinformatics tools for adapter trimming, sequence alignment, multithreading, error handling
and dependency management. This reimplementation improved efficiency, readability, and
reproducibility while maintaining full comp atibility for ERV detection and quantification using
paired-end RNA sequencing data. The updated Python pipeline is available at:
https://github.com/IBG-ComputationalSystemsBiology/erv-mapping-pipeline.
Quantification of repetitive elements from mouse RNA-Seq data
RepEnrich2 was installed according to the guidelines available at
https://github.com/nerettilab/RepEnrich2. The software and its dependencies were installed in a
cluster computing environment, including Python 2 v2.7.9 (Foundation), Bowtie2 v2.3.5.1 ,
Bedtools v2.29.2, Samtools v1.5, and BioPython v1.76. Repetitive element annotations were
obtained from RepeatMasker 61 and were downloaded in BED file format compatible with the Mus
musculus genome (mm9). The annotation setup was executed using the script
RepEnrich2_setup.py, provided within the RepEnrich2 modules. The RNA-Seq reads were aligned
to the reference genome using Bowtie2. Uniquely and multi -mapping reads were filtered using
Samtools and the RepEnrich2_subset.py script. This script was modified by adding the ’Other’
class for reads not matching any LTR in the annotation file. Reads were then assigned to repeat
families to quantify their expression levels, and the resulting count tab les were compiled in a
single Excel file containing all biological and technical replicates. After filtering out the ’Other’
category, the identified LTRs were retrieved from the annotation file. Differential expression
analysis was subsequently performed using DESeq2 v1.12.3 58 in an R environment.
Machine learning for identifying characteristic signatures of response to CONV or SFRT
Random Forest and XGBoost were applied to rank the most significant DEGs from each mouse
study and cancer type, for each delivery mode, i.e. CONV or SFRT. All analyses were conducted in
R v4.4.0. For Random Forest, a model was built using the randomForest (v4.7 -1.2) package. The
target (dependent) variable was the signature score, while the predictors (independent variables)
included the weighted logFC (0.4) and weighted time (0.6) to balance expression change and
exposure time. The model was trained with 500 trees (ntree = 500), and variable importance was
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19
assessed using the percentage increase in mean squared error (%IncMSE), reflecting the
contribution of each variable to the predictive performance. Importance scores were calculated
for each gene and integrated with the original weighted values to compute a combined score
capturing both the expression magnitude and time -dependent effects. The top -ranked genes
based on the combined score were considered as the most significant. For XGBoost, a model was
built using the xgboost (v1.7.10.1) package. A synthetic target variable was defined as the sum of
the weighted logFC and time. The resulting score was used to build a regression model trained on
the weighted features, with the objective function set to squared error (reg:squarederror ). The
model was trained for 100 boosting rounds with a learning rate of 0.1 and a maximum tree depth
of 6. Feature importance, calculated using the xgb.importance function, was used to rank genes
as candidate signature genes.
Survival analyses, GSEA, protein Interaction Networks and tumour infiltration analyses
Cox regression analysis of The Cancer Genome Atlas (TCGA) transcriptomics, Gene Set
Enrichment Analysis (GSEA) and protein interaction network construction by STRING have been
described previously 55,56. For GSEA, the Gene Ontology (GO) terms were plotted according to their
enrichment percentage. For tumour infiltration analysis, the Spearman`s ρ correlation
coefficients between the expression levels of each gene and the estimated infiltrate levels of
selected immune cell types in the TCGA cohorts of melanoma patients (primary and metastatic)
were acquired through the Tumour Immune Estimation Resource 2.0 [TIMER2.0] 26.
Multilayer perceptron modelling for correlation of gene signatures with patient survivability
Using the characteristic top 10 human gene homologues of CONV RT or SFRT, we modelled the
expression of the ranked genes in the tumours from the SKMC TCGA cohort to predict cancer
patient survival at > 1, 3 or 5 years after diagnosis. A classification model for each survival period
was built using a multilayer perceptron (MLP), i.e. a neural network composed of an input layer,
hidden layers, and an output layer, whereby each layer contains a set of neurons. For each survival
period, 2 hidden layers with 50 nodes per layer were used. The input features were normalized to
a range of 0 to 1 using the machine learning software platform weka 3.8.6 (University of Waikato,
New Zealand). A random test set compri sing 30% of the data was selected for evalutaing the
performance of the model. To avoid overfitting, the training data were expanded to triple their
original size by adding Gaussian noise with mean=0 and standard deviation=0.1; the test data
remain unchanged. In the study group, the survival rates in the patient cohort for 1, 3 and 5 years
were 87.46%, 50.78% and 36.99%, respectively. The network was trained for 500 epochs with a
learning rate of 0.3. The model performance was evaluated using the area under the curve (AUC)
of the Receiver Operating Characteristic (ROC) curve by plotting the true positive rate (TPR) and
the false positive rate (FPR) across different thresholds.
Cell cultures and irradiation treatments
Panc 1 cells were cultured in RPMI 1640, while SW620 and A375 cells in DMEM, supplemented
with 10% Fetal Bovine Serum and 1% penicillin -streptomycin (Thermo Fisher Scientific). For the
X-ray treatments, SW620 (106 cells), Panc1 (500,000 cells) and A375 (250,000 cells) were plated
in 10 cm dishes. After 24h, when the cells reached a confluency of 60-70%, they received either 8
Gy or 12 Gy radiation dose in a MultiRad225/26 irradiator (Faxitron Biotics), using the fol lowing
settings: 200 kV X-rays; 17.8 mA; 0.5 mm Cu-filter; 2.151 Gy/min, 37 cm distance from the source,
and 20 cm field size. The irradiated cells were then incubated at 37oC and 5% CO2.
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RNA isolation, reverse transcription and real-time PCR
After 48h (for the 12 Gy treatments) or 72h (for 8 Gy treatments) of irradiation, cells were
harvested. Total RNA was extracted using the RNeasy kit (Qiagen) according to the manufacturer’s
instructions. 1 µg total RNA per sample was reverse -transcribed using the RT2 First Strand Kit
(Qiagen). For real -time PCR, the cDNAs (20ng) were mixed in a 20 µL reaction consisting of
nuclease-free water, 20 pmol of each primer pair, and 7.5µL of Power SYBR Green PCR Master Mix
(Thermo Fisher Scientific). Amplification with the appropriate primers (Supplementary Table) was
performed in a StepOnePlus Real-time PCR system (Thermo Fisher Scientific) using the following
conditions: 95 °C for 10 min (1 cycle); 95 °C for 15 sec, primer-specific annealing temperature for
30 se c, 72°C for 45sec (40 cycles). Statistical analyses were conducted using a two -sided
Student’s t-test.
Code availability
The Python script is available at: https://github.com/IBG-ComputationalSystemsBiology/erv-
mapping-pipeline
Data availability
The transcriptomics data analyzed in these study are publicly available in the Gene Expression
Omnibus (GEO) repository under the following accession numbers: GSE56113, GSE61208,
GSE168016, GSE179351, GSE185311, GSE207717, GSE209765, GSE255242, GSE268311,
GSE281695, and in ArrayExpress repository under the number E-MTAB-13096.
preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission.
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21
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25
Author Contributions
Stella Logotheti: Conceptualization, Data curation, Formal analysis, Funding acquisition,
Investigation, Methodology, Visualization, Writing – original draft, Writing – review and editing, Elif
Yildiz: Software, Investigation; Sarah Hasan: Software, Investigation; Elpida Theodoridou:
Validation Stefan Kuhn: Resources, Software, Methodology Thorsten Stiewe: Writing – review &
editing Stephan Marquardt: Methodology, Data curation, Visualization, Athanasia Pavlopoulou:
Data curation, Formal analysis, Investigation, Methodology, Writing – original draft, Writing –
review and editing, Joao Seco: Conceptualization, Funding Acquisition, Supervision. All authors
approved the final version of the manuscript prior to submission
Acknowledgement
Figure 1A was created using BioRender (biorender.com).
Funding
TS acknowledges funding support from Deutsche Forschungsgemeinschaft (STI 182/15 -1),
Deutsche Krebshilfe (70116475), and Wilhelm -Sander Stiftung (2022.129.1). SL and SK
acknowledge COST Action CA21169 DYNALIFE. SL and JS acknowledge support from Deutsche
Forschungsgemeinschaft (LO 3128/4 -1, Projektnummer: 561811975 ) and DKFZ Collaborative
program 2025.
Conflict of Interest
The authors declare that they have no conflict of interest
Additional information
The following are the Supplementary data to this article:
Supplementary Table 1: Sequences for qPCR primers
Supplementary Figure 1: Upregulated genes and pathways in SFRT -treated tumors. (A-B)
Venn diagram s of human orthologues of the genes that are transcriptionally elevated in
melanomas and glioblastomas two (A) or seven days (B) after receiving SFRT (microbeam).
Members of the same protein families are highlighted in red lettering (C) GSEA for the reactome
of the 101 shared upregulated genes between SFRT-treated melanomas and glioblastomas seven
days after therapy.
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26
Table 1. Overview of studies where mouse phenotypes of in situ vaccine effects have publicly available transcriptomics data of the `im munogenic`
targeted tumours
Study
accession
number
Cancer type Model Irradiation
Type
Transcriptomics platform Time of sample collection post-RT Sample undergoing RNAseq (irradiated vs
non-irradiated controls)
GSE207717 Pancreatic
adenocarcinoma
KPC syngeneic mouse (strain
C57BL/6J) and PDAC organoids
derived from KPC -OG mice
(KPOG)
X-rays, 1 fraction of 8Gy Illumina NovaSeq 6000 (Mus
musculus)
24 and 48 h post irradiation KPOG organoids
GSE281695 Lymphoma BALB/c mice with two A20
lymphoma tumours
X-rays, 1fraction of 8Gy or
2 fractions of 4 Gy
Illumina NovaSeq X Plus (Mus
musculus)
24 hours and 7 days post treatment. Tumour iside and outside the irradiated area
GSE168016 Colorectal MC38 syngeneic mice (strain
C57BL/6J)
X-rays, 1 fraction of 15 Gy Illumina NovaSeq 6000 (Mus
musculus)
60 hours tumour cells
GSE209765 Colon CT26 syngeneic mice (BALB/c or
C57BL/6)
X rays, 1 fraction of 8Gy DNBSEQ-G400 (Mus musculus) When tumour reached 2000 mm3 Tumour treated with mock immunotherapy and
received RT two days later
GSE268311 Melanoma B16 melanoma mice (strain
C57BL/6)
SFRT (microbeams) vs X -
rays
NanoString nCounter® XT Assay 2 days and 7 days post -RT. Non -
irradiated controls collected 12 days
post-tumour implantation.
Tumours
GSE56113 Glioblastoma orthotopic rats bearing
intracranial 9L brain tumours
SFRT (microbeams) vs X -
rays
Affymetrix GeneChip® Rat 230_ 2 6 hours, 48 hours, 8 days and 15 days
after treatment
tumours
GSE61208 Breast 4T1 syngeneic mice X-rays, 5 x 6 Gy [Mouse430_2] Affymetrix Mouse
Genome 430 2.0 Array
4 days post-RT Tumours
GSE255242 Breast Murine transplantable TS/A
tumour-cell-line co -engrafted
with CAFs in syngeneic mice
X-rays, 2 x 6 Gy NextSeq 2000 (Mus musculus) when the tumour size reached
2000 mm3.
Tumour treated with RT when reached a volume
of 80-100 mm³
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