Abstract

Radiotherapy can boost the therapeutic response to immune checkpoint inhibitors (ICIs) by recruiting T lymphocytes and upregulating PD-L1 expression within the tumor microenvironment (TME). Our previous studies found that tumor PD-L1 expression cannot be induced in some locally advanced colorectal cancer (CRC) patients who receive preoperative concurrent chemoradiotherapy (CCRT) even in the presence of abundant T lymphocytes. We aimed to evaluate whether PD-L1 promoter methylation impacted the response to CCRT and acted as an independent biomarker for locally advanced CRC patients.

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