Fig. 3
From: Cryotherapy for nodal metastasis in NSCLC with acquired resistance to immunotherapy

Hypothesis of overcoming acquired resistance. Cryoablation may have boosted immune response in acquired resistance of anti-PD-1 axis therapy for NSCLC when concomitantly used with a PD-1 inhibitor. a Anti-PD-1 therapy blocks inhibiting pathways and increases T-cell response. b CD8+ T-cell exhaustion, upregulation of alternative co-inhibitory immune pathways. c Partial cryoablation of a lymph node increases dendritic cell load and boosts T-cell response against tumor cells in residual lymph node tissue and maybe also in distant tumor