For decades, oncologists have been chasing a strange phenomenon in cancer treatment something called the abscopal effect. It’s one of those things that sounds too good to be true: you zap one tumor with radiation, and somehow, tumors in completely different parts of the body shrink, too. No surgery. No direct treatment. Just… gone.
The problem? It almost never happens. Scientists have known about the abscopal effect since the 1950s, but it’s so rare that even in cases where doctors hope to see it, it usually doesn’t show up. And for years, no one really knew why. But a new study just cracked the code and it could change the way we treat metastatic cancer forever.
The “Ghost Effect” of Cancer Treatment
Let’s break this down. The abscopal effect is what happens when a cancer treatment usually radiation somehow triggers the immune system to go beyond the targeted tumor and attack others elsewhere in the body. It’s like setting a small fire in one room of a house, and somehow, that fire magically spreads to destroy mold growing in other rooms.
This effect is especially exciting in the age of radioimmunotherapy a combo of radiation and immunotherapy that, in theory, should be making abscopal responses more common. The idea is simple: radiation damages cancer cells, releasing their proteins like little “wanted posters” for the immune system to see and attack elsewhere. But in most cases, that immune response never happens.
Until now, no one really knew why. But this new study just found the hidden culprit and more importantly, a way to block it.
The Discovery That Changes Everything
A research team in China just used CRISPR (basically, genetic scissors that let scientists turn genes on and off) to run a massive screening experiment, testing thousands of genes at once. What they found? A single protein called SFRP2 that’s secretly blocking the abscopal effect.
And it gets weirder: cancer cells aren’t even the ones making it.
Instead, SFRP2 is produced by cancer-associated fibroblasts (CAFs) cells in the tumor’s microenvironment that are supposed to support healthy tissue but, in reality, end up working for the cancer. Basically, these fibroblasts are acting like double agents, making sure the immune system doesn’t notice the tumors, even when radiation is trying to call for backup.
Even crazier? The study found that SFRP2 levels spike in distant tumors the moment radiation is given to the first tumor. It’s like the fibroblasts are sending a warning signal, telling other tumors to “shut the doors” before the immune system arrives.
So… What If We Shut That Down?
To test their theory, the scientists engineered mice whose fibroblasts couldn’t produce SFRP2. And the results? The abscopal effect skyrocketed. Tumors all over the body shrank without direct treatment.
Even more promising, they found they could block the effect using drugs either by stopping SFRP2 itself or its trigger, PAI-1, a protein that kicks off the whole process. When they did, radiation therapy finally triggered a full-body immune attack against cancer.
Why This Is a Huge Deal
Right now, cancer treatment is still largely a battle of location. Surgery and radiation are great for tumors you can see and target, but when cancer spreads (metastasizes), things get complicated fast. The ability to consistently activate the abscopal effect could turn radiation normally a local treatment into a whole-body solution.
And the best part? Because PAI-1 inhibitors already exist (they’re being tested for heart disease and other conditions), there’s a real possibility of repurposing existing drugs rather than waiting years for new ones to be developed.
What’s Next?
Now that we know what’s blocking the abscopal effect, researchers can focus on:
- Developing SFRP2-blocking drugs to use alongside radioimmunotherapy
- Repurposing existing PAI-1 inhibitors for cancer treatment
- Finding biomarkers to predict who would respond best to this treatment
This discovery doesn’t just add another weapon against cancer it changes the entire strategy. Instead of only focusing on killing cancer cells, it forces us to ask: what if the secret to better treatment isn’t just in attacking the tumors, but in stopping the defenses they’ve built around them?
That’s the kind of thinking that could make the abscopal effect go from a rare medical anomaly to a standard cancer treatment. And that’s a future worth fighting for.
Final Thought
Science is moving fast, but cancer is still ahead. The fact that our own bodies can fight metastatic disease but don’t because of a single protein makes me wonder what other hidden switches we haven’t found yet.
P.S. If you made it this far, congrats, you just casually learned about one of the biggest cancer treatment breakthroughs of the year.
Want to Know More?
References:
Zhang, Y. P., Guo, Z. Q., Cai, X. T., Rong, Z. X., Fang, Y., Chen, J. Q., Zhuang, K. M., Ruan, M. J., Ma, S. C., Lin, L. Y., Han, D. D., Li, Y. S., Wang, Y. Y., Wang, J., Cao, C. H., Tang, X. R., Xie, Q. K., Chen, Y., Lin, Y., Tan, J. L., … Dong, Z. Y. (2025). PAI-1-driven SFRP2high cancer-associated fibroblasts hijack the abscopal effect of radioimmunotherapy. Cancer cell, S1535-6108(25)00076-5. Advance online publication. https://doi.org/10.1007/s00005-018-0504-z