Recent advances in immunotherapy have markedly enhanced outcomes for certain cancer patients, yet their optimal application in young children necessitates a thorough understanding of how the developing immune system identifies and eradicates cancer cells. While approximately 50% of childhood cancers originate in utero, including B-cell acute lymphoblastic leukemia (B-ALL) and NB, growing evidence suggests that postnatal events critically influence disease evolution and clinical outcome1,2.
Neonatal immune responses differ quantitatively and qualitatively from those of adults3. In the absence of fully developed adaptive immunity, protection of neonates relies heavily on maternal antibodies and innate immune cells. These innate effectors, however, are functionally less efficient than their adult counterparts due to cell-intrinsic hypo-responsiveness and enhanced activation of immunosuppressive pathways, leaving neonates particularly susceptible to infection4,5,6. However, the impact of these characteristics on the ability of the immature immune system to mount effective anti-cancer responses remains poorly understood.
Modeling anti-cancer immunity in early life requires the precise and reproducible delivery of cancer cells and immune modulators or pathogens during the short postnatal window, when immune function is limited. Temporal vein injection is a neonatal intravenous (IV) delivery method that best meets these requirements and offers high procedural success, low mortality, minimal handling stress, and compatibility with sequential interventions, such as infection challenge or therapeutic administration7,8,9,10.
In this study, we built upon and modified previously validated neonatal intravenous delivery techniques and the versatility of bioluminescent in vivo imaging to describe a transplant model to study the impact of early-life infection on the progression of pediatric cancer cells. This approach enables the intravenous delivery of luciferase-tagged B-ALL or NB cells to 1–2-day-old pups, followed by immune modulation through intraperitoneal (i.p.) administration of murine cytomegalovirus (mCMV) on postnatal day 7 (P7). Cancer progression was subsequently evaluated 10 days post-infection (P17).
Although access to the temporal vein is restricted to a limited postnatal window (P0–P3), this methodology enhances reproducibility and experimental control, offering a versatile platform to investigate the influence of early-life immune mechanisms on cancer immunosurveillance, infection–cancer interactions, and responses to immunotherapy. Additionally, this approach supports the efficient homing of transplanted cells, thereby enabling the reproducible establishment of disease models for mechanistic investigations.