In this study, radiotherapy was combined with the gene electrotransfer (GET) of plasmid encoding shRNA against melanoma cell adhesion molecule (pMCAM) with dual action, which was a vascular-targeted effect mediated by the silencing of MCAM and an immunological effect mediated by the presence of plasmid DNA in the cytosol-activating DNA sensors. The effects and underlying mechanisms of therapy were evaluated in more immunogenic B16F10 melanoma and less immunogenic TS/A carcinoma. The silencing of MCAM potentiated the effect of irradiation (IR) in both tumor models. Combined therapy resulted in 81% complete responses (CR) in melanoma and 27% CR in carcinoma. Moreover, after the secondary challenge of cured mice, 59% of mice were resistant to challenge with melanoma cells, and none were resistant to carcinoma. Combined therapy reduced the number of blood vessels; induced hypoxia, apoptosis, and necrosis; and reduced cell proliferation in both tumor models. In addition, the significant increase of infiltrating immune cells was observed in both tumor models but more so in melanoma, where the expression of IL-12 and TNF-α was determined as well. Our results indicate that the combined therapy exerts both antiangiogenic and immune responses that contribute to the antitumor effect. However, tumor immunological status is crucial for a sufficient immune system contribution to the overall antitumor effect. and functionally different from that expressed in normal cells. Therefore, it would be reasonable to specifically target the MCAM expressed on tumor cells, which has already been performed by the development of antibodies recognizing only MCAM expressed in tumor cells [3,7]. Furthermore, the in vitro targeting MCAM using antibodies altered the biological properties of endothelial, melanoma, breast, ovarian, adenoid cystic carcinoma, and osteosarcoma cells, such as the proliferation or survival, migration, and invasion [3,[15][16][17][18][19][20][21][22][23]. In particular, treating cells with antibodies against MCAM reduced proliferation for approximately 60%, migration for 75%, and tube formation in human umbilical vein endothelial cells (HUVEC), and invasion in melanoma and osteosarcoma cells, while the proliferation of melanoma, hepatocarcinoma, osteosarcoma, ovary, and cervix tumor cells was not affected [21][22][23][24]. In vivo, intratumoral treatment with antibodies against MCAM in melanoma, hepatocarcinoma, osteosarcoma, leiomyosarcoma, and pancreatic tumors reduced tumor growth and the formation of metastases in melanoma and osteosarcoma [21,23]. Specifically, peritumoral treatment of C81-61 melanoma xenograft for 46 days with a monoclonal antibody specific for tumor MCAM (TsCD146 mAb) significantly reduced tumor growth [3].Another possibility is the direct local tumor targeting, either using siRNA molecules against MCAM or plasmid DNA encoding shRNA against MCAM [15][16][17][18]23,25]. These therapeutic approaches, utilizing siRNA or plasmid DNA encoding shRNA against MCAM delivered by electroporation (gene elect...