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Atractylenolide I enhances responsiveness to immune checkpoint blockade therapy by activating tumor antigen presentation
Hanchen Xu, Kevin Van der Jeught, Zhuolong Zhou, Lu Zhang, Tao Yu, Yifan Sun, Yujing Li, Changlin Wan, Ka Man So, Degang Liu, Michael Frieden, Yuanzhang Fang, Amber L. Mosley, Xiaoming He, Xinna Zhang, George E. Sandusky, Yunlong Liu, Samy O. Meroueh, Chi Zhang, Aruna B. Wijeratne, Cheng Huang, Guang Ji, Xiongbin Lu
Hanchen Xu, Kevin Van der Jeught, Zhuolong Zhou, Lu Zhang, Tao Yu, Yifan Sun, Yujing Li, Changlin Wan, Ka Man So, Degang Liu, Michael Frieden, Yuanzhang Fang, Amber L. Mosley, Xiaoming He, Xinna Zhang, George E. Sandusky, Yunlong Liu, Samy O. Meroueh, Chi Zhang, Aruna B. Wijeratne, Cheng Huang, Guang Ji, Xiongbin Lu
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Research Article Immunology Oncology

Atractylenolide I enhances responsiveness to immune checkpoint blockade therapy by activating tumor antigen presentation

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Abstract

One of the primary mechanisms of tumor cell immune evasion is the loss of antigenicity, which arises due to lack of immunogenic tumor antigens as well as dysregulation of the antigen processing machinery. In a screen for small-molecule compounds from herbal medicine that potentiate T cell–mediated cytotoxicity, we identified atractylenolide I (ATT-I), which substantially promotes tumor antigen presentation of both human and mouse colorectal cancer (CRC) cells and thereby enhances the cytotoxic response of CD8+ T cells. Cellular thermal shift assay (CETSA) with multiplexed quantitative mass spectrometry identified the proteasome 26S subunit non–ATPase 4 (PSMD4), an essential component of the immunoproteasome complex, as a primary target protein of ATT-I. Binding of ATT-I with PSMD4 augments the antigen-processing activity of immunoproteasome, leading to enhanced MHC-I–mediated antigen presentation on cancer cells. In syngeneic mouse CRC models and human patient–derived CRC organoid models, ATT-I treatment promotes the cytotoxicity of CD8+ T cells and thus profoundly enhances the efficacy of immune checkpoint blockade therapy. Collectively, we show here that targeting the function of immunoproteasome with ATT-I promotes tumor antigen presentation and empowers T cell cytotoxicity, thus elevating the tumor response to immunotherapy.

Authors

Hanchen Xu, Kevin Van der Jeught, Zhuolong Zhou, Lu Zhang, Tao Yu, Yifan Sun, Yujing Li, Changlin Wan, Ka Man So, Degang Liu, Michael Frieden, Yuanzhang Fang, Amber L. Mosley, Xiaoming He, Xinna Zhang, George E. Sandusky, Yunlong Liu, Samy O. Meroueh, Chi Zhang, Aruna B. Wijeratne, Cheng Huang, Guang Ji, Xiongbin Lu

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Figure 7

ATT-I enhances tumor-infiltrating lymphocytes and antitumor activity of cytotoxic T lymphocytes.

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ATT-I enhances tumor-infiltrating lymphocytes and antitumor activity of ...
(A) Schematic illustration of the immune composition analysis using single-cell mass cytometry (CyTOF). Orthotopic MC38 tumors were surgically resected, dissociated to single cells, and stained with metal isotope–conjugated antibodies. Immune profiles were assessed via CyTOF (26 markers) and analyzed using the Cytobank platform. viSNE analysis was performed, and thereafter SPADE on viSNE was assessed for an overlaid clustering of the immune cell populations. (B) Representative MC38 tumor images and weights of cecal wall implanted tumors (n = 5 in each group). Statistical analysis was conducted using 1-way ANOVA. Scale bar: 1 cm. (C) viSNE plots of the indicated markers used for the determination of the cell population gates. (D) Percentages of distinct immune cell populations within the CD45+ infiltrating immune cells in colorectal cancer tumors analyzed with Cytobank (n = 5). (E–G) Once the subcutaneous MC38 tumors were established, mice were randomly assigned into 7 groups and treated as indicated. Effects of the ATT-I (50 mg/kg, daily) and anti–PD-1 (3 times/week, 5 injections in total) treatment on tumor growth (E and F) and tumor volume (G) upon depletion of B cells, CD4+ T cells, and CD8+ T cells (n = 6). Error bars represent SEM and statistical analysis were conducted using 2-way ANOVA (E and F) and 1-way ANOVA (G). *P < 0.05; **P < 0.01; ***P < 0.001.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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