%0 Journal Article %T Dietary elaidic acid boosts tumoral antigen presentation and cancer immunity via ACSL5. %A Lai Y %A Gao Y %A Lin J %A Liu F %A Yang L %A Zhou J %A Xue Y %A Li Y %A Chang Z %A Li J %A Chao T %A Chen J %A Cheng X %A Gao X %A Li X %A Lu F %A Chu Q %A Wang W %J Cell Metab %V 36 %N 4 %D 2024 Apr 2 %M 38350448 %F 31.373 %R 10.1016/j.cmet.2024.01.012 %X Immunomodulatory effects of long-chain fatty acids (LCFAs) and their activating enzyme, acyl-coenzyme A (CoA) synthetase long-chain family (ACSL), in the tumor microenvironment remain largely unknown. Here, we find that ACSL5 functions as an immune-dependent tumor suppressor. ACSL5 expression sensitizes tumors to PD-1 blockade therapy in vivo and the cytotoxicity mediated by CD8+ T cells in vitro via regulation of major histocompatibility complex class I (MHC-I)-mediated antigen presentation. Through screening potential substrates for ACSL5, we further identify that elaidic acid (EA), a trans LCFA that has long been considered harmful to human health, phenocopies to enhance MHC-I expression. EA supplementation can suppress tumor growth and sensitize PD-1 blockade therapy. Clinically, ACSL5 expression is positively associated with improved survival in patients with lung cancer, and plasma EA level is also predictive for immunotherapy efficiency. Our findings provide a foundation for enhancing immunotherapy through either targeting ACSL5 or metabolic reprogramming of antigen presentation via dietary EA supplementation.