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ATR senses stiff extracellular matrix to promote epithelial-to-mesenchymal transition and immune suppression
Xinyi Tu, Xiangyu Zeng, Yaoliang Sun, Yaobin Ouyang, Lingling Zhu, Ping Yin, Kevin Pavelko, Roberto Leon-Ferre, Yanxia Jiang, Haidong Dong, Jodi Carter, Shouhai Zhu, Jann N. Sarkaria, Liewei Wang, Jinzhou Huang, Kuntian Luo, Yiqun Han, Zheming Wu, Zhenkun Lou, Robert W. Mutter
Xinyi Tu, Xiangyu Zeng, Yaoliang Sun, Yaobin Ouyang, Lingling Zhu, Ping Yin, Kevin Pavelko, Roberto Leon-Ferre, Yanxia Jiang, Haidong Dong, Jodi Carter, Shouhai Zhu, Jann N. Sarkaria, Liewei Wang, Jinzhou Huang, Kuntian Luo, Yiqun Han, Zheming Wu, Zhenkun Lou, Robert W. Mutter
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Research Article Cell biology Immunology Oncology

ATR senses stiff extracellular matrix to promote epithelial-to-mesenchymal transition and immune suppression

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Abstract

Our research uncovers a role for ATR in responding to ECM stiffness and promoting epithelial-to-mesenchymal transition (EMT) and metastasis. ATR, when deubiquitinated and upregulated by USP21 under enhanced ECM stiffness conditions, phosphorylates the nuclear protein SUN2, which promotes β-catenin nuclear translocation and EMT. ATM-mediated EMT promotes polymorphonuclear myeloid-derived suppressor cell recruitment and inhibits CD103+ dendritic cells, fostering an immunosuppressive tumor milieu. ATR inhibition disrupts this malignant cascade by promoting mesenchymal-to-epithelial transition to enhance antitumor immunity and mitigate metastases. Consistently, circulating HLA-DR+ dendritic cells were also enhanced following treatment with the ATR inhibitor berzosertib in patients with therapeutically resistant early-stage breast cancer. Our data suggest that ATR-targeted therapy may be optimized by considering both DNA damage–dependent and EMT-inducing effects of ATR

Authors

Xinyi Tu, Xiangyu Zeng, Yaoliang Sun, Yaobin Ouyang, Lingling Zhu, Ping Yin, Kevin Pavelko, Roberto Leon-Ferre, Yanxia Jiang, Haidong Dong, Jodi Carter, Shouhai Zhu, Jann N. Sarkaria, Liewei Wang, Jinzhou Huang, Kuntian Luo, Yiqun Han, Zheming Wu, Zhenkun Lou, Robert W. Mutter

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Figure 2

ECM stiffness regulates ATR levels through USP21.

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ECM stiffness regulates ATR levels through USP21.
(A and B) USP21 expres...
(A and B) USP21 expression was highly correlated with ATR and COL1A1 expression. The COL1A1, ATR, and USP21 levels were determined by IHC. (C) Representative IHC images for Figure 1, C and D, and for this figure, A and B. Scale bars: 1 mm (left), 100 μm (right). (D) The interaction between USP21 and ATR in MDA-MB-231 cells was assessed by IP using ATR antibody. (E) MDA-MB-231 cells were infected with lentivirus encoding either vector or USP21, treated with MG132 for 6 hours, and harvested for ubiquitination analysis. (F) Statistical analysis of the Western blot results in E by 1-way ANOVA (n = 3). (G) MDA-MB-231 cells were transfected with either control or USP21-specific siRNA, cultured on surfaces with different stiffnesses, and harvested for IP using ATR antibody to assess ubiquitination. (H) MDA-MB-231 cells were infected with lentivirus encoding either vector, WT USP21, or C221A USP21 mutant and seeded on surfaces with different stiffnesses. After 48 hours, the cells were harvested and IP was performed using ATR antibody to assess ubiquitination. (I and J) Statistical analyses of the Western blot results in G and H by 2-way ANOVA (n = 3). Data are presented as mean ± SD. Western blot and co-IP experiments were performed using at least 3 independent biological replicates, yielding similar results.

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

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