RT Journal Article SR Electronic T1 Expression of the immunoproteasome subunit β5i in non-small cell lung carcinomas JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 300 OP 306 DO 10.1136/jclinpath-2020-206618 VO 74 IS 5 A1 Kiuchi, Takayuki A1 Tomaru, Utano A1 Ishizu, Akihiro A1 Imagawa, Makoto A1 Iwasaki, Sari A1 Suzuki, Akira A1 Otsuka, Noriyuki A1 Ohhara, Yoshihito A1 Kinoshita, Ichiro A1 Matsuno, Yoshihiro A1 Dosaka-Akita, Hirotoshi A1 Kasahara, Masanori YR 2021 UL http://jcp.bmj.com/content/74/5/300.abstract AB Aim The immunoproteasome is a specific proteasome isoform whose proteolytic activity enhances the generation of antigenic peptides to be presented by major histocompatibility complex class I molecules to CD8+ T cells. Physiologically, it is expressed abundantly in immune cells and is induced in somatic cells by cytokines, especially interferon-γ. Recently, variable expression of immunoproteasomes has been demonstrated in different types of cancers. However, the clinical significance of immunoproteasome expression in malignant tumours is poorly understood. In this study, we performed clinicopathological evaluation of immunoproteasome subunit β5i in non-small cell lung carcinomas (NSCLCs).Methods Tumour tissues were collected from 155 patients with NSCLCs, and immunohistochemical analysis for β5i was performed in relation to the prognosis of patients.Results High expression of β5i was found in about 20% of all NSCLCs and was found significantly more frequently (40%) in the adenocarcinoma subset. High expression of β5i was associated with a better 5-year relative survival rate in patients with pStage I to II adenocarcinoma and was also a significant and independent favourable prognostic factor in adenocarcinoma patients. In addition, when we performed in vitro analysis using NSCLC cell lines, combined treatment with the immunoproteasome-specific inhibitor ONX0914 and the proteasome inhibitor MG132 enhanced cell death in β5i-expressing NSCLC cell lines.Conclusion The expression of immunoproteasome can be explored as both a prognostic factor and a potential therapeutic target in NSCLCs. Since immunoproteasomes have crucial role in the antigen presentation, further studies may help to provide essential knowledge for therapeutic strategies in anticancer immunotherapy.Data are available upon reasonable request. The data and materials used in the current study are available from the corresponding author on reasonable request.