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23 reviewsIt is known that intestinal flora affects the number and function of NK cells through metabolites, thereby regulating the response oftumors to chemotherapy or immunotherapy. However, little is known about whether intratumoral bacteria are involved in NK cellmediated antitumor immunity. In this study, 2bRAD-M analysis was performed on patient hepatocellular carcinoma and pairedtissues to determine the composition of the intratumoral microbiota. Mass cytometry, flow cytometry, co-immunoprecipitation,immunoblotting, immunofluorescence, and DNA pull-down assays were used to evaluate the relationship between intratumoral1234567890();,:bacteria, ferroptosis, and NK cell activity in Hu-SRC mice. Here, we found that the intratumoral B. parabrevis inhibited NK cellferroptosis by promoting lipolysis into acetyl-CoA. Mechanistically, B. parabrevis catalyzed the acetylation of RORC, enhancing itsbinding to the NEDD4L promoter. NEDD4L induced ubiquitination of iron transporters SLC39A14, SLC39A8, and STEAP3.Functionally, B. parabrevis induced NK cells to differentiate into adaptability, cytotoxicity, and heat shock phenotypes, inhibiting theterminal phenotype and changing the tumor microenvironment from “cold” to “hot”. In conclusion, B. parabrevis enhanced theantitumor response of NK cells by regulating post-translational modifications. Our study identified a new strategy for utilizingintratumor bacteria for clinical treatment.Cell Death and Disease (2025) 16:407 ;