Mutant EZH2 Induces a Pre-malignant Lymphoma Niche by Reprogramming the Immune Response

EZH2; epigenetic dysregulation; follicular lymphoma; germinal center; immune microenvironment.
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Wendy Béguelin et al.

  • Cancer Cell
  • 38.585
  • 2020 May 11;37(5):655-673.e11.
  • Mouse
  • 单细胞测序
  • Cells from Spleen
  • 免疫/内分泌
  • 淋巴瘤

Abstract

Follicular lymphomas (FLs) are slow-growing, indolent tumors containing extensive follicular dendritic cell (FDC) networks and recurrent EZH2 gain-of-function mutations. Paradoxically, FLs originate from highly proliferative germinal center (GC) B cells with proliferation strictly dependent on interactions with T follicular helper cells. Herein, we show that EZH2 mutations initiate FL by attenuating GC B cell requirement for T cell help and driving slow expansion of GC centrocytes that become enmeshed with and dependent on FDCs. By impairing T cell help, mutant EZH2 prevents induction of proliferative MYC programs. Thus, EZH2 mutation fosters malignant transformation by epigenetically reprograming B cells to form an aberrant immunological niche that reflects characteristic features of human FLs, explaining how indolent tumors arise from GC B cells. Keywords: EZH2; epigenetic dysregulation; follicular lymphoma; germinal center; immune microenvironment.
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