TBL1XR1 mutations drive extranodal lymphoma by inducing a pro-tumorigenic memory fate Journal Article


Authors: Venturutti, L.; Teater, M.; Zhai, A.; Chadburn, A.; Babiker, L.; Kim, D.; Béguelin, W.; Lee, T. C.; Kim, Y.; Chin, C. R.; Yewdell, W. T.; Raught, B.; Phillip, J. M.; Jiang, Y.; Staudt, L. M.; Green, M. R.; Chaudhuri, J.; Elemento, O.; Farinha, P.; Weng, A. P.; Nissen, M. D.; Steidl, C.; Morin, R. D.; Scott, D. W.; Privé, G. G.; Melnick, A. M.
Article Title: TBL1XR1 mutations drive extranodal lymphoma by inducing a pro-tumorigenic memory fate
Abstract: The most aggressive B cell lymphomas frequently manifest extranodal distribution and carry somatic mutations in the poorly characterized gene TBL1XR1. Here, we show that TBL1XR1 mutations skew the humoral immune response toward generating abnormal immature memory B cells (MB), while impairing plasma cell differentiation. At the molecular level, TBL1XR1 mutants co-opt SMRT/HDAC3 repressor complexes toward binding the MB cell transcription factor (TF) BACH2 at the expense of the germinal center (GC) TF BCL6, leading to pre-memory transcriptional reprogramming and cell-fate bias. Upon antigen recall, TBL1XR1 mutant MB cells fail to differentiate into plasma cells and instead preferentially reenter new GC reactions, providing evidence for a cyclic reentry lymphomagenesis mechanism. Ultimately, TBL1XR1 alterations lead to a striking extranodal immunoblastic lymphoma phenotype that mimics the human disease. Both human and murine lymphomas feature expanded MB-like cell populations, consistent with a MB-cell origin and delineating an unforeseen pathway for malignant transformation of the immune system. © 2020 Elsevier Inc. A subset of B cell lymphomas is driven by mutations that impair plasma cell differentiation and instead bias cell fate toward immature memory B cells, which preferentially re-enter germinal center reactions to drive lymphomagenesis. © 2020 Elsevier Inc.
Keywords: cell fate; germinal center; cell of origin; bcl6; extranodal lymphoma; abc-dlbcl; bach2; memory b cells; tbl1xr1
Journal Title: Cell
Volume: 182
Issue: 2
ISSN: 0092-8674
Publisher: Cell Press  
Date Published: 2020-07-23
Start Page: 297
End Page: 316.e27
Language: English
DOI: 10.1016/j.cell.2020.05.049
PUBMED: 32619424
PROVIDER: scopus
PMCID: PMC7384961
DOI/URL:
Notes: Article -- Export Date: 3 August 2020 -- Source: Scopus
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  1. William Theodore Yewdell
    17 Yewdell