The FBXO45–GEF-H1 axis controls germinal center formation and B-cell lymphomagenesis Journal Article


Authors: Sahasrabuddhe, A. A.; Chen, X.; Ma, K.; Wu, R.; Liang, H. C.; Kapoor, R.; Chhipa, R. R.; Onder, O.; McFetridge, C.; Van Arnam, J. S.; Zhang, X.; Morrissette, J. J. D.; Pillai, V.; Li, M. M.; Szankasi, P.; Basrur, V.; Conlon, K. P.; Raabe, T. D.; Bailey, N. G.; Hogaboam, C. M.; Rottapel, R.; Kim, J.; López, C.; Schlesner, M.; Siebert, R.; Dreval, K.; Morin, R. D.; Moro, L.; Pagano, M.; Staudt, L. M.; Lim, M. S.; Elenitoba-Johnson, K. S. J.
Article Title: The FBXO45–GEF-H1 axis controls germinal center formation and B-cell lymphomagenesis
Abstract: The role of ubiquitin-mediated degradation mechanisms in the pathogenesis of diffuse large B-cell lymphoma (BCL) and follicular lymphoma is not completely understood. We show that conditional deletion of the E3 ubiquitin ligase Fbxo45 in germinal center B cells results in B-cell lymphomagenesis in homozygous (100%) and heterozygous (48%) mice. Mechanistically, FBXO45 targets the RHO guanine exchange factor ARHGEF2/GEF-H1 for ubiquitin-mediated degradation. Double genetic ablation of Fbxo45 and Arhgef2 ameliorated lymphoma formation. Transgenic knock-in mice harboring a GEF-H1 mutant unable to bind FBXO45 develop BCLs with 50% penetrance. Genome sequencing in human lymphomas identified mu-tually exclusive FBXO45 copy-number losses and ARHGEF2 gains, with combined frequencies ranging from 26.32% in follicular lymphoma to 45.12% in diffuse large BCL. Notably, FBXO45 silencing enhances sensitivity to MEK1/2 inhibition. These results identify FBXO45 and ARHGEF2 as a novel tumor suppressor and oncogene pair involved in the pathogenesis of BCLs with important implications for targeted therapies. Significance: We describe the identification of a previously unrecognized ubiquitin ligase–substrate (FBXO45–GEF-H1) regulatory axis that plays an important role in germinal center formation and pathogenesis of common BCLs. These studies reveal novel insights linking dysregulated ubiquitin-mediated control to exploitable vulnerabilities and novel therapeutic strategies for these cancers. © 2025 The Authors; Published by the American Association for Cancer Research.
Keywords: genetics; mouse; animal; metabolism; animals; mice; pathology; b cell lymphoma; germinal center; lymphoma, b-cell; f-box proteins; guanine nucleotide exchange factors; guanine nucleotide exchange factor; f box protein; humans; human
Journal Title: Cancer Discovery
Volume: 15
Issue: 4
ISSN: 2159-8274
Publisher: American Association for Cancer Research  
Date Published: 2025-04-01
Start Page: 838
End Page: 861
Language: English
DOI: 10.1158/2159-8290.Cd-24-0442
PUBMED: 39820335
PROVIDER: scopus
PMCID: PMC11962402
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding authors are Kojo Elenitoba-Johnson and Megan Lim -- Source: Scopus
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MSK Authors
  1. Huan-Chang Liang
    2 Liang
  2. Megan So-Young Lim
    24 Lim
  3. Rui Wu
    2 Wu
  4. Loredana Moro
    1 Moro