Shanghai Institute of Hematology, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China.
Signal Transduct Target Ther. 2021 Jan 11;6(1):10. doi: 10.1038/s41392-020-00437-8.
Epigenetic alterations play an important role in tumor progression of diffuse large B-cell lymphoma (DLBCL). However, the biological relevance of epigenetic gene mutations on tumor microenvironment remains to be determined. The core set of genes relating to histone methylation (KMT2D, KMT2C, EZH2), histone acetylation (CREBBP, EP300), DNA methylation (TET2), and chromatin remodeling (ARID1A) were detected in the training cohort of 316 patients by whole-genome/exome sequencing (WGS/WES) and in the validation cohort of 303 patients with newly diagnosed DLBCL by targeted sequencing. Their correlation with peripheral blood immune cells and clinical outcomes were assessed. Underlying mechanisms on tumor microenvironment were investigated both in vitro and in vivo. Among all 619 DLBCL patients, somatic mutations in KMT2D (19.5%) were most frequently observed, followed by mutations in ARID1A (8.7%), CREBBP (8.4%), KMT2C (8.2%), TET2 (7.8%), EP300 (6.8%), and EZH2 (2.9%). Among them, CREBBP/EP300 mutations were significantly associated with decreased peripheral blood absolute lymphocyte-to-monocyte ratios, as well as inferior progression-free and overall survival. In B-lymphoma cells, the mutation or knockdown of CREBBP or EP300 inhibited H3K27 acetylation, downregulated FBXW7 expression, activated the NOTCH pathway, and downstream CCL2/CSF1 expression, resulting in tumor-associated macrophage polarization to M2 phenotype and tumor cell proliferation. In B-lymphoma murine models, xenografted tumors bearing CREBBP/EP300 mutation presented lower H3K27 acetylation, higher M2 macrophage recruitment, and more rapid tumor growth than those with CREBBP/EP300 wild-type control via FBXW7-NOTCH-CCL2/CSF1 axis. Our work thus contributed to the understanding of aberrant histone acetylation regulation on tumor microenvironment as an alternative mechanism of tumor progression in DLBCL.
表观遗传改变在弥漫性大 B 细胞淋巴瘤 (DLBCL) 的肿瘤进展中发挥着重要作用。然而,表观遗传基因突变对肿瘤微环境的生物学相关性仍有待确定。通过全基因组/外显子测序 (WGS/WES) 在 316 例患者的训练队列中以及通过靶向测序在 303 例新诊断的 DLBCL 患者的验证队列中检测到与组蛋白甲基化 (KMT2D、KMT2C、EZH2)、组蛋白乙酰化 (CREBBP、EP300)、DNA 甲基化 (TET2) 和染色质重塑 (ARID1A) 相关的核心基因集。评估了它们与外周血免疫细胞和临床结果的相关性。在体外和体内研究了肿瘤微环境的潜在机制。在所有 619 例 DLBCL 患者中,最常观察到 KMT2D (19.5%) 的体细胞突变,其次是 ARID1A (8.7%)、CREBBP (8.4%)、KMT2C (8.2%)、TET2 (7.8%)、EP300 (6.8%) 和 EZH2 (2.9%)。其中,CREBBP/EP300 突变与外周血绝对淋巴细胞与单核细胞比值降低以及无进展生存期和总生存期不良显著相关。在 B 淋巴瘤细胞中,CREBBP 或 EP300 的突变或敲低抑制了 H3K27 乙酰化,下调了 FBXW7 的表达,激活了 NOTCH 通路,以及下游 CCL2/CSF1 的表达,导致肿瘤相关巨噬细胞向 M2 表型极化和肿瘤细胞增殖。在 B 淋巴瘤小鼠模型中,与 CREBBP/EP300 野生型对照相比,携带 CREBBP/EP300 突变的异种移植肿瘤呈现出较低的 H3K27 乙酰化、更高的 M2 巨噬细胞募集和更快的肿瘤生长,这是通过 FBXW7-NOTCH-CCL2/CSF1 轴实现的。我们的工作有助于理解异常组蛋白乙酰化调节对肿瘤微环境的影响,作为 DLBCL 肿瘤进展的另一种机制。
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