SOX11 expression is restricted to EBV-negative Burkitt lymphoma and is associated with molecular genetic features

Blood. 2024 Jul 11;144(2):187-200. doi: 10.1182/blood.2023023242.

Abstract

SRY-related HMG-box gene 11 (SOX11) is a transcription factor overexpressed in mantle cell lymphoma (MCL), a subset of Burkitt lymphomas (BL) and precursor lymphoid cell neoplasms but is absent in normal B cells and other B-cell lymphomas. SOX11 has an oncogenic role in MCL but its contribution to BL pathogenesis remains uncertain. Here, we observed that the presence of Epstein-Barr virus (EBV) and SOX11 expression were mutually exclusive in BL. SOX11 expression in EBV-negative (EVB-) BL was associated with an IG∷MYC translocation generated by aberrant class switch recombination, whereas in EBV-negative (EBV-)/SOX11-negative (SOX11-) tumors the IG∷MYC translocation was mediated by mistaken somatic hypermutations. Interestingly, EBV- SOX11-expressing BL showed higher frequency of SMARCA4 and ID3 mutations than EBV-/SOX11- cases. By RNA sequencing, we identified a SOX11-associated gene expression profile, with functional annotations showing partial overlap with the SOX11 transcriptional program of MCL. Contrary to MCL, no differences on cell migration or B-cell receptor signaling were found between SOX11- and SOX11-positive (SOX11+) BL cells. However, SOX11+ BL showed higher adhesion to vascular cell adhesion molecule 1 (VCAM-1) than SOX11- BL cell lines. Here, we demonstrate that EBV- BL comprises 2 subsets of cases based on SOX11 expression. The mutual exclusion of SOX11 and EBV, and the association of SOX11 with a specific genetic landscape suggest a role of SOX11 in the early pathogenesis of BL.

MeSH terms

  • Burkitt Lymphoma* / genetics
  • Burkitt Lymphoma* / metabolism
  • Burkitt Lymphoma* / pathology
  • Burkitt Lymphoma* / virology
  • DNA Helicases / genetics
  • DNA Helicases / metabolism
  • Epstein-Barr Virus Infections / complications
  • Epstein-Barr Virus Infections / genetics
  • Epstein-Barr Virus Infections / virology
  • Gene Expression Regulation, Neoplastic
  • Herpesvirus 4, Human* / genetics
  • Humans
  • Inhibitor of Differentiation Proteins / genetics
  • Inhibitor of Differentiation Proteins / metabolism
  • Male
  • Mutation
  • Nuclear Proteins
  • SOXC Transcription Factors* / genetics
  • SOXC Transcription Factors* / metabolism
  • Transcription Factors / genetics
  • Transcription Factors / metabolism
  • Translocation, Genetic

Substances

  • SOXC Transcription Factors
  • SOX11 protein, human
  • SMARCA4 protein, human
  • DNA Helicases
  • Transcription Factors
  • Inhibitor of Differentiation Proteins
  • Nuclear Proteins