Ontology highlight
ABSTRACT: Abstract
Burkitt lymphoma (BL) is characterized by a tumor microenvironment (TME) in which macrophages represent the main component, determining a distinct histological appearance known as "starry sky" pattern. However, in some instances, BL may exhibit a granulomatous reaction that has been previously linked to favorable prognosis and spontaneous regression. The aim of our study was to deeply characterize the immune landscape of 7 cases of Epstein-Barr virus-positive (EBV+) BL with granulomatous reaction compared with 8 cases of EBV+ BL and 8 EBV-negative (EBV-) BL, both with typical starry sky pattern, by Gene expression profiling performed on the NanoString nCounter platform. Subsequently, the data were validated using multiplex and combined immunostaining. Based on unsupervised clustering of differentially expressed genes, BL samples formed 3 distinct clusters differentially enriched in BL with a diffuse granulomatous reaction (cluster 1), EBV+ BL with typical starry sky pattern (cluster 2), EBV- BL with typical "starry sky" (cluster 3). We observed variations in the immune response signature among BL with granulomatous reaction and BL with typical "starry sky," both EBV+ and EBV-. The TME signature in BL with diffuse granulomatous reaction showed a proinflammatory response, whereas BLs with "starry sky" were characterized by upregulation of M2 polarization and protumor response. Moreover, the analysis of additional signatures revealed an upregulation of the dark zone signature and epigenetic signature in BL with a typical starry sky. Tumor-associated macrophages and epigenetic regulators may be promising targets for additional therapies for BL lymphoma, opening novel immunotherapeutic strategies.
SUBMITTER: Siciliano MC
PROVIDER: S-EPMC11372814 | biostudies-literature | 2024 Aug
REPOSITORIES: biostudies-literature
Siciliano Maria Chiara MC Bertolazzi Giorgio G Morello Gaia G Tornambè Salvatore S Del Corvo Marcello M Granai Massimo M Sapienza Maria Rosaria MR Leahy Ciara I CI Fennell Eanna E Belmonte Beatrice B Arcuri Felice F Vannucchi Margherita M Mancini Virginia V Guazzo Raffaella R Boccacci Roberto R Onyango Noel N Nyagol Joshua J Santi Raffaella R Di Stefano Gioia G Ferrara Domenico D Bellan Cristiana C Marafioti Teresa T Ott German G Siebert Reiner R Quintanilla-Fend Leticia L Fend Falko F Murray Paul P Tripodo Claudio C Pileri Stefano S Lazzi Stefano S Leoncini Lorenzo L
Blood advances 20240801 16
<h4>Abstract</h4>Burkitt lymphoma (BL) is characterized by a tumor microenvironment (TME) in which macrophages represent the main component, determining a distinct histological appearance known as "starry sky" pattern. However, in some instances, BL may exhibit a granulomatous reaction that has been previously linked to favorable prognosis and spontaneous regression. The aim of our study was to deeply characterize the immune landscape of 7 cases of Epstein-Barr virus-positive (EBV+) BL with gran ...[more]