Insertion of atypical glycans into the tumor antigen-binding site identifies DLBCLs with distinct origin and behavior.


Journal

Blood
ISSN: 1528-0020
Titre abrégé: Blood
Pays: United States
ID NLM: 7603509

Informations de publication

Date de publication:
28 10 2021
Historique:
received: 09 04 2021
accepted: 03 08 2021
pubmed: 24 8 2021
medline: 15 12 2021
entrez: 23 8 2021
Statut: ppublish

Résumé

Glycosylation of the surface immunoglobulin (Ig) variable region is a remarkable follicular lymphoma-associated feature rarely seen in normal B cells. Here, we define a subset of diffuse large B-cell lymphomas (DLBCLs) that acquire N-glycosylation sites selectively in the Ig complementarity-determining regions (CDRs) of the antigen-binding sites. Mass spectrometry and X-ray crystallography demonstrate how the inserted glycans are stalled at oligomannose-type structures because they are buried in the CDR loops. Acquisition of sites occurs in ∼50% of germinal-center B-cell-like DLBCL (GCB-DLBCL), mainly of the genetic EZB subtype, irrespective of IGHV-D-J use. This markedly contrasts with the activated B-cell-like DLBCL Ig, which rarely has sites in the CDR and does not seem to acquire oligomannose-type structures. Acquisition of CDR-located acceptor sites associates with mutations of epigenetic regulators and BCL2 translocations, indicating an origin shared with follicular lymphoma. Within the EZB subtype, these sites are associated with more rapid disease progression and with significant gene set enrichment of the B-cell receptor, PI3K/AKT/MTORC1 pathway, glucose metabolism, and MYC signaling pathways, particularly in the fraction devoid of MYC translocations. The oligomannose-type glycans on the lymphoma cells interact with the candidate lectin dendritic cell-specific intercellular adhesion molecule 3 grabbing non-integrin (DC-SIGN), mediating low-level signals, and lectin-expressing cells form clusters with lymphoma cells. Both clustering and signaling are inhibited by antibodies specifically targeting the DC-SIGN carbohydrate recognition domain. Oligomannosylation of the tumor Ig is a posttranslational modification that readily identifies a distinct GCB-DLBCL category with more aggressive clinical behavior, and it could be a potential precise therapeutic target via antibody-mediated inhibition of the tumor Ig interaction with DC-SIGN-expressing M2-polarized macrophages.

Identifiants

pubmed: 34424958
pii: S0006-4971(21)01511-1
doi: 10.1182/blood.2021012052
pmc: PMC8554650
doi:

Substances chimiques

Cell Adhesion Molecules 0
Complementarity Determining Regions 0
DC-specific ICAM-3 grabbing nonintegrin 0
Lectins, C-Type 0
Polysaccharides 0
Receptors, Cell Surface 0

Types de publication

Journal Article Research Support, N.I.H., Intramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1570-1582

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2021 by The American Society of Hematology.

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Auteurs

Giorgia Chiodin (G)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Joel D Allen (JD)

School of Biological Sciences, University of Southampton, Southampton, United Kingdom.

Dean J Bryant (DJ)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Philip Rock (P)

Department of Pathology and Laboratory Medicine/Hematopathology, University of Rochester Medical Center, Rochester, NY.

Enrica A Martino (EA)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.
Division of Hematology, Azienda Policlinico-Ospedale Vittorio Emanuele, University of Catania, Catania, Italy.

Beatriz Valle-Argos (B)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Patrick J Duriez (PJ)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Yasunori Watanabe (Y)

Oxford Glycobiology Institute, Department of Biochemistry, University of Oxford, Oxford, United Kingdom.

Isla Henderson (I)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

James S Blachly (JS)

Division of Hematology, The Ohio State University, Columbus, OH.

Katy J McCann (KJ)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Jonathan C Strefford (JC)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Graham Packham (G)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Teunis B H Geijtenbeek (TBH)

Department of Experimental Immunology, Amsterdam Infection and Immunity Institute, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.

Carl G Figdor (CG)

Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

George W Wright (GW)

Biometric Research Branch, Division of Cancer Diagnosis and Treatment.

Louis M Staudt (LM)

Lymphoid Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD; and.

Richard Burack (R)

Department of Pathology and Laboratory Medicine/Hematopathology, University of Rochester Medical Center, Rochester, NY.

Thomas A Bowden (TA)

Oxford Glycobiology Institute, Department of Biochemistry, University of Oxford, Oxford, United Kingdom.

Max Crispin (M)

School of Biological Sciences, University of Southampton, Southampton, United Kingdom.

Freda K Stevenson (FK)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.

Francesco Forconi (F)

School of Cancer Sciences, Cancer Research United Kingdom Southampton Centre, Faculty of Medicine.
Haematology Department, Cancer Care Directorate, University Hospital Southampton National Health Service Trust, Southampton, United Kingdom.

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Classifications MeSH