Abstract

The characterisation of the lymphoma epigenome has provided insight into mechanisms involved in lymphomagenesis. Multiple lymphoma subtypes demonstrate recurrent mutations in key epigenetic regulators that have been utilised to define clinicogenetic groups that can predict clinical behaviour in these heterogenous entities. The high frequency of mutations in epigenetic regulators provides rationale to incorporate these in the classification of some subtypes of lymphoma. In addition, their recurrent nature provides a rationale to target such mutations, or the relevant pathway, for treatment. In this review, we summarised the available literature on epigenetic dysregulation in lymphoma and how it has been utilised in diagnosis and classification.

Highlights

  • Epigenetics describes the modification of the transcription of genetic code independent of the DNA sequence

  • Epigenetic dysregulation occurs through a complex interplay of different mechanisms, including somatic mutations in key proteins involved in DNA methylation and histone acetylation, deacetylation, and methylation

  • follicular lymphoma (FL) and diffuse large B-cell lymphoma (DLBCL), in particular, are enriched for mutations of histone modifiers, while, in other subtypes, methylation profiles can be reflective of disease biology; epigenetic mutations have been shown to contribute to clinical behaviour

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Summary

Introduction

Epigenetics describes the modification of the transcription of genetic code independent of the DNA sequence. The development of rapid and accurate gene sequencing technologies, such as generation sequencing (NGS), has led to the use of mutational profiling as an integral component of lymphoma classification; mutations of epigenetic genes are frequently encountered The detection of these epigenetic aberrancies may be useful diagnostically, as certain mutational profiles are supportive of a particular diagnosis. There is an emerging recognition that patterns of epigenetic dysregulation, which are often reflective of the underlying stage of differentiation, can be prognostically relevant; specific epigenetic mutations have been incorporated into prognostic scores [3] Certain lymphoma subtypes, such as follicular lymphoma (FL), have a significant degree of epigenetic dysregulation, which likely drives lymphomagenesis and disease progression.

Key Epigenetic Regulators Involved in Lymphomagenesis
The B-Cell Lymphomas
Follicular Lymphoma
Diffuse Large B-Cell Lymphoma
Mantle Cell Lymphoma
Marginal Zone Lymphoma
Classical Hodgkin’s Lymphoma
The T-Cell Lymphomas
Peripheral T-Cell Lymphoma—TFH Phenotype
Angioimmunoblastic Lymphoma
Mycosis Fungoides and Sezary Syndrome
Findings
Conclusions

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