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The EBV-Positive Tumor Methylome Is Distinct from EBV-Negative in Diffuse Large B-Cell Lymphoma.

Ashley K Volaric1, Ramiro Barrantes-Reynolds2, Karine Sahakyan3

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|September 27, 2025
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Summary

Epstein-Barr virus (EBV) causes distinct DNA methylation changes in diffuse large B-cell lymphoma (DLBCL), differentiating EBV(+) from EBV(-) cases. These epigenetic alterations offer potential biomarkers for DLBCL classification and targeted therapies.

Keywords:
DLBCLEBVEpstein–Barr virusdiffuse large B-cell lymphomaepigeneticsmethylationmethylome

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Area of Science:

  • Oncology
  • Virology
  • Epigenetics

Background:

  • Epstein-Barr virus (EBV) is linked to B-cell lymphomas, including diffuse large B-cell lymphoma (DLBCL), particularly in immunocompromised individuals.
  • The precise mechanisms of EBV-driven lymphomagenesis in DLBCL subtypes are not fully understood.
  • Global DNA methylation profiling offers insights into tumor heterogeneity and disease pathogenesis.

Purpose of the Study:

  • To investigate the global DNA methylome of EBV-positive (EBV(+)) versus EBV-negative (EBV(-)) DLBCL.
  • To identify epigenetic differences associated with EBV status in DLBCL.
  • To explore potential epigenetic biomarkers for DLBCL classification and treatment.

Main Methods:

  • Global methylome analysis using Illumina MethylationEPIC arrays on 43 DLBCL tissue samples with defined EBV status.
  • Differential methylation analysis employing linear mixed models to identify EBV-associated methylation changes.
  • Pathway enrichment analysis to determine biological processes affected by differential methylation.

Main Results:

  • EBV(+) DLBCL exhibits a distinct, globally hypermethylated DNA methylome compared to EBV(-) DLBCL.
  • A total of 117,334 differentially methylated probes were identified between EBV(+) and EBV(-) DLBCL, impacting 1557 cancer-associated genes.
  • Pathway analysis revealed hypermethylation in P53 feedback loops and hypomethylation in MAPK signaling in EBV(+) DLBCL.

Conclusions:

  • EBV(+) DLBCL is epigenetically distinct from EBV(-) DLBCL, characterized by significant DNA methylation alterations.
  • These epigenetic differences may contribute to the clinical heterogeneity observed in DLBCL subtypes.
  • Identified epigenetic alterations could serve as potential biomarkers for DLBCL classification and therapeutic targeting.