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SOX11, a key oncogenic factor in mantle cell lymphoma

Beekman, Renéea,b; Amador, Virginiaa,b,*; Campo, Eliasa,b,c,*

Current Opinion in Hematology: July 2018 - Volume 25 - Issue 4 - p 299–306
doi: 10.1097/MOH.0000000000000434

Purpose of review SOX11 has emerged as a key transcription factor in the pathogenesis of mantle cell lymphoma (MCL) whereas it is not expressed in normal B cells or virtually in any other mature B-cell neoplasm. This review will examine the role of SOX11 as a biomarker in MCL, the new information on its transcriptional targets, and the mechanisms regulating its expression in MCL.

Recent findings SOX11 is highly expressed in conventional MCL, including cyclin D1-negative cases, but it is not expressed in the indolent leukemic nonnodal MCL subtype. These two MCL subtypes also differ in their cell-of-origin, IGHV mutational status and genomic instability. SOX11 promotes tumor growth of MCL cells in vivo and regulates a broad transcriptional program that includes B-cell differentiation pathways and tumor–microenvironment interactions, among others. The mechanisms upregulating SOX11 in MCL are not well understood but are mediated in part by the three-dimensional reconfiguration of the DNA, bringing together a distant enhancer region and the SOX11 promoter.

Summary SOX11 is a relevant element in the pathogenesis of MCL and has been instrumental to identify two distinct clinicobiological subtypes of this tumor. Further studies should clarify the mechanisms mediating its oncogenic potential and leading to its intriguing expression in these tumors.

aInstitut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona

bCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid

cHematopathology Section, Laboratory of Pathology, Hospital Clínic of Barcelona, University of Barcelona, Barcelona, Spain

Correspondence to Elias Campo, Unitat Hematopatologia, Hospital Clínic, Villarroel 170, 08036 Barcelona, Spain. Tel: +34 93 2275450; e-mail:

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