Evidence map›Paper›PMID 41218077›Full record

ArticlePLoS pathogens2025

Epstein-Barr virus-transformed B-cells from a hypoxia model of the germinal center requires external unsaturated fatty acids.

Larissa Havey, Haixi You, Huimin Xian, John M Asara, Rui Guo

Abstract read
In one paragraph

Article in PLoS pathogens, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. A guide to B cell metabolism.Nature reviews. Immunology · 2026
    Review
  2. Article
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Larissa HaveyDepartment of Molecular Biology and Microbiology, Tufts University, Boston, Massachusetts, United States of America.
Haixi YouDepartment of Molecular Biology and Microbiology, Tufts University, Boston, Massachusetts, United States of America.
Huimin XianDepartment of Molecular Biology and Microbiology, Tufts University, Boston, Massachusetts, United States of America.
John M AsaraDivision of Signal Transduction, Beth Israel Deaconess Medical Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.
Rui GuoDepartment of Molecular Biology and Microbiology, Tufts University, Boston, Massachusetts, United States of America.ORCID 0000-0003-4584-1324

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI Irene M. Ghobrial · 1985 to 2026
$330.6M
Tuberous Sclerosis-Pathway and PathogenesisP01CA120964 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI David J. Kwiatkowski · 2007 to 2026
$35.9M
Exploiting Metabolism to Uncloak Epstein-Barr Virus Immunogens in Latently Infected B-cellsR00DE031016 · NIDCR · TUFTS UNIVERSITY BOSTON · PI GUO, RUI · 2023 to 2025
$747k
NCI NIH HHS P01 CA120964NCI NIH HHS P30 CA006516NIDCR NIH HHS R00 DE031016
6 · The paper itself

Abstract

Epstein-Barr virus (EBV) drives over 200,000 cancer cases annually, including diffuse large B-cell lymphoma, Burkitt lymphoma, and classic Hodgkin lymphoma-malignancies that frequently originate from germinal centers (GCs), which are physiologically hypoxic (O2 < 1%). However, conventional transformation models are typically conducted under 21% O2-an artificial condition that fails to replicate the hypoxic GC microenvironment and may obscure critical metabolic vulnerabilities that are therapeutically targetable. Therefore, therapeutic targets identified under 21% O2 conditions may not fully translate to the hypoxic environment of lymphoid tissues, which could limit their effectiveness in vivo. To overcome these limitations, we developed an ex vivo model of EBV-driven B-cell transformation under 1% O2, mimicking GC hypoxia. Under 1% O2, EBV efficiently transformed primary human B-cells, inducing hallmark oncogenic programs and activating super-enhancers at key loci including MYC and IRF4. Multi-omic profiling revealed a distinct hypoxia-adapted metabolic state, characterized by suppressed fatty acid synthesis, enhanced glycolysis and glycerophospholipid metabolism, and increased triglyceride storage in lipid droplets. These adaptations alleviate lipotoxic stress and maintain redox balance but render transformed cells highly dependent on external unsaturated fatty acids. Inhibition of triglyceride synthesis using the DGAT1 inhibitor A922500 selectively impaired proliferation and survival of EBV-transformed B-cells under GC-like hypoxia. These findings define key metabolic dependencies shaped by the hypoxic GC microenvironment and establish a physiologically relevant platform for studying EBV-driven B-cell transformation. Our work highlights the importance of modeling physiological oxygen tension and suggests that targeting lipid uptake and storage pathways may offer new therapeutic opportunities for halting EBV transformation with hypoxic tissue niches.

Indexed as

B-LymphocytesCell Transformation, NeoplasticCell Transformation, ViralEpstein-Barr Virus InfectionsGerminal CenterHerpesvirus 4, HumanCell HypoxiaHumansHypoxia

Identifiers

PMID41218077
PMCPMC12626287

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.