The clinical features of EBV-positive diffuse large B cell lymphoma (DLBCL) indicate a poorer prognosis than EBV-negative DLBCL. Currently, there is no efficacious drug for EBV-positive DLBCL. The cytokine interleukin-21 (IL-21) has been reported to be pro-apoptotic in DLBCL cell lines and is being explored as a new therapeutic strategy for this type of lymphomas. However, our previous studies showed that IL-21 stimulation of EBV-positive DLBCL cell lines leads to increased proliferation. Here, analysis of a rare clinical sample of EBV-positive DLBCL, in combination with a NOD/SCID mouse xenograft model, confirmed the effect of IL-21 on the proliferation of EBV-positive DLBCL cells. Using RNA-sequencing, we identified the pattern of differentially-expressed genes following IL-21 treatment and verified the expression of key genes at the protein level using western blotting. We found that IL-21 upregulates expression of the host MYC and AP-1 (composed of related Jun and Fos family proteins) and STAT3 phosphorylation, as well as expression of the viral LMP-1 protein. These proteins are known to promote the G1/S phase transition to accelerate cell cycle progression. Furthermore, in NOD/SCID mouse xenograft model experiments, we found that IL-21 treatment increases glucose uptake and angiogenesis in EBV-positive DLBCL tumours. Although more samples are needed to validate these observations, our study reconfirms the adverse effects of IL-21 on EBVpositive DLBCL, which has implications for the drug development of DLBCL. Diffuse large B cell lymphoma (DLBCL) accounts for 30% of adult non-Hodgkin's lymphoma (NHL) and is the most common type of malignant lymphoma. Epstein-Barr virus (EBV)-positive DLBCL is a newly defined subgroup of DLBCL that refers to the proliferation of B cell clones carrying EBV 1. The 2008 World Health Organization classification included "Elderly EBV-positive DLBCL" as a temporary entity. However, EBV-positive DLBCL is now increasingly recognised in younger patients, with a broader morphological profile and better survival outcome than originally thought, resulting in the replacement of the name "elderly EBV-positive DLBCL" with "EBV-positive DLBCL" 1. Approximately 10% of all patients with DLBCL present with EBV positivity 2-4. The