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Burkitt’s Lymphoma: Physiopathology and Treatment of EBV-Associated Lymphomas

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Tropical Hemato-Oncology

Abstract

Endemic Burkitt’s lymphoma (eBL) is the single most frequent and represents the vast majority of pediatric lymphomas in sub-Saharan Africa. Pathophysiology of eBL involves latent EBV infection and malaria. Thus far, chemotherapy-based approaches remain the mainstay of the treatment of BL. Despite the major challenges posed to the treatment of BL in high-endemicity and low-income countries, progress has been made, and treatment should be proposed. Current therapy of eBL yields cure rates in the range of 30–50 %, still largely inferior to the 70–90 % achievable in higher-income countries.

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References

  1. Molyneux EM, Rochford R, Griffin B et al (2012) Burkitt’s lymphoma. Lancet 379(9822):1234–1244

    Article  PubMed  Google Scholar 

  2. Zucca E, Rohatiner A, Magrath I, Cavalli F (2011) Epidemiology and management of lymphoma in low-income countries. Hematol Oncol 29(1):1–4

    Article  PubMed  Google Scholar 

  3. Lewis N, Young J, Hesseling PB, McCormick P, Wright N (2012) Epidemiology of Burkitt’s lymphoma in Northwest Province, Cameroon, 2003–2010. Paediatr Int Child Health 32(2):82–85

    Article  CAS  PubMed  Google Scholar 

  4. Taub R, Kirsch I, Morton C et al (1982) Translocation of the c-myc gene into the immunoglobulin heavy chain locus in human Burkitt lymphoma and murine plasmacytoma cells. Proc Natl Acad Sci U S A 79(24):7837–7841

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Pasqualucci L, Guglielmino R, Houldsworth J et al (2004) Expression of the AID protein in normal and neoplastic B cells. Blood 104(10):3318–3325

    Article  CAS  PubMed  Google Scholar 

  6. Preudhomme C, Dervite I, Wattel E et al (1995) Clinical significance of p53 mutations in newly diagnosed Burkitt’s lymphoma and acute lymphoblastic leukemia: a report of 48 cases. J Clin Oncol: Off J Am Soc Clin Oncol 13(4):812–820

    CAS  Google Scholar 

  7. Anderton E, Yee J, Smith P et al (2008) Two Epstein-Barr virus (EBV) oncoproteins cooperate to repress expression of the proapoptotic tumour-suppressor Bim: clues to the pathogenesis of Burkitt’s lymphoma. Oncogene 27(4):421–433

    Article  CAS  PubMed  Google Scholar 

  8. Epstein MA, Achong BG (1964) Virus particles in cultured lymphoblasts from Burkitt’s lymphoma. Lancet 1(7335):702–703

    Article  CAS  PubMed  Google Scholar 

  9. de-Thé G, Geser A, Day NE et al (1978) Epidemiological evidence for causal relationship between Epstein-Barr virus and Burkitt’s lymphoma from Ugandan prospective study. Nature 274(5673):756–761

    Article  PubMed  Google Scholar 

  10. de-The G (1977) Is Burkitt’s lymphoma related to perinatal infection by Epstein-Barr virus? Lancet 1(8007):335–338

    Article  CAS  PubMed  Google Scholar 

  11. Young LS, Rickinson AB (2004) Epstein-Barr virus: 40 years on. Nat Rev Cancer 4(10):757–768

    Article  CAS  PubMed  Google Scholar 

  12. Uchida J, Yasui T, Takaoka-Shichijo Y et al (1999) Mimicry of CD40 signals by Epstein-Barr virus LMP1 in B lymphocyte responses. Science 286(5438):300–303

    Article  CAS  PubMed  Google Scholar 

  13. Mancao C, Altmann M, Jungnickel B, Hammerschmidt W (2005) Rescue of “crippled” germinal center B cells from apoptosis by Epstein-Barr virus. Blood 106(13):4339–4344

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Klein E, Kis LL, Klein G (2007) Epstein-Barr virus infection in humans: from harmless to life endangering virus-lymphocyte interactions. Oncogene 26(9):1297–1305

    Article  CAS  PubMed  Google Scholar 

  15. Laichalk LL, Thorley-Lawson DA (2005) Terminal differentiation into plasma cells initiates the replicative cycle of Epstein-Barr virus in vivo. J Virol 79(2):1296–1307

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Kelly GL, Milner AE, Baldwin GS, Bell AI, Rickinson AB (2006) Three restricted forms of Epstein-Barr virus latency counteracting apoptosis in c-myc-expressing Burkitt lymphoma cells. Proc Natl Acad Sci U S A 103(40):14935–14940

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Kalla M, Hammerschmidt W (2012) Human B cells on their route to latent infection – early but transient expression of lytic genes of Epstein-Barr virus. Eur J Cell Biol 91(1):65–69

    Article  CAS  PubMed  Google Scholar 

  18. Carpenter LM, Newton R, Casabonne D et al (2008) Antibodies against malaria and Epstein-Barr virus in childhood Burkitt lymphoma: a case-control study in Uganda. Int J Cancer 122(6):1319–1323

    Article  CAS  PubMed  Google Scholar 

  19. Chene A, Donati D, Guerreiro-Cacais AO et al (2007) A molecular link between malaria and Epstein-Barr virus reactivation. PLoS Pathog 3(6), e80

    Article  PubMed Central  PubMed  Google Scholar 

  20. De Paoli P, Carbone A (2014) Pathogenesis of HIV-associated cancer. J Clin Oncol 32(27):3078

    Article  Google Scholar 

  21. Patte C, Auperin A, Michon J et al (2001) The Société Française d’Oncologie Pédiatrique LMB89 protocol: highly effective multiagent chemotherapy tailored to the tumor burden and initial response in 561 unselected children with B-cell lymphomas and L3 leukemia. Blood 97(11):3370–3379

    Article  CAS  PubMed  Google Scholar 

  22. Wakabi W (2008) Kenya and Uganda grapple with Burkitt lymphoma. Lancet Oncol 9(4):319

    Article  PubMed  Google Scholar 

  23. Webb S (2009) Customizing anticancer strategies to local needs. J Natl Cancer Inst 101(12):842–844

    Article  PubMed  Google Scholar 

  24. Hesseling PB, Molyneux E, Tchintseme F et al (2008) Treating Burkitt’s lymphoma in Malawi, Cameroon, and Ghana. Lancet Oncol 9(6):512–513

    Article  PubMed  Google Scholar 

  25. Bhakta N, Martiniuk ALC, Gupta S, Howard SC (2013) The cost effectiveness of treating paediatric cancer in low-income and middle-income countries: a case-study approach using acute lymphocytic leukaemia in Brazil and Burkitt lymphoma in Malawi. Arch Dis Child 98(2):155–160

    Article  PubMed  Google Scholar 

  26. Hesseling P, Molyneux E, Kamiza S, Israels T, Broadhead R (2009) Endemic Burkitt lymphoma: a 28-day treatment schedule with cyclophosphamide and intrathecal methotrexate. Ann Trop Paediatr 29(1):29–34

    Article  CAS  PubMed  Google Scholar 

  27. Gopal S, Wood WA, Lee SJ et al (2012) Meeting the challenge of hematologic malignancies in sub-Saharan Africa. Blood 119(22):5078–5087

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  28. Guggisberg K, Okorie C, Khalil M (2011) Cytopathology including fine-needle aspiration in sub-Saharan Africa: a Cameroon experience. Arch Pathol Lab Med 135(2):200–206

    PubMed  Google Scholar 

  29. Hesseling P, Broadhead R, Mansvelt E et al (2005) The 2000 Burkitt lymphoma trial in Malawi. Pediatr Blood Cancer 44(3):245–250

    Article  PubMed  Google Scholar 

  30. Traoré F, Coze C, Atteby J-J et al (2011) Cyclophosphamide monotherapy in children with Burkitt lymphoma: a study from the French-African Pediatric Oncology Group (GFAOP). Pediatr Blood Cancer 56(1):70–76

    Article  PubMed  Google Scholar 

  31. Hesseling PB, Njume E, Kouya F et al (2012) The Cameroon 2008 Burkitt lymphoma protocol: improved event-free survival with treatment adapted to disease stage and the response to induction therapy. Pediatr Hematol Oncol 29(2):119–129

    Article  CAS  PubMed  Google Scholar 

  32. Hesseling P, Israels T, Harif M et al (2013) Practical recommendations for the management of children with endemic Burkitt lymphoma (BL) in a resource limited setting. Pediatr Blood Cancer 60(3):357–362

    Article  PubMed  Google Scholar 

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Correspondence to Felipe Suarez MD, PhD .

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Diop, S., Suarez, F. (2015). Burkitt’s Lymphoma: Physiopathology and Treatment of EBV-Associated Lymphomas. In: Droz, JP., Carme, B., Couppié, P., Nacher, M., Thiéblemont, C. (eds) Tropical Hemato-Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-18257-5_23

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  • DOI: https://doi.org/10.1007/978-3-319-18257-5_23

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18256-8

  • Online ISBN: 978-3-319-18257-5

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