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. 2020 Aug 30;10(8):e037505. doi: 10.1136/bmjopen-2020-037505

Table 1.

Characteristics and prevalence of EBV-attributable cases of BL, HL, NPC and GC

Malignancy Comment on age, gender, regional variations Prevalence of EBV in cases (%) Cellular origin of malignant cells Pattern of EBV gene expression in malignant cells References
BL
 Endemic regions (M:F ratio 3:1) Sub-Saharan Africa have highest risk 95 B cells Type I latency (EBERs, EBNA1) 19–22 25 26
 Intermediate regions (M:F ratio 3:1) North Africa and Middle East, Latin America, have intermediate risk 50
 Non-endemic regions (M:F ratio 3:1) All other regions have low risk 20
HL
 Children <14 years Age group 0–14 years have highest risk 62 B cells Type II latency (EBERs, EBNA1, LMP1) 27 31–36
 Adults 15–54 years Age group 15–54 years lowest risk 30
 Adults>55 years Age group 55+ years have medium/high risk 55
NPC
 High/intermediate incident regions East Asia, South Asia, South East Asia, North Africa and Middle East 100 Epithelial cells Type II latency (EBERs, EBNA1, LMP1) 2 3 23
 Low incident regions All other regions 80
GC
 Males Males have higher risk 11 Epithelial cells Type II latency (EBERs, EBNA1, LMP1) 37 38
 Females Females have lower risk 6

Based on published studies, we estimated the proportion of BL, HL, NPC and GC that are attributable to EBV, taking into consideration any established variations that have been reported in different age, sex and ethnic groups. The cellular origin of each malignancy and the pattern of EBV gene expression is also indicated.

BL, Burkitt lymphoma; EBERs, Epstein-Barr encoded RNA; EBNA, Epstein-Barr nuclear antigen; EBV, Epstein-Barr virus; GC, gastric carcinoma; HL, Hodgkin lymphoma; LMP, latent membrane protein; NPC, nasopharyngeal carcinoma.