Table 1.
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.