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Epstein-Barr virus and human malignancy.

J L Ziegler, I T Magrath, P Gerber

    Annals of Internal Medicine
    |March 1, 1977
    PubMed
    Summary
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    The Epstein-Barr virus is linked to Burkitt's lymphoma and nasopharyngeal carcinoma. However, current evidence is insufficient to confirm the virus as a cause of these human cancers or its exact significance.

    Area of Science:

    • Oncology
    • Virology
    • Immunology

    Background:

    • The Epstein-Barr virus (EBV) is a widespread human herpesvirus.
    • EBV has been associated with specific human cancers, including Burkitt's lymphoma and nasopharyngeal carcinoma.

    Purpose of the Study:

    • To review the evidence linking Epstein-Barr virus to Burkitt's lymphoma and nasopharyngeal carcinoma.
    • To present hypotheses on the potential role of EBV in the etiology of these malignancies.

    Main Methods:

    • Review of seroepidemiologic data.
    • Summary of virologic findings.
    • Analysis of immunologic evidence.

    Main Results:

    • Seroepidemiologic, virologic, and immunologic evidence supports an association between EBV and these cancers.

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  • Several hypotheses regarding EBV's potential etiologic role have been proposed.

    • Conclusions:

    • The current evidence does not definitively establish Epstein-Barr virus as oncogenic in humans.
    • The precise biological and clinical significance of the EBV association with Burkitt's lymphoma and nasopharyngeal carcinoma remains undetermined.