Evidence map›Paper›PMID 34617271›Full record

ArticleBritish journal of haematology2022

Epstein-Barr virus status of sporadic Burkitt lymphoma is associated with patient age and mutational features.

Julia Richter, Katharina John, Annette M Staiger, Andreas Rosenwald, Katrin Kurz, Ulf Michgehl, German Ott, Sören Franzenburg, Christian Kohler, Jasmin Finger and 6 more

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In one paragraph

Article in British journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. miRNA profiling in pediatric and young adult Burkitt leukemia and lymphoma.Virchows Archiv : an international journal of pathology · 2026
    Article
  6. [Pediatric burkitt lymphoma primarily involving the adenoids: a case report and literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Subtyping Burkitt Lymphoma by DNA Methylation.Genes, chromosomes & cancer · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Burkitt lymphoma manifested by initial oral and maxillofacial lesions: a case report in a child patient and review of related articles.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2024
    Review
  18. Article
  19. [Lymphomas in children and adolescents].Pathologie (Heidelberg, Germany) · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Julia RichterDepartment of Pathology, Hematopathology Section and Lymph Node Registry, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.ORCID 0000-0002-9543-4084
Katharina JohnDepartment of Pathology, Hematopathology Section and Lymph Node Registry, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.
Annette M StaigerDepartment of Clinical Pathology, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
Andreas RosenwaldInstitute of Pathology, University Würzburg and Comprehensive Cancer Mainfranken, Würzburg, Germany.
Katrin KurzDepartment of Clinical Pathology, Robert-Bosch-Krankenhaus, Stuttgart, Germany.
Ulf MichgehlPediatric Hematology and Oncology, University Hospital Muenster, Muenster, Germany.
German OttDepartment of Clinical Pathology, Robert-Bosch-Krankenhaus, Stuttgart, Germany.ORCID 0000-0001-7990-6793
Sören FranzenburgInstitute for Clinical Molecular Biology, University of Kiel, Kiel, Germany.
Christian KohlerInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Jasmin FingerPediatric Hematology and Oncology, University Hospital Muenster, Muenster, Germany.
Ilske OschliesDepartment of Pathology, Hematopathology Section and Lymph Node Registry, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.
Ulrike PaulDepartment of Pathology, Hematopathology Section and Lymph Node Registry, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.
Reiner SiebertInstitute of Human Genetics, Ulm University and Ulm University Medical Center, Ulm, Germany.
Rainer SpangInstitute of Functional Genomics, University of Regensburg, Regensburg, Germany.
Birgit BurkhardtPediatric Hematology and Oncology, University Hospital Muenster, Muenster, Germany.ORCID 0000-0002-1151-829X
Wolfram KlapperDepartment of Pathology, Hematopathology Section and Lymph Node Registry, Universitätsklinikum Schleswig-Holstein, Kiel, Germany.ORCID 0000-0001-7208-4117
University Hospital Schleswig-Holstein · DERobert Bosch Hospital · DEUniversity Hospital Münster · DEUniversity of Regensburg · DEChristian-Albrechts-Universität zu Kiel · DEComprehensive Cancer Center Mainfranken · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sporadic Burkitt lymphoma (BL) is the most frequent tumour of children and adolescents but a rare subtype of lymphomas in adults. To date most molecular data have been obtained from lymphomas arising in the young. Recently, Epstein-Barr virus (EBV) positive and negative BL in young patients was shown to differ in molecular features. In the present study, we present a large age-overarching cohort of sporadic BL (n = 162) analysed by immunohistochemistry, translocations of MYC proto-oncogene, basic helix-loop-helix transcription factor (MYC), B-cell leukaemia/lymphoma 2 (BCL2) and B-cell leukaemia/lymphoma 6 (BCL6) and by targeted sequencing. We illustrate an age-associated inter-tumoral molecular heterogeneity in this disease. Mutations affecting inhibitor of DNA binding 3, HLH protein (ID3), transcription factor 3 (TCF3) and cyclin D3 (CCND3), which are highly recurrent in paediatric BL, and expression of sex determining region Y-box transcription factor 11 (SOX11) declined with patient age at diagnosis (P = 0·0204 and P = 0·0197 respectively). In contrast, EBV was more frequently detected in adult patients (P = 0·0262). Irrespective of age, EBV-positive sporadic BL showed significantly less frequent mutations in ID3/TCF3/CCND3 (P = 0·0088) but more often mutations of G protein subunit alpha 13 (GNA13; P = 0·0368) and forkhead box O1 (FOXO1; P = 0·0044) compared to EBV-negative tumours. Our findings suggest that among sporadic BL an EBV-positive subgroup of lymphomas increases with patient age that shows distinct pathogenic features reminiscent of EBV-positive endemic BL.

Indexed as

Disease SusceptibilityMutationAdolescentAdultAgedAged, 80 and overAge FactorsAge of OnsetBiomarkers, TumorBurkitt LymphomaCell Transformation, ViralChildChild, PreschoolDNA Mutational AnalysisEpstein-Barr Virus InfectionsFemaleBiomarkers, TumorageBurkitt lymphomaEpstein-Barr virus statusmutations

Identifiers

PMID34617271
OpenAlexW3204588361

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.