title: Differential IgM expression distinguishes two types of pediatric Burkitt lymphoma in mouse and human.
abstract: Endemic Burkitt lymphoma (eBL) is primarily a childhood cancer in parts of Africa and Brazil. Classic studies describe eBL as a homogeneous entity based on t(8;14) IgH-Myc translocation and clinical response to cytotoxic therapy. By contrast, sporadic BL (sBL) in Western countries is considered more heterogeneous, and affects both children and adults. It is overrepresented in AIDS patients. Unlike diffuse large B cell lymphoma (DLBCL), molecular subtypes within BL have not been well defined. We find that differential IgM positivity can be used to describe two subtypes of pediatric Burkitt lymphoma both in a high incidence region (Brazil), as well as in a sporadic region (US), suggesting the phenotype is not necessarily geographically isolated. Moreover, we find that IgM positivity also distinguishes between early and late onset BL in the standard Eμ-Myc mouse model of BL. This suggests that the t(8;14) translocation not only can take place before, but also after isotype switch recombination, and that IgM-negative, t(8;14) positive lymphomas in children should nevertheless be considered BL.
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Microbiology and Immunology, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Anthony B
authors: AB
authors: Eason
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Microbiology and Immunology, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Sang-Hoon
authors: SH
authors: Sin
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Microbiology and Immunology, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Carolina
authors: C
authors: Lin
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Microbiology and Immunology, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Blossom
authors: B
authors: Damania
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Medicine, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Steven
authors: S
authors: Park
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Pathology and Laboratory Medicine, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Yuri
authors: Y
authors: Fedoriw
authors: Pathology Reference Laboratory, Botucatu, São Paulo, Brazil.
authors: Carlos E
authors: CE
authors: Bacchi
authors: Lineberger Comprehensive Cancer Center, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.|Department of Microbiology and Immunology, the University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors: Dirk P
authors: DP
authors: Dittmer
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D014408:Biomarkers, Tumor / Q000235:genetics*; D002051:Burkitt Lymphoma / Q000145:classification* / Q000235:genetics*; D002648:Child; D002675:Child, Preschool; D002883:Chromosomes, Human, Pair 14; D002898:Chromosomes, Human, Pair 8; D005260:Female; D005500:Follow-Up Studies; D016259:Genes, myc; D006801:Humans; D007075:Immunoglobulin M / Q000235:genetics*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D010641:Phenotype; D011379:Prognosis; D014178:Translocation, Genetic; D055815:Young Adult
chemical_list: D014408:Biomarkers, Tumor; D007075:Immunoglobulin M
keywords: Burkitt lymphoma; IgM; Myc; ibrutinib; Epstein-Barr virus