Universidade Federal de Jataí, Jataí, GO, Brazil.
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Einstein (Sao Paulo). 2023 Jul 10;21:eRC0378. doi: 10.31744/einstein_journal/2023RC0378. eCollection 2023.
In equatorial Brazil, the association of Burkitt lymphoma and Epstein-Barr virus manifests at high rates. Here, we report, for the first time, amplifications of aurora kinase genes (AURKA/B) in a patient with a history of periodontal abscess and the presence of a remaining nodule, diagnosed with Burkitt lymphoma and Epstein-Barr virus, and /HIV positive. The patient was a 38-year-old man who presented with a 2-week-old severe jaw pain and a 3-day-old severe bilateral headache. He had a history of human papilloma virus. Interphase FISH analysis showed AURKA and AURKB amplification. The patient's condition worsened, progressing to death a month after the initial care. Changes in the MYCC and AURKA pathways are directly associated with genomic instability. Thus, MYCC rearrangements and higher expression of AURKA/B may be associated with therapy resistance, highlighting the importance of AURKA/B evaluation in Burkitt lymphoma.
在赤道巴西,伯基特淋巴瘤与 EBV 的关联率很高。在此,我们首次报道了一名曾有牙周脓肿病史且存在残余结节的患者,该患者诊断为伯基特淋巴瘤和 EBV/HIV 阳性,存在极光激酶基因(AURKA/B)扩增。该患者为 38 岁男性,表现为 2 周前严重颌痛和 3 天前严重双侧头痛。他曾感染人乳头瘤病毒。间期 FISH 分析显示 AURKA 和 AURKB 扩增。患者病情恶化,在最初治疗后一个月死亡。MYCC 和 AURKA 通路的改变与基因组不稳定性直接相关。因此,MYCC 重排和 AURKA/B 高表达可能与治疗耐药性有关,这突显了在伯基特淋巴瘤中评估 AURKA/B 的重要性。