Capdevielle P, Darie H, Barabé P
Med Trop (Mars). 1983 May-Jun;43(3):227-33.
Different aetiological factors of Burkitt's disease, or Burkitt's lymphoma (BL) are considered in an analytical, then synthetical point of view, according to present admitted facts. Epidemiologic data are recalled in order to assign a place to the disease. Relations with Epstein-Barr virus (E.B.V.) are well-known by comparative pathology (connections between animal tumors and herpetic virus), virologic and serologic studies; the role of E.B.V. is based on the presence of viral genomas and nuclear antigens in tumoral cells of B.L.; there are B.L. without E.B.V., but constantly improved study of anti-E.B.V. antibodies, and viral markers, will may be decrease their number. Connections with malaria caused by Plasmodium falciparum are recognized. Discovery of chromosomal aberrations is a new important stage. At the present time, it is generally guessed that: a) the initiation of malignant process might be induced by E.B.V. b) an external agent might cause the promotion of cellular division. c) chromosomal abnormality might be responsible for the malignant transformation.
根据目前公认的事实,从分析再到综合的角度考虑了伯基特氏病或伯基特氏淋巴瘤(BL)的不同病因。回顾了流行病学数据以便为该疾病定位。通过比较病理学(动物肿瘤与疱疹病毒之间的联系)、病毒学和血清学研究,与爱泼斯坦 - 巴尔病毒(E.B.V.)的关系已为人熟知;E.B.V.的作用基于其病毒基因组和核抗原在BL肿瘤细胞中的存在;存在无E.B.V.的BL,但不断改进的抗E.B.V.抗体及病毒标志物研究可能会减少其数量。已认识到与恶性疟原虫引起的疟疾之间的联系。染色体畸变的发现是一个新的重要阶段。目前,一般推测:a)恶性过程的起始可能由E.B.V.诱导;b)外部因素可能导致细胞分裂的促进;c)染色体异常可能是恶性转化的原因。