Relationship between Plasmodium falciparum malaria prevalence, genetic diversity and endemic Burkitt lymphoma in Malawi

William Johnston, Nora Mutalima, David Sun, Benjamin Emmanuel, Kishor Bhatia, Peter Aka, Xiao Lin Wu, Eric Borgstein, George Liomba, Steve Kamiza, Nyengo Mkandawire, Mkume Batumba, Lucy Carpenter, Harold Jaffe, Elizabeth Molyneux, James Goedert, Daniel Soppet, Robert Newton, Sam Mbulaiteye

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    43 Citations (Scopus)

    Abstract

    Endemic Burkitt lymphoma (eBL) has been linked to Plasmodium falciparum (Pf) malaria infection, but the contribution of infection with multiple Pf genotypes is uncertain. We studied 303 eBL (cases) and 274 non eBL-related cancers (controls) in Malawi using a sensitive and specific molecular-barcode array of 24 independently segregating Pf single nucleotide polymorphisms. Cases had a higher Pf malaria prevalence than controls (64.7% versus 45.3%; odds ratio [OR] 2.1, 95% confidence interval (CI): 1.5 to 3.1). Cases and controls were similar in terms of Pf density (4.9 versus 4.5 log copies, p = 0.28) and having ≥3 non-clonal calls (OR 2.7, 95% CI: 0.7-9.9, P = 0.14). However, cases were more likely to have a higher Pf genetic diversity score (153.9 versus 133.1, p = 0.036), which measures a combination of clonal and non-clonal calls, than controls. Further work is needed to evaluate the possible role of Pf genetic diversity in the pathogenesis of endemic BL.

    Original languageEnglish
    Article number3741
    Number of pages5
    JournalScientific Reports
    Volume4
    Issue number3741
    DOIs
    Publication statusPublished - 17 Jan 2014

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