The Determining of Pesticide Residue Levels in Children Diagnosed with Acute Leukemia in Cukurova Region, Turkiye

Sema Yilmaz1, Nebile Daglioglu2, Nihal Inandiklioglu3

  • 1Kocaeli City Hospital, Department of Pediatric Hematology and Oncology, Izmit, Turkiye.

Insights

Pesticide residues, including PCBs and HCH isomers, were significantly higher in children with acute lymphoblastic leukemia (ALL) compared to healthy children. Reducing pesticide exposure is crucial for public health and potentially preventing childhood leukemia.

Area of Science:

  • Environmental Health
  • Pediatric Oncology
  • Toxicology

Background:

  • Acute lymphoblastic leukemia (ALL) is the most prevalent childhood cancer.
  • Childhood exposure to pesticides can occur prenatally or postnatally.
  • This study investigates the link between pesticide residues and childhood ALL.

Purpose of the Study:

  • To quantify and compare pesticide residues in acute leukemia patients and healthy children.
  • To identify specific pesticide types associated with childhood leukemia.

Main Methods:

  • Analyzed bone marrow samples from 29 newly diagnosed ALL patients.
  • Analyzed peripheral blood samples from 33 healthy children.
  • Quantified organochlorine pesticides (OCPs) and organophosphate pesticides (OPPs), including PCBs, HCB, HCH isomers, DDT, DDD, and DDE.

Main Results:

  • Beta-HCH, delta-HCH, and PCB28 were the most frequently detected OCPs.
  • Triflumizole and thiometon were common OPPs.
  • Significant statistical differences (p=0.001) in PCB28, beta-HCH, delta-HCH, triflumizole, and thiometon levels were observed between ALL patients and controls.

Conclusions:

  • Elevated pesticide residues, particularly PCBs and HCH isomers, are significantly associated with childhood ALL.
  • These findings highlight the importance of public health measures to reduce pesticide exposure.
  • Pesticide exposure may play a role in the etiology of childhood leukemia.
Abstract