母亲自身免疫疾病及其与儿童癌症的关联:丹麦基于人口的病例控制研究
Helen T Orimoloye1, Nicholas Nguyen2, Chuanjie Deng2
1College of Health and Public Service, University of North Texas, Denton, TX, USA.
EJC paediatric oncology
|February 1, 2024
概括
孕产妇自身免疫性疾病与更高的儿童癌症风险有关. 母亲的风湿性关节炎与其后代的特定儿童癌症有着特别强烈的关联.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科瘤学 儿科瘤学
- 流行病学 流行病学
背景情况:
- 自身免疫性疾病与妊娠并发症有关.
- 患有自身免疫性疾病的家族病史可能会通过基因相容性抗原影响儿童癌症风险.
研究的目的:
- 调查母亲自身免疫性疾病与后代癌症风险之间的关联.
- 分析特定的自身免疫性疾病及其与不同儿童癌症的联系.
主要方法:
- 使用了丹麦国家登记数据 (1977-2016).
- 确定的儿童癌症病例 (<20岁) 和匹配的对照 (25:1).
- 使用多变量条件后勤回归来评估关联.
主要成果:
- 孕产妇自身免疫性疾病 (所有类型) 与儿童癌症的总体发生有积极关联 (OR=1.25).
- 针对急性淋巴细胞白血病 (OR=1.52),伯基特淋巴瘤 (OR=2.69) 和中枢神经系统瘤 (OR=1.45),包括星细胞瘤和质瘤,观察到的特定关联.
- 患有类风湿性关节炎的母亲有明显增加的后代癌症风险 (OR=2.15),特别是质瘤 (OR=3.58).
结论:
- 母亲自身免疫性疾病和儿童癌症之间存在积极的关联.
- 对于患有类风湿性关节炎的母亲的后代来说,风险明显更高.
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