医疗辅助生殖和后代癌症风险
Paula Rios1,2, Philippe Herlemont1, Patricia Fauque3
1EPI-PHARE Scientific Interest Group in Epidemiology of Health Products, French National Agency for Medicines and Health Products Safety, French National Health Insurance, Saint-Denis, France.
JAMA network open
|May 2, 2024
概括
在使用辅助生殖技术 (如冷胚胎移植 (FET) 或新鲜胚胎移植 (ET) 后出生的儿童患白血病的风险增加. 这一发现凸显了持续监测辅助生殖技术 (ART) 使用的必要性.
科学领域:
- 儿科瘤学 儿科瘤学
- 生殖医学是一种生殖医学.
- 流行病学 流行病学
背景情况:
- 儿童癌症是一个全球性的健康问题.
- 医疗辅助生殖 (MAR) 治疗是由于表观遗传效应导致儿童癌症的潜在风险因素.
研究的目的:
- 为了评估通过MAR怀孕的儿童的癌症风险,与自然怀孕相比.
- 通过特定类型和MAR方法分析癌症风险.
主要方法:
- 法国一项全国性队列研究 (EPI-MERES) 分析了2010-2021年间的活产婴儿.
- 考克斯的比例危险模型比较了MAR怀孕和自然怀孕的孩子之间的癌症风险.
- 根据母亲和孩子的特征进行了调整.
主要成果:
- 在MAR和自然受孕的孩子之间没有发现总体癌症风险差异.
- 在冷胚胎移植 (FET) 后出生的儿童患急性淋巴细胞白血病的风险更高.
- 在新生胚胎移植 (ET) 后出生的儿童在2010-2015年间出生时患白血病的风险增加.
结论:
- 在FET或新生ET后出生的儿童可能患白血病的风险较高.
- 虽然绝对病例数量很少,但随着辅助生殖技术 (ART) 的日益使用,需要持续监测.
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