暴露于per-和多基基物质和血液癌症:系统性审查和元分析
Michele Sassano1, Sirui Zhang2, Elizabeth Maria Kappil2
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Cancer epidemiology
|April 27, 2025
概括
暴露在per-和多基基物质 (PFAS) 中可能与血液癌症有关. 这一系统性审查发现了PFAS和非霍奇金淋巴瘤之间的暗示性关联,与男性其他血液癌症的微弱联系.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 和多基基物质 (PFAS) 是广泛存在的环境污染物.
- 新出现的证据表明,PFAS暴露与癌症风险增加之间存在潜在联系.
- 由于不确的发现,PFAS和血液癌症之间的关联需要进一步调查.
研究的目的:
- 系统地审查和分析有关PFAS暴露与血液癌症之间关联的流行病学研究.
- 研究PFAS与特定类型的血液性恶性瘤 (包括白血病和淋巴瘤) 之间的关系.
- 提供关于PFAS和血液癌症风险的当前证据的全面摘要.
主要方法:
- 在PubMed和Scopus数据库的系统文献搜索 (2025年4月).
- 包括检查PFAS暴露和癌症的流行病学研究,不包括肝脏,脏和丸.
- 使用限制最大概率 (REML) 的相对风险 (RRs) 和95%置信区间 (CI) 的元分析.
主要成果:
- 在分析中包括了14项研究.
- 聚合的RR显示PFAS暴露与总血液癌症 (RR:1.04),白血病 (RR:1.04) 或淋巴瘤 (RR:1.06) 之间没有显著的关联.
- 在PFAS暴露和非霍奇金淋巴瘤发病率之间发现了显著的关联 (RR: 1.15). 在男性的全血性癌症和白血病中发现了弱相关性.
结论:
- PFAS暴露与非霍奇金淋巴瘤的风险增加有关.
- 证据表明PFAS与其他血液癌症 (包括白血病和霍奇金淋巴瘤) 之间的关联是有限的.
- 需要进一步的研究来证实这些发现,解决流行病学研究中的潜在暴露错误分类问题.
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