Association of childhood leukaemia with factors related to the immune system.

Abstract:

:The childhood peak of common acute lymphoblastic leukaemia has been proposed as being a rare response to delayed exposure to a common infection. In this context, factors related to the child's immune system are of special interest. Information on such factors was obtained in a recent German case-control study comprising more than 1000 children with acute leukaemia. Neither being the first-born child, nor a short duration of breastfeeding, indicators of a deficit in viral contacts during infancy or the number of infectious diseases, were significant risk factors. We observed a strong association with fewer routine immunizations with a 3.2-fold increase for those children getting less than four immunizations, but this association could partly be explained by reporting bias. While tonsillectomy or appendectomy increased the risk of leukaemia in our studies, a protective effect of allergies could be seen. In summary, we found only weak support for the delayed exposure hypothesis. To some extent this may be due to the chosen surrogate markers which reflect, rather indirectly, immunological isolation in infancy and delayed exposure to common viruses. However, the significant findings for routine immunizations, tonsillectomy and allergies of the child or its parents merit further investigation.

journal_name

Br J Cancer

authors

Schüz J,Kaletsch U,Meinert R,Kaatsch P,Michaelis J

doi

10.1038/sj.bjc.6690395

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

585-90

issue

3-4

eissn

0007-0920

issn

1532-1827

journal_volume

80

pub_type

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