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Medical History, Lifestyle, Family History, and Occupational Risk Factors for Mantle Cell Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

Identifieur interne : 003730 ( Main/Exploration ); précédent : 003729; suivant : 003731

Medical History, Lifestyle, Family History, and Occupational Risk Factors for Mantle Cell Lymphoma: The InterLymph Non-Hodgkin Lymphoma Subtypes Project

Auteurs : Karin E. Smedby ; Joshua N. Sampson ; Jennifer J. Turner ; Susan L. Slager ; Marc Maynadié ; Eve Roman ; Thomas M. Habermann ; Christopher R. Flowers ; Sonja I. Berndt ; Paige M. Bracci ; Henrik Hjalgrim ; Dennis D. Weisenburger ; Lindsay M. Morton

Source :

RBID : PMC:4155462

Descripteurs français

English descriptors

Abstract

Background

The etiology of mantle cell lymphoma (MCL), a distinctive subtype accounting for 2%–10% of all non-Hodgkin lymphoma, is not known.

Methods

We investigated associations with self-reported medical history, lifestyle, family history, and occupational risk factors in a pooled analysis of 557 patients with MCL and 13766 controls from 13 case–control studies in Europe, North America, and Australia. Odds ratios (ORs) and 95% confidence intervals (CIs) associated with each exposure were examined using multivariate logistic regression models.

Results

The median age of the MCL patients was 62 years and 76% were men. Risk of MCL was inversely associated with history of hay fever (OR = 0.63, 95% CI = 0.48 to 0.82), and the association was independent of other atopic diseases and allergies. A hematological malignancy among first-degree relatives was associated with a twofold increased risk of MCL (OR = 1.99, 95% CI = 1.39 to 2.84), which was stronger in men (OR = 2.21, 95% CI = 1.44 to 3.38) than women (OR = 1.61, 95% CI = 0.82 to 3.19). A modestly increased risk of MCL was also observed in association with ever having lived on a farm (OR = 1.40, 95% CI = 1.03 to 1.90). Unlike some other non-Hodgkin lymphoma subtypes, MCL risk was not statistically significantly associated with autoimmune disorders, tobacco smoking, alcohol intake, body mass index, or ultraviolet radiation.

Conclusions

The novel observations of a possible role for atopy and allergy and farm life in risk of MCL, together with confirmatory evidence of a familial link, suggest a multifactorial etiology of immune-related environmental exposures and genetic susceptibility. These findings provide guidance for future research in MCL etiology.


Url:
DOI: 10.1093/jncimonographs/lgu007
PubMed: 25174028
PubMed Central: 4155462


Affiliations:


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<term>Adulte d'âge moyen</term>
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<title>Background</title>
<p>The etiology of mantle cell lymphoma (MCL), a distinctive subtype accounting for 2%–10% of all non-Hodgkin lymphoma, is not known.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>We investigated associations with self-reported medical history, lifestyle, family history, and occupational risk factors in a pooled analysis of 557 patients with MCL and 13766 controls from 13 case–control studies in Europe, North America, and Australia. Odds ratios (ORs) and 95% confidence intervals (CIs) associated with each exposure were examined using multivariate logistic regression models.</p>
</sec>
<sec>
<title>Results</title>
<p>The median age of the MCL patients was 62 years and 76% were men. Risk of MCL was inversely associated with history of hay fever (OR = 0.63, 95% CI = 0.48 to 0.82), and the association was independent of other atopic diseases and allergies. A hematological malignancy among first-degree relatives was associated with a twofold increased risk of MCL (OR = 1.99, 95% CI = 1.39 to 2.84), which was stronger in men (OR = 2.21, 95% CI = 1.44 to 3.38) than women (OR = 1.61, 95% CI = 0.82 to 3.19). A modestly increased risk of MCL was also observed in association with ever having lived on a farm (OR = 1.40, 95% CI = 1.03 to 1.90). Unlike some other non-Hodgkin lymphoma subtypes, MCL risk was not statistically significantly associated with autoimmune disorders, tobacco smoking, alcohol intake, body mass index, or ultraviolet radiation.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The novel observations of a possible role for atopy and allergy and farm life in risk of MCL, together with confirmatory evidence of a familial link, suggest a multifactorial etiology of immune-related environmental exposures and genetic susceptibility. These findings provide guidance for future research in MCL etiology.</p>
</sec>
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<name sortKey="Berndt, Sonja I" sort="Berndt, Sonja I" uniqKey="Berndt S" first="Sonja I." last="Berndt">Sonja I. Berndt</name>
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<name sortKey="Flowers, Christopher R" sort="Flowers, Christopher R" uniqKey="Flowers C" first="Christopher R." last="Flowers">Christopher R. Flowers</name>
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