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Atopic disease and risk of non-Hodgkin lymphoma: an InterLymph pooled analysis

Identifieur interne : 001446 ( Pmc/Corpus ); précédent : 001445; suivant : 001447

Atopic disease and risk of non-Hodgkin lymphoma: an InterLymph pooled analysis

Auteurs : Claire M. Vajdic ; Michael O. Falster ; Silvia De Sanjose ; Otoniel Martínez-Maza ; Nikolaus Becker ; Paige M. Bracci ; Mads Melbye ; Karin Ekström Smedby ; Eric A. Engels ; Jennifer Turner ; Paolo Vineis ; Adele Seniori Costantini ; Elizabeth A. Holly ; Eleanor Kane ; John J. Spinelli ; Carlo La Vecchia ; Tongzhang Zheng ; Brian C.-H. Chiu ; Luigino Dal Maso ; Pierluigi Cocco ; Marc Maynadié ; Lenka Foretova ; Anthony Staines ; Paul Brennan ; Scott Davis ; Richard Severson ; James R. Cerhan ; Elizabeth C. Breen ; Brenda Birmann ; Wendy Cozen ; Andrew E. Grulich

Source :

RBID : PMC:2758272

Abstract

We performed a pooled analysis of data on atopic disease and risk of non-Hodgkin lymphoma (NHL) from 13 case-control studies, including13,535 NHL cases and 16,388 controls. Self-reported atopic diseases diagnosed two or more years before NHL diagnosis (cases) or interview (controls) were analyzed. Pooled odds ratios (OR) and 95% confidence intervals were computed in two-stage random-effects or joint fixed-effects models, adjusted for age, sex, and study center. When modeled individually, lifetime history of asthma, hay fever, a specific allergy (excluding hay fever, asthma and eczema), and food allergy were associated with a significant reduction in NHL risk, and there was no association for eczema. When each atopic condition was included in the same model, reduced NHL risk was only associated with history of allergy (OR 0.80, 95% CI 0.68–0.94), and reduced B-cell NHL risk was associated with history of hay fever (OR 0.85, 95% CI 0.77–0.95) and allergy (OR 0.84, 95% CI 0.76–0.93). Significant reductions in B-cell NHL risk were also observed in individuals who were likely to be truly or highly atopic - those with hay fever, allergy or asthma and at least one other atopic condition over their lifetime. The inverse associations were consistent for the diffuse large B-cell and follicular subtypes. Eczema was positively associated with lymphomas of the skin; misdiagnosis of lymphoma as eczema is likely, but progression of eczema to cutaneous lymphoma cannot be excluded. This pooled study demonstrates evidence of a modest but consistent reduction in the risk of B-cell NHL associated with atopy.


Url:
DOI: 10.1158/0008-5472.CAN-08-4372
PubMed: 19654312
PubMed Central: 2758272

Links to Exploration step

PMC:2758272

Le document en format XML

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<name sortKey="Vajdic, Claire M" sort="Vajdic, Claire M" uniqKey="Vajdic C" first="Claire M." last="Vajdic">Claire M. Vajdic</name>
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<nlm:aff id="A1">UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia</nlm:aff>
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<name sortKey="Falster, Michael O" sort="Falster, Michael O" uniqKey="Falster M" first="Michael O." last="Falster">Michael O. Falster</name>
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<nlm:aff id="A1">UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia</nlm:aff>
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<nlm:aff id="A2">National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia</nlm:aff>
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<name sortKey="Sanjose, Silvia De" sort="Sanjose, Silvia De" uniqKey="Sanjose S" first="Silvia De" last="Sanjose">Silvia De Sanjose</name>
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<nlm:aff id="A3">Epidemiologia i Registre del Càncer, Institut Català d' Oncologia, Barcelona, Spain</nlm:aff>
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<nlm:aff id="A4">CIBER Epidemiologia y Salud Publica, Barcelona, Spain</nlm:aff>
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<author>
<name sortKey="Martinez Maza, Otoniel" sort="Martinez Maza, Otoniel" uniqKey="Martinez Maza O" first="Otoniel" last="Martínez-Maza">Otoniel Martínez-Maza</name>
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<nlm:aff id="A5">Departments of Obstetrics & Gynecology and Microbiology, Immunology and Molecular Genetics, UCLA AIDS Institute and Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA</nlm:aff>
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<name sortKey="Becker, Nikolaus" sort="Becker, Nikolaus" uniqKey="Becker N" first="Nikolaus" last="Becker">Nikolaus Becker</name>
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<nlm:aff id="A6">Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany</nlm:aff>
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<name sortKey="Bracci, Paige M" sort="Bracci, Paige M" uniqKey="Bracci P" first="Paige M." last="Bracci">Paige M. Bracci</name>
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<nlm:aff id="A7">Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco CA, USA</nlm:aff>
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<name sortKey="Melbye, Mads" sort="Melbye, Mads" uniqKey="Melbye M" first="Mads" last="Melbye">Mads Melbye</name>
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<nlm:aff id="A8">Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark</nlm:aff>
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<name sortKey="Smedby, Karin Ekstrom" sort="Smedby, Karin Ekstrom" uniqKey="Smedby K" first="Karin Ekström" last="Smedby">Karin Ekström Smedby</name>
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<nlm:aff id="A9">Department of Medicine, Clinical Epidemiology Unit, and Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff>
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<name sortKey="Engels, Eric A" sort="Engels, Eric A" uniqKey="Engels E" first="Eric A." last="Engels">Eric A. Engels</name>
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<nlm:aff id="A10">Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville MD, USA</nlm:aff>
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<name sortKey="Turner, Jennifer" sort="Turner, Jennifer" uniqKey="Turner J" first="Jennifer" last="Turner">Jennifer Turner</name>
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<nlm:aff id="A11">Department of Anatomical Pathology, St Vincent’s Hospital, Sydney, Australia</nlm:aff>
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<name sortKey="Vineis, Paolo" sort="Vineis, Paolo" uniqKey="Vineis P" first="Paolo" last="Vineis">Paolo Vineis</name>
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<nlm:aff id="A12">Environmental Epidemiology, Imperial College London, London, UK</nlm:aff>
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<name sortKey="Costantini, Adele Seniori" sort="Costantini, Adele Seniori" uniqKey="Costantini A" first="Adele Seniori" last="Costantini">Adele Seniori Costantini</name>
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<nlm:aff id="A13">Occupational and Environmental Epidemiology Unit, Institute for Study and Prevention of Cancer, Florence, Italy</nlm:aff>
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<name sortKey="Holly, Elizabeth A" sort="Holly, Elizabeth A" uniqKey="Holly E" first="Elizabeth A." last="Holly">Elizabeth A. Holly</name>
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<nlm:aff id="A7">Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco CA, USA</nlm:aff>
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<name sortKey="Kane, Eleanor" sort="Kane, Eleanor" uniqKey="Kane E" first="Eleanor" last="Kane">Eleanor Kane</name>
<affiliation>
<nlm:aff id="A14">Epidemiology & Genetics Unit, Department of Health Sciences, University of York, York, UK</nlm:aff>
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<author>
<name sortKey="Spinelli, John J" sort="Spinelli, John J" uniqKey="Spinelli J" first="John J." last="Spinelli">John J. Spinelli</name>
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<nlm:aff id="A15">Cancer Control Research Program, BC Cancer Agency, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
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<name sortKey="Vecchia, Carlo La" sort="Vecchia, Carlo La" uniqKey="Vecchia C" first="Carlo La" last="Vecchia">Carlo La Vecchia</name>
<affiliation>
<nlm:aff id="A16">Istituto di Ricerche Farmacologiche “Mario Negri” and Istituto di Statistica Medica e Biometria, Università degli Studi di Milano, Milan, Italy</nlm:aff>
</affiliation>
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<author>
<name sortKey="Zheng, Tongzhang" sort="Zheng, Tongzhang" uniqKey="Zheng T" first="Tongzhang" last="Zheng">Tongzhang Zheng</name>
<affiliation>
<nlm:aff id="A17">Department of Epidemiology and Public Health, Yale School of Medicine, New Haven CT, USA</nlm:aff>
</affiliation>
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<name sortKey="Chiu, Brian C H" sort="Chiu, Brian C H" uniqKey="Chiu B" first="Brian C.-H." last="Chiu">Brian C.-H. Chiu</name>
<affiliation>
<nlm:aff id="A18">Department of Health Studies, University of Chicago, Chicago IL, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="Maso, Luigino Dal" sort="Maso, Luigino Dal" uniqKey="Maso L" first="Luigino Dal" last="Maso">Luigino Dal Maso</name>
<affiliation>
<nlm:aff id="A19">Epidemiology and Biostatistics Unit, Aviano Cancer Centre, Aviano, Italy</nlm:aff>
</affiliation>
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<name sortKey="Cocco, Pierluigi" sort="Cocco, Pierluigi" uniqKey="Cocco P" first="Pierluigi" last="Cocco">Pierluigi Cocco</name>
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<nlm:aff id="A20">Department of Public Health, Occupational Health Section, University of Cagliari, Cagliari, Italy</nlm:aff>
</affiliation>
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<author>
<name sortKey="Maynadie, Marc" sort="Maynadie, Marc" uniqKey="Maynadie M" first="Marc" last="Maynadié">Marc Maynadié</name>
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<nlm:aff id="A21">Registry of Hematological Malignacies of Cote d’Or, Dijon University Hospital, Dijon, France</nlm:aff>
</affiliation>
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<name sortKey="Foretova, Lenka" sort="Foretova, Lenka" uniqKey="Foretova L" first="Lenka" last="Foretova">Lenka Foretova</name>
<affiliation>
<nlm:aff id="A22">Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic</nlm:aff>
</affiliation>
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<name sortKey="Staines, Anthony" sort="Staines, Anthony" uniqKey="Staines A" first="Anthony" last="Staines">Anthony Staines</name>
<affiliation>
<nlm:aff id="A23">School of Nursing, Dublin City University, Dublin, Ireland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name>
<affiliation>
<nlm:aff id="A24">International Agency for Research on Cancer, Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Davis, Scott" sort="Davis, Scott" uniqKey="Davis S" first="Scott" last="Davis">Scott Davis</name>
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<nlm:aff id="A25">Fred Hutchinson Cancer Research Centre & School of Public Health and Community Medicine, University of Washington, Seattle WA, USA</nlm:aff>
</affiliation>
</author>
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<name sortKey="Severson, Richard" sort="Severson, Richard" uniqKey="Severson R" first="Richard" last="Severson">Richard Severson</name>
<affiliation>
<nlm:aff id="A26">Department of Family Medicine and Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit MI, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cerhan, James R" sort="Cerhan, James R" uniqKey="Cerhan J" first="James R." last="Cerhan">James R. Cerhan</name>
<affiliation>
<nlm:aff id="A27">Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester MN, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Breen, Elizabeth C" sort="Breen, Elizabeth C" uniqKey="Breen E" first="Elizabeth C." last="Breen">Elizabeth C. Breen</name>
<affiliation>
<nlm:aff id="A28">Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Birmann, Brenda" sort="Birmann, Brenda" uniqKey="Birmann B" first="Brenda" last="Birmann">Brenda Birmann</name>
<affiliation>
<nlm:aff id="A29">Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cozen, Wendy" sort="Cozen, Wendy" uniqKey="Cozen W" first="Wendy" last="Cozen">Wendy Cozen</name>
<affiliation>
<nlm:aff id="A30">Keck School of Medicine, Department of Preventive Medicine, University of Southern California, Los Angeles CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grulich, Andrew E" sort="Grulich, Andrew E" uniqKey="Grulich A" first="Andrew E." last="Grulich">Andrew E. Grulich</name>
<affiliation>
<nlm:aff id="A2">National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia</nlm:aff>
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<title xml:lang="en" level="a" type="main">Atopic disease and risk of non-Hodgkin lymphoma: an InterLymph pooled analysis</title>
<author>
<name sortKey="Vajdic, Claire M" sort="Vajdic, Claire M" uniqKey="Vajdic C" first="Claire M." last="Vajdic">Claire M. Vajdic</name>
<affiliation>
<nlm:aff id="A1">UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Falster, Michael O" sort="Falster, Michael O" uniqKey="Falster M" first="Michael O." last="Falster">Michael O. Falster</name>
<affiliation>
<nlm:aff id="A1">UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sanjose, Silvia De" sort="Sanjose, Silvia De" uniqKey="Sanjose S" first="Silvia De" last="Sanjose">Silvia De Sanjose</name>
<affiliation>
<nlm:aff id="A3">Epidemiologia i Registre del Càncer, Institut Català d' Oncologia, Barcelona, Spain</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">CIBER Epidemiologia y Salud Publica, Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Martinez Maza, Otoniel" sort="Martinez Maza, Otoniel" uniqKey="Martinez Maza O" first="Otoniel" last="Martínez-Maza">Otoniel Martínez-Maza</name>
<affiliation>
<nlm:aff id="A5">Departments of Obstetrics & Gynecology and Microbiology, Immunology and Molecular Genetics, UCLA AIDS Institute and Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Becker, Nikolaus" sort="Becker, Nikolaus" uniqKey="Becker N" first="Nikolaus" last="Becker">Nikolaus Becker</name>
<affiliation>
<nlm:aff id="A6">Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bracci, Paige M" sort="Bracci, Paige M" uniqKey="Bracci P" first="Paige M." last="Bracci">Paige M. Bracci</name>
<affiliation>
<nlm:aff id="A7">Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Melbye, Mads" sort="Melbye, Mads" uniqKey="Melbye M" first="Mads" last="Melbye">Mads Melbye</name>
<affiliation>
<nlm:aff id="A8">Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Smedby, Karin Ekstrom" sort="Smedby, Karin Ekstrom" uniqKey="Smedby K" first="Karin Ekström" last="Smedby">Karin Ekström Smedby</name>
<affiliation>
<nlm:aff id="A9">Department of Medicine, Clinical Epidemiology Unit, and Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Engels, Eric A" sort="Engels, Eric A" uniqKey="Engels E" first="Eric A." last="Engels">Eric A. Engels</name>
<affiliation>
<nlm:aff id="A10">Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Turner, Jennifer" sort="Turner, Jennifer" uniqKey="Turner J" first="Jennifer" last="Turner">Jennifer Turner</name>
<affiliation>
<nlm:aff id="A11">Department of Anatomical Pathology, St Vincent’s Hospital, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vineis, Paolo" sort="Vineis, Paolo" uniqKey="Vineis P" first="Paolo" last="Vineis">Paolo Vineis</name>
<affiliation>
<nlm:aff id="A12">Environmental Epidemiology, Imperial College London, London, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Costantini, Adele Seniori" sort="Costantini, Adele Seniori" uniqKey="Costantini A" first="Adele Seniori" last="Costantini">Adele Seniori Costantini</name>
<affiliation>
<nlm:aff id="A13">Occupational and Environmental Epidemiology Unit, Institute for Study and Prevention of Cancer, Florence, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Holly, Elizabeth A" sort="Holly, Elizabeth A" uniqKey="Holly E" first="Elizabeth A." last="Holly">Elizabeth A. Holly</name>
<affiliation>
<nlm:aff id="A7">Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kane, Eleanor" sort="Kane, Eleanor" uniqKey="Kane E" first="Eleanor" last="Kane">Eleanor Kane</name>
<affiliation>
<nlm:aff id="A14">Epidemiology & Genetics Unit, Department of Health Sciences, University of York, York, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spinelli, John J" sort="Spinelli, John J" uniqKey="Spinelli J" first="John J." last="Spinelli">John J. Spinelli</name>
<affiliation>
<nlm:aff id="A15">Cancer Control Research Program, BC Cancer Agency, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vecchia, Carlo La" sort="Vecchia, Carlo La" uniqKey="Vecchia C" first="Carlo La" last="Vecchia">Carlo La Vecchia</name>
<affiliation>
<nlm:aff id="A16">Istituto di Ricerche Farmacologiche “Mario Negri” and Istituto di Statistica Medica e Biometria, Università degli Studi di Milano, Milan, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zheng, Tongzhang" sort="Zheng, Tongzhang" uniqKey="Zheng T" first="Tongzhang" last="Zheng">Tongzhang Zheng</name>
<affiliation>
<nlm:aff id="A17">Department of Epidemiology and Public Health, Yale School of Medicine, New Haven CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Chiu, Brian C H" sort="Chiu, Brian C H" uniqKey="Chiu B" first="Brian C.-H." last="Chiu">Brian C.-H. Chiu</name>
<affiliation>
<nlm:aff id="A18">Department of Health Studies, University of Chicago, Chicago IL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maso, Luigino Dal" sort="Maso, Luigino Dal" uniqKey="Maso L" first="Luigino Dal" last="Maso">Luigino Dal Maso</name>
<affiliation>
<nlm:aff id="A19">Epidemiology and Biostatistics Unit, Aviano Cancer Centre, Aviano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cocco, Pierluigi" sort="Cocco, Pierluigi" uniqKey="Cocco P" first="Pierluigi" last="Cocco">Pierluigi Cocco</name>
<affiliation>
<nlm:aff id="A20">Department of Public Health, Occupational Health Section, University of Cagliari, Cagliari, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maynadie, Marc" sort="Maynadie, Marc" uniqKey="Maynadie M" first="Marc" last="Maynadié">Marc Maynadié</name>
<affiliation>
<nlm:aff id="A21">Registry of Hematological Malignacies of Cote d’Or, Dijon University Hospital, Dijon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Foretova, Lenka" sort="Foretova, Lenka" uniqKey="Foretova L" first="Lenka" last="Foretova">Lenka Foretova</name>
<affiliation>
<nlm:aff id="A22">Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Staines, Anthony" sort="Staines, Anthony" uniqKey="Staines A" first="Anthony" last="Staines">Anthony Staines</name>
<affiliation>
<nlm:aff id="A23">School of Nursing, Dublin City University, Dublin, Ireland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name>
<affiliation>
<nlm:aff id="A24">International Agency for Research on Cancer, Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Davis, Scott" sort="Davis, Scott" uniqKey="Davis S" first="Scott" last="Davis">Scott Davis</name>
<affiliation>
<nlm:aff id="A25">Fred Hutchinson Cancer Research Centre & School of Public Health and Community Medicine, University of Washington, Seattle WA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Severson, Richard" sort="Severson, Richard" uniqKey="Severson R" first="Richard" last="Severson">Richard Severson</name>
<affiliation>
<nlm:aff id="A26">Department of Family Medicine and Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit MI, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cerhan, James R" sort="Cerhan, James R" uniqKey="Cerhan J" first="James R." last="Cerhan">James R. Cerhan</name>
<affiliation>
<nlm:aff id="A27">Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester MN, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Breen, Elizabeth C" sort="Breen, Elizabeth C" uniqKey="Breen E" first="Elizabeth C." last="Breen">Elizabeth C. Breen</name>
<affiliation>
<nlm:aff id="A28">Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Birmann, Brenda" sort="Birmann, Brenda" uniqKey="Birmann B" first="Brenda" last="Birmann">Brenda Birmann</name>
<affiliation>
<nlm:aff id="A29">Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cozen, Wendy" sort="Cozen, Wendy" uniqKey="Cozen W" first="Wendy" last="Cozen">Wendy Cozen</name>
<affiliation>
<nlm:aff id="A30">Keck School of Medicine, Department of Preventive Medicine, University of Southern California, Los Angeles CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grulich, Andrew E" sort="Grulich, Andrew E" uniqKey="Grulich A" first="Andrew E." last="Grulich">Andrew E. Grulich</name>
<affiliation>
<nlm:aff id="A2">National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Cancer research</title>
<idno type="ISSN">0008-5472</idno>
<idno type="eISSN">1538-7445</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
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<div type="abstract" xml:lang="en">
<p id="P1">We performed a pooled analysis of data on atopic disease and risk of non-Hodgkin lymphoma (NHL) from 13 case-control studies, including13,535 NHL cases and 16,388 controls. Self-reported atopic diseases diagnosed two or more years before NHL diagnosis (cases) or interview (controls) were analyzed. Pooled odds ratios (OR) and 95% confidence intervals were computed in two-stage random-effects or joint fixed-effects models, adjusted for age, sex, and study center. When modeled individually, lifetime history of asthma, hay fever, a specific allergy (excluding hay fever, asthma and eczema), and food allergy were associated with a significant reduction in NHL risk, and there was no association for eczema. When each atopic condition was included in the same model, reduced NHL risk was only associated with history of allergy (OR 0.80, 95% CI 0.68–0.94), and reduced B-cell NHL risk was associated with history of hay fever (OR 0.85, 95% CI 0.77–0.95) and allergy (OR 0.84, 95% CI 0.76–0.93). Significant reductions in B-cell NHL risk were also observed in individuals who were likely to be truly or highly atopic - those with hay fever, allergy or asthma and at least one other atopic condition over their lifetime. The inverse associations were consistent for the diffuse large B-cell and follicular subtypes. Eczema was positively associated with lymphomas of the skin; misdiagnosis of lymphoma as eczema is likely, but progression of eczema to cutaneous lymphoma cannot be excluded. This pooled study demonstrates evidence of a modest but consistent reduction in the risk of B-cell NHL associated with atopy.</p>
</div>
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<pmc article-type="research-article" xml:lang="EN">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">2984705R</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2786</journal-id>
<journal-id journal-id-type="nlm-ta">Cancer Res</journal-id>
<journal-title>Cancer research</journal-title>
<issn pub-type="ppub">0008-5472</issn>
<issn pub-type="epub">1538-7445</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">19654312</article-id>
<article-id pub-id-type="pmc">2758272</article-id>
<article-id pub-id-type="doi">10.1158/0008-5472.CAN-08-4372</article-id>
<article-id pub-id-type="manuscript">NIHMS128417</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Atopic disease and risk of non-Hodgkin lymphoma: an InterLymph pooled analysis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Vajdic</surname>
<given-names>Claire M.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Falster</surname>
<given-names>Michael O.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sanjose</surname>
<given-names>Silvia de</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martínez-Maza</surname>
<given-names>Otoniel</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Becker</surname>
<given-names>Nikolaus</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bracci</surname>
<given-names>Paige M.</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Melbye</surname>
<given-names>Mads</given-names>
</name>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Smedby</surname>
<given-names>Karin Ekström</given-names>
</name>
<xref ref-type="aff" rid="A9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Engels</surname>
<given-names>Eric A.</given-names>
</name>
<xref ref-type="aff" rid="A10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Turner</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="A11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vineis</surname>
<given-names>Paolo</given-names>
</name>
<xref ref-type="aff" rid="A12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Costantini</surname>
<given-names>Adele Seniori</given-names>
</name>
<xref ref-type="aff" rid="A13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Holly</surname>
<given-names>Elizabeth A.</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kane</surname>
<given-names>Eleanor</given-names>
</name>
<xref ref-type="aff" rid="A14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spinelli</surname>
<given-names>John J.</given-names>
</name>
<xref ref-type="aff" rid="A15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vecchia</surname>
<given-names>Carlo La</given-names>
</name>
<xref ref-type="aff" rid="A16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zheng</surname>
<given-names>Tongzhang</given-names>
</name>
<xref ref-type="aff" rid="A17">17</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chiu</surname>
<given-names>Brian C.-H.</given-names>
</name>
<xref ref-type="aff" rid="A18">18</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maso</surname>
<given-names>Luigino Dal</given-names>
</name>
<xref ref-type="aff" rid="A19">19</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cocco</surname>
<given-names>Pierluigi</given-names>
</name>
<xref ref-type="aff" rid="A20">20</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maynadié</surname>
<given-names>Marc</given-names>
</name>
<xref ref-type="aff" rid="A21">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Foretova</surname>
<given-names>Lenka</given-names>
</name>
<xref ref-type="aff" rid="A22">22</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Staines</surname>
<given-names>Anthony</given-names>
</name>
<xref ref-type="aff" rid="A23">23</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brennan</surname>
<given-names>Paul</given-names>
</name>
<xref ref-type="aff" rid="A24">24</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Davis</surname>
<given-names>Scott</given-names>
</name>
<xref ref-type="aff" rid="A25">25</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Severson</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="A26">26</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cerhan</surname>
<given-names>James R.</given-names>
</name>
<xref ref-type="aff" rid="A27">27</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Breen</surname>
<given-names>Elizabeth C.</given-names>
</name>
<xref ref-type="aff" rid="A28">28</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Birmann</surname>
<given-names>Brenda</given-names>
</name>
<xref ref-type="aff" rid="A29">29</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cozen</surname>
<given-names>Wendy</given-names>
</name>
<xref ref-type="aff" rid="A30">30</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grulich</surname>
<given-names>Andrew E.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<aff id="A1">
<label>1</label>
UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, Australia</aff>
<aff id="A2">
<label>2</label>
National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia</aff>
<aff id="A3">
<label>3</label>
Epidemiologia i Registre del Càncer, Institut Català d' Oncologia, Barcelona, Spain</aff>
<aff id="A4">
<label>4</label>
CIBER Epidemiologia y Salud Publica, Barcelona, Spain</aff>
<aff id="A5">
<label>5</label>
Departments of Obstetrics & Gynecology and Microbiology, Immunology and Molecular Genetics, UCLA AIDS Institute and Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA</aff>
<aff id="A6">
<label>6</label>
Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany</aff>
<aff id="A7">
<label>7</label>
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco CA, USA</aff>
<aff id="A8">
<label>8</label>
Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark</aff>
<aff id="A9">
<label>9</label>
Department of Medicine, Clinical Epidemiology Unit, and Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden</aff>
<aff id="A10">
<label>10</label>
Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Rockville MD, USA</aff>
<aff id="A11">
<label>11</label>
Department of Anatomical Pathology, St Vincent’s Hospital, Sydney, Australia</aff>
<aff id="A12">
<label>12</label>
Environmental Epidemiology, Imperial College London, London, UK</aff>
<aff id="A13">
<label>13</label>
Occupational and Environmental Epidemiology Unit, Institute for Study and Prevention of Cancer, Florence, Italy</aff>
<aff id="A14">
<label>14</label>
Epidemiology & Genetics Unit, Department of Health Sciences, University of York, York, UK</aff>
<aff id="A15">
<label>15</label>
Cancer Control Research Program, BC Cancer Agency, Vancouver, British Columbia, Canada</aff>
<aff id="A16">
<label>16</label>
Istituto di Ricerche Farmacologiche “Mario Negri” and Istituto di Statistica Medica e Biometria, Università degli Studi di Milano, Milan, Italy</aff>
<aff id="A17">
<label>17</label>
Department of Epidemiology and Public Health, Yale School of Medicine, New Haven CT, USA</aff>
<aff id="A18">
<label>18</label>
Department of Health Studies, University of Chicago, Chicago IL, USA</aff>
<aff id="A19">
<label>19</label>
Epidemiology and Biostatistics Unit, Aviano Cancer Centre, Aviano, Italy</aff>
<aff id="A20">
<label>20</label>
Department of Public Health, Occupational Health Section, University of Cagliari, Cagliari, Italy</aff>
<aff id="A21">
<label>21</label>
Registry of Hematological Malignacies of Cote d’Or, Dijon University Hospital, Dijon, France</aff>
<aff id="A22">
<label>22</label>
Department of Cancer Epidemiology and Genetics, Masaryk Memorial Cancer Institute, Brno, Czech Republic</aff>
<aff id="A23">
<label>23</label>
School of Nursing, Dublin City University, Dublin, Ireland</aff>
<aff id="A24">
<label>24</label>
International Agency for Research on Cancer, Lyon, France</aff>
<aff id="A25">
<label>25</label>
Fred Hutchinson Cancer Research Centre & School of Public Health and Community Medicine, University of Washington, Seattle WA, USA</aff>
<aff id="A26">
<label>26</label>
Department of Family Medicine and Karmanos Cancer Institute, School of Medicine, Wayne State University, Detroit MI, USA</aff>
<aff id="A27">
<label>27</label>
Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester MN, USA</aff>
<aff id="A28">
<label>28</label>
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles CA, USA</aff>
<aff id="A29">
<label>29</label>
Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA</aff>
<aff id="A30">
<label>30</label>
Keck School of Medicine, Department of Preventive Medicine, University of Southern California, Los Angeles CA, USA</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">Corresponding author: Claire M. Vajdic PhD, UNSW Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Level 1 South Wing Edmund Blacket Building, Prince of Wales Hospital, Randwick NSW 2031, Australia. Phone +61 2 9382 8881. Fax +61 2 9382 8885. Email
<email>claire.vajdic@unsw.edu.au</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>9</day>
<month>7</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>4</day>
<month>8</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub">
<day>15</day>
<month>8</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>15</day>
<month>8</month>
<year>2010</year>
</pub-date>
<volume>69</volume>
<issue>16</issue>
<fpage>6482</fpage>
<lpage>6489</lpage>
<abstract>
<p id="P1">We performed a pooled analysis of data on atopic disease and risk of non-Hodgkin lymphoma (NHL) from 13 case-control studies, including13,535 NHL cases and 16,388 controls. Self-reported atopic diseases diagnosed two or more years before NHL diagnosis (cases) or interview (controls) were analyzed. Pooled odds ratios (OR) and 95% confidence intervals were computed in two-stage random-effects or joint fixed-effects models, adjusted for age, sex, and study center. When modeled individually, lifetime history of asthma, hay fever, a specific allergy (excluding hay fever, asthma and eczema), and food allergy were associated with a significant reduction in NHL risk, and there was no association for eczema. When each atopic condition was included in the same model, reduced NHL risk was only associated with history of allergy (OR 0.80, 95% CI 0.68–0.94), and reduced B-cell NHL risk was associated with history of hay fever (OR 0.85, 95% CI 0.77–0.95) and allergy (OR 0.84, 95% CI 0.76–0.93). Significant reductions in B-cell NHL risk were also observed in individuals who were likely to be truly or highly atopic - those with hay fever, allergy or asthma and at least one other atopic condition over their lifetime. The inverse associations were consistent for the diffuse large B-cell and follicular subtypes. Eczema was positively associated with lymphomas of the skin; misdiagnosis of lymphoma as eczema is likely, but progression of eczema to cutaneous lymphoma cannot be excluded. This pooled study demonstrates evidence of a modest but consistent reduction in the risk of B-cell NHL associated with atopy.</p>
</abstract>
<kwd-group>
<kwd>non-Hodgkin lymphoma</kwd>
<kwd>atopy</kwd>
<kwd>case-control</kwd>
<kwd>pooled analysis</kwd>
<kwd>risk</kwd>
</kwd-group>
<contract-num rid="CA1">R03 CA089745-01</contract-num>
<contract-num rid="CA1">R01 CA104682-01</contract-num>
<contract-num rid="CA1">R01 CA092153-01A2</contract-num>
<contract-num rid="CA1">R01 CA087014-01A1</contract-num>
<contract-num rid="CA1">R01 CA069269-02</contract-num>
<contract-sponsor id="CA1">National Cancer Institute : NCI</contract-sponsor>
</article-meta>
</front>
</pmc>
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