Infantile neuroblastoma and maternal occupational exposure to medical agents.


Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
09 Jul 2021
Historique:
received: 16 01 2021
accepted: 11 05 2021
revised: 07 04 2021
entrez: 10 7 2021
pubmed: 11 7 2021
medline: 11 7 2021
Statut: aheadofprint

Résumé

Healthcare workers are often exposed to hazardous agents and are at risk for adverse health consequences that affect not only themselves but also their infants. This study aimed to examine whether such occupational exposure increased the risk of childhood cancer in offspring. We used the dataset of the Japan Environment and Children's Study, a nationwide birth cohort involving over 100,000 mother-child pairs. Information was obtained via successive questionnaires that were completed until the child turned 1 year of age. The parents were asked whether they occupationally handled medical agents during pregnancy. A total of 26 infants developed neoplasms: neuroblastoma, leukemia, and brain tumor. The incidence of neuroblastoma was significantly higher in infants whose mothers were exposed to radiation (3/2142: 140.1 per 100,000 population) than in those who were not (12/90,384: 13.3 per 100,000 population). Multivariable regression analyses revealed a close association between maternal irradiation and the development of neuroblastoma (adjusted incident rate ratio: 10.68 [95% confidence interval: 2.98‒38.27]). The present study demonstrated, for the first time, a potential association between maternal occupational exposure and the occurrence of neuroblastoma in offspring. Further studies involving the large pediatric cancer registries are needed to confirm these preliminary results. Healthcare workers are often exposed to hazardous agents and are at risk for adverse health consequences that affect not only themselves but also their infants. This study examined the association between such occupational exposure and offspring's cancers that developed until the age of 1 year. Maternal exposure to ionizing radiation was associated with infantile neuroblastoma in offspring. Further studies involving the large pediatric cancer registries are needed to confirm these preliminary results.

Sections du résumé

BACKGROUND BACKGROUND
Healthcare workers are often exposed to hazardous agents and are at risk for adverse health consequences that affect not only themselves but also their infants. This study aimed to examine whether such occupational exposure increased the risk of childhood cancer in offspring.
METHODS METHODS
We used the dataset of the Japan Environment and Children's Study, a nationwide birth cohort involving over 100,000 mother-child pairs. Information was obtained via successive questionnaires that were completed until the child turned 1 year of age. The parents were asked whether they occupationally handled medical agents during pregnancy.
RESULTS RESULTS
A total of 26 infants developed neoplasms: neuroblastoma, leukemia, and brain tumor. The incidence of neuroblastoma was significantly higher in infants whose mothers were exposed to radiation (3/2142: 140.1 per 100,000 population) than in those who were not (12/90,384: 13.3 per 100,000 population). Multivariable regression analyses revealed a close association between maternal irradiation and the development of neuroblastoma (adjusted incident rate ratio: 10.68 [95% confidence interval: 2.98‒38.27]).
CONCLUSIONS CONCLUSIONS
The present study demonstrated, for the first time, a potential association between maternal occupational exposure and the occurrence of neuroblastoma in offspring. Further studies involving the large pediatric cancer registries are needed to confirm these preliminary results.
IMPACT CONCLUSIONS
Healthcare workers are often exposed to hazardous agents and are at risk for adverse health consequences that affect not only themselves but also their infants. This study examined the association between such occupational exposure and offspring's cancers that developed until the age of 1 year. Maternal exposure to ionizing radiation was associated with infantile neuroblastoma in offspring. Further studies involving the large pediatric cancer registries are needed to confirm these preliminary results.

Identifiants

pubmed: 34244617
doi: 10.1038/s41390-021-01634-z
pii: 10.1038/s41390-021-01634-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Investigateurs

Michihiro Kamijima (M)
Shin Yamazaki (S)
Yukihiro Ohya (Y)
Reiko Kishi (R)
Nobuo Yaegashi (N)
Koichi Hashimoto (K)
Chisato Mori (C)
Shuichi Ito (S)
Zentaro Yamagata (Z)
Hidekuni Inadera (H)
Takeo Nakayama (T)
Hiroyasu Iso (H)
Masayuki Shima (M)
Youichi Kurozawa (Y)
Narufumi Suganuma (N)
Koichi Kusuhara (K)
Takahiko Katoh (T)

Informations de copyright

© 2021. The Author(s).

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Auteurs

Yuhki Koga (Y)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. yuuki-k@pediatr.med.kyushu-u.ac.jp.

Masafumi Sanefuji (M)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Syunichiro Toya (S)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Utako Oba (U)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Kentaro Nakashima (K)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Hiroaki Ono (H)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Shunsuke Yamamoto (S)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Maya Suzuki (M)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Yuri Sonoda (Y)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Masanobu Ogawa (M)

Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Hiroyuki Yamamoto (H)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Koichi Kusuhara (K)

Department of Pediatrics, University of Occupational and Environmental Health, Kitakyushu, Japan.
Regional Center for Japan Environment and Children's Study, University of Occupational and Environmental Health, Kitakyushu, Japan.

Shouichi Ohga (S)

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Classifications MeSH