TY - JOUR
T1 - Parental Tobacco Smoking and Acute Myeloid Leukemia
T2 - The Childhood Leukemia International Consortium
AU - Metayer, Catherine
AU - Petridou, Eleni
AU - Aranguré, Juan Manuel Mejía
AU - Roman, Eve
AU - Schüz, Joachim
AU - Magnani, Corrado
AU - Mora, Ana Maria
AU - Mueller, Beth A.
AU - De Oliveira, Maria S.Pombo
AU - Dockerty, John D.
AU - McCauley, Kathryn
AU - Lightfoot, Tracy
AU - Hatzipantelis, Emmanouel
AU - Rudant, Jérémie
AU - Flores-Lujano, Janet
AU - Kaatsch, Peter
AU - Miligi, Lucia
AU - Wesseling, Catharina
AU - Doody, David R.
AU - Moschovi, Maria
AU - Orsi, Laurent
AU - Mattioli, Stefano
AU - Selvin, Steve
AU - Kang, Alice Y.
AU - Clavel, Jacqueline
AU - Nuñez-Enriquez, Juan Carlos
AU - Jiménez-Hernández, Elva
AU - Paredes-Aguilera, Rogelio
N1 - © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.
PY - 2016/8/3
Y1 - 2016/8/3
N2 - The association between tobacco smoke and acute myeloid leukemia (AML) is well established in adults but not in children. Individual-level data on parental cigarette smoking were obtained from 12 case-control studies from the Childhood Leukemia International Consortium (CLIC, 1974-2012), including 1,330 AML cases diagnosed at age <15 years and 13,169 controls. We conducted pooled analyses of CLIC studies, as well as meta-analyses of CLIC and non-CLIC studies. Overall, maternal smoking before, during, or after pregnancy was not associated with childhood AML; there was a suggestion, however, that smoking during pregnancy was associated with an increased risk in Hispanics (odds ratio = 2.08, 95% confidence interval (CI): 1.20, 3.61) but not in other ethnic groups. By contrast, the odds ratios for paternal lifetime smoking were 1.34 (95% CI: 1.11, 1.62) and 1.18 (95% CI: 0.92, 1.51) in pooled and meta-analyses, respectively. Overall, increased risks from 1.2- to 1.3-fold were observed for pre- and postnatal smoking (P < 0.05), with higher risks reported for heavy smokers. Associations with paternal smoking varied by histological type. Our analyses suggest an association between paternal smoking and childhood AML. The association with maternal smoking appears limited to Hispanic children, raising questions about ethnic differences in tobacco-related exposures and biological mechanisms, as well as study-specific biases.
AB - The association between tobacco smoke and acute myeloid leukemia (AML) is well established in adults but not in children. Individual-level data on parental cigarette smoking were obtained from 12 case-control studies from the Childhood Leukemia International Consortium (CLIC, 1974-2012), including 1,330 AML cases diagnosed at age <15 years and 13,169 controls. We conducted pooled analyses of CLIC studies, as well as meta-analyses of CLIC and non-CLIC studies. Overall, maternal smoking before, during, or after pregnancy was not associated with childhood AML; there was a suggestion, however, that smoking during pregnancy was associated with an increased risk in Hispanics (odds ratio = 2.08, 95% confidence interval (CI): 1.20, 3.61) but not in other ethnic groups. By contrast, the odds ratios for paternal lifetime smoking were 1.34 (95% CI: 1.11, 1.62) and 1.18 (95% CI: 0.92, 1.51) in pooled and meta-analyses, respectively. Overall, increased risks from 1.2- to 1.3-fold were observed for pre- and postnatal smoking (P < 0.05), with higher risks reported for heavy smokers. Associations with paternal smoking varied by histological type. Our analyses suggest an association between paternal smoking and childhood AML. The association with maternal smoking appears limited to Hispanic children, raising questions about ethnic differences in tobacco-related exposures and biological mechanisms, as well as study-specific biases.
KW - acute myeloid leukemia
KW - childhood cancer
KW - international collaboration
KW - parental smoking
UR - http://www.scopus.com/inward/record.url?scp=84983294342&partnerID=8YFLogxK
U2 - 10.1093/aje/kww018
DO - 10.1093/aje/kww018
M3 - Review article
AN - SCOPUS:84983294342
SN - 0002-9262
VL - 184
SP - 261
EP - 273
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
IS - 4
ER -