Spinelli John J, Ng Carmen H, Weber Jean-Philippe, Connors Joseph M, Gascoyne Randy D, Lai Agnes S, Brooks-Wilson Angela R, Le Nhu D, Berry Brian R, Gallagher Richard P
BC Cancer Agency, Vancouver, British Columbia, Canada.
Int J Cancer. 2007 Dec 15;121(12):2767-75. doi: 10.1002/ijc.23005.
Organochlorine chemicals and polychlorinated biphenyls (PCBs) have been suspected as possible risk factors for non-Hodgkin lymphoma (NHL). We investigated PCBs and organochlorine pesticides and risk of NHL in a population-based case-control study in British Columbia, Canada. Congeners of PCBs (including dioxinlike congeners) and pesticides or pesticide metabolites were measured in plasma of 422 pretreatment cases and 460 control subjects. This is so far the largest study to examine organochlorines in plasma to date. Several dioxin-like PCB congeners were associated with increased risk of NHL, including dioxin-like PCB nos. 118 and 156 with odds ratios (OR) for the highest versus lowest quartile between 1.6 and 1.8. Several non-dioxin-like congeners also showed significant associations. The PCB congener with the strongest association was no. 180 with an OR for the highest versus the lowest quartile of 1.83 (95% confidence interval = 1.18-2.84). Six pesticide analytes also showed a significant association with NHL; beta-hexachlorocyclohexane, p,p'-DDE, hexachlorobenzene, mirex, oxychlordane and trans-nonachlor. The strongest association was found for oxychlordane, a metabolite of the pesticide chlordane (highest vs. lowest quartile OR = 2.68, 95% confidence interval = 1.69-4.24). Our results provide further evidence that organochlorines contribute to NHL risk.
有机氯化学品和多氯联苯(PCBs)被怀疑是非霍奇金淋巴瘤(NHL)的潜在风险因素。在加拿大不列颠哥伦比亚省开展的一项基于人群的病例对照研究中,我们调查了多氯联苯和有机氯农药与非霍奇金淋巴瘤风险之间的关系。在422例预处理病例和460例对照者的血浆中检测了多氯联苯同系物(包括类二噁英同系物)以及农药或农药代谢物。这是迄今为止检测血浆中有机氯的规模最大的研究。几种类二噁英多氯联苯同系物与非霍奇金淋巴瘤风险增加有关,包括类二噁英多氯联苯编号118和156,最高四分位数与最低四分位数之间的比值比(OR)在1.6至1.8之间。几种非类二噁英同系物也显示出显著相关性。相关性最强的多氯联苯同系物是编号180,最高四分位数与最低四分位数的OR为1.83(95%置信区间=1.18 - 2.84)。六种农药分析物也显示出与非霍奇金淋巴瘤有显著相关性;β-六氯环己烷、p,p'-滴滴伊、六氯苯、灭蚁灵、氧氯丹和反式九氯。氧氯丹(一种氯丹农药的代谢物)的相关性最强(最高四分位数与最低四分位数OR = 2.68,95%置信区间 = 1.69 - 4.24)。我们的研究结果进一步证明有机氯会增加非霍奇金淋巴瘤的发病风险。