Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 181 Longwood Avenue, Boston, MA 02115, USA.
Cancer Epidemiol Biomarkers Prev. 2010 May;19(5):1381-4. doi: 10.1158/1055-9965.EPI-10-0125. Epub 2010 Apr 20.
Numerous studies have reported positive associations of environmental exposure to polychlorinated biphenyls (PCB) and p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) with the risk of non-Hodgkin lymphoma (NHL). In a case-control study nested within the Nurses' Health Study, a prospective cohort of U.S. women, we measured concentrations of PCBs and p,p'-DDE in blood samples from 145 women diagnosed with NHL at least 6 months after blood draw and 290 age- and race-matched controls. We used conditional logistic regression to estimate the odds ratios and 95% confidence intervals for each quartile of exposure relative to the lowest quartile. We also evaluated these associations for major histologic subtypes of NHL. There was no consistent evidence of an association of p,p'-DDE, total PCBs, immunotoxic, or individual PCB congeners with risk of NHL. These results do not support the hypothesis of a positive association between PCB exposure and development of NHL.
许多研究报告指出,环境中多氯联苯(PCBs)和 p,p'-二氯二苯二氯乙烯(p,p'-DDE)的暴露与非霍奇金淋巴瘤(NHL)的风险呈正相关。在一项巢式病例对照研究中,我们在美国女性护士健康研究这一前瞻性队列中,测量了 145 名 NHL 确诊至少 6 个月后采血的女性和 290 名年龄和种族匹配的对照者的血液样本中 PCBs 和 p,p'-DDE 的浓度。我们使用条件逻辑回归估计每个四分位暴露相对于最低四分位的比值比和 95%置信区间。我们还评估了这些关联与 NHL 的主要组织学亚型。p,p'-DDE、总 PCBs、免疫毒性或个别 PCB 同系物与 NHL 风险之间没有一致的关联证据。这些结果不支持 PCB 暴露与 NHL 发展之间存在正相关的假设。