Hardell L, Vanbavel B, Lindstrom G, Fredrikson M, Hagberg H, Liljegren G, Nordstrom M, Johansson B
UMEA UNIV,DEPT ENVIRONM CHEM,S-90187 UMEA,SWEDEN. LINKOPING UNIV HOSP,DEPT ENVIRONM & OCCUPAT MED,S-58185 LINKOPING,SWEDEN. UNIV UPPSALA HOSP,DEPT ONCOL,S-75185 UPPSALA,SWEDEN. OREBRO MED CTR HOSP,DEPT SURG,S-70185 OREBRO,SWEDEN.
Int J Oncol. 1996 Oct;9(4):603-8. doi: 10.3892/ijo.9.4.603.
In earlier studies non-Hodgkin's lymphoma (NHL) has been associated with exposure to phenoxyacetic acids or chlorophenols, but also impurities such as polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) are of concern since these compounds as well as polychlorinated biphenyls (PCBs) are immunotoxic and promoters in carcinogenesis. The aim of this study was to determine the concentrations of specific PCDDs, PCDFs and PCBs, 1,1-dichloro-2, 2-bis(p-chlorophenyl) ethylene (p,p'-DDE), and hexachlorobenzene (HCB) in cases with NHL and surgical controls: The study included 28 NHL cases of the B-cell type and 17 controls. Seven PCDDs and 10 PCDFs substituted with chlorine in the 2,3,7,8-position and three co-planar PCB congeners were determined in 20 cases and 17 controls without showing differences. Almost all of the analysed PCB congeners were higher, PCB No. 156, No. 157, sum of No. 182 and 187, No. 171, sum of No. 172 and No. 192, sum of No. 170 and No. 190, No. 189, No. 202, No. 201, No. 194, and No. 208 significantly so (p<0.05), in 27 NHL cases compared with the 17 controls. The mean sum of PCBs was for the cases 1614 ng/g lipid, range 637-4705, versus 1213 for the controls, range 366-2282 (p=0.06). An odds ratio of 2.7, 95% confidence interval 0.8-9.4, was obtained for cases with the sum of PCBs higher than the median concentration of 1300 ng/g lipid. The sum of PCBs was similar for different stages of NHL. No significant differences were found between the 28 cases and 17 controls regarding p,p'-DDE and HCB.
在早期研究中,非霍奇金淋巴瘤(NHL)与接触苯氧乙酸或氯酚有关,但多氯代二苯并 - 对 - 二恶英(PCDDs)和二苯并呋喃(PCDFs)等杂质也令人担忧,因为这些化合物以及多氯联苯(PCBs)具有免疫毒性且是致癌作用的促进剂。本研究的目的是测定NHL病例和手术对照组中特定PCDDs、PCDFs、PCBs、1,1 - 二氯 - 2,2 - 双(对 - 氯苯基)乙烯(p,p'-DDE)和六氯苯(HCB)的浓度:该研究纳入了28例B细胞型NHL病例和17例对照。在20例病例和17例对照中测定了7种在2,3,7,8位被氯取代的PCDDs、10种PCDFs以及3种共平面PCB同系物,未发现差异。与17例对照相比,在27例NHL病例中,几乎所有分析的PCB同系物含量都更高,PCB 156号、157号、182号和187号总和、171号、172号和192号总和、170号和190号总和、189号、202号、201号、194号和208号显著更高(p<0.05)。病例组PCBs的平均总和为1614 ng/g脂质,范围为637 - 4705,对照组为1213,范围为366 - 2282(p = 0.06)。PCBs总和高于脂质中位数浓度1300 ng/g的病例的优势比为2.7,95%置信区间为0.8 - 9.4。不同分期的NHL患者的PCBs总和相似。在28例病例和17例对照之间,关于p,p'-DDE和HCB未发现显著差异。