Jin M-W, Xu S-M, An Q, Wang P
Department of Hematology, Xuzhou Children's Hospital, Xuzhou, Jiangsu, P.R.
Eur Rev Med Pharmacol Sci. 2016 Sep;20(18):3760-3764.
Leukemia is the most common cancer of childhood, with AML, CML, ALL and CLL being the most common. Environmental and genetic factors have been studied extensively in children with childhood leukemia. Other factors, such as the prenatal parental use of controlled substances, have not been investigated to the same degree. We review what is currently known about environmental and parental factors and the occurrence of leukemia in children.
Electronic databases were searched for studies correlated pediatric leukemia with (1) ionizing radiation; (2) benzene; (3) parental drug use (4) parental alcohol use; (5) genetic factors.
The two known significant environment risk factors for the occurrence leukemia are ionizing radiation and benzene. However, at least 4 studies have been published over the last century have looked at other environmental factors such as pesticides and drug and alcohol use as well as genetic factors such as gene fusions and translocations.
We determined the risk of environmental and genetic factors that could be the cause of childhood leukemia in an effort to reduce the incidence of this disease.
白血病是儿童期最常见的癌症,其中急性髓系白血病(AML)、慢性髓系白血病(CML)、急性淋巴细胞白血病(ALL)和慢性淋巴细胞白血病(CLL)最为常见。环境和遗传因素在儿童白血病患者中已得到广泛研究。其他因素,如父母在孕期使用管制药品,尚未得到同等程度的研究。我们综述了目前已知的环境和父母因素与儿童白血病发生之间的关系。
检索电子数据库,查找与儿童白血病相关的研究,涉及(1)电离辐射;(2)苯;(3)父母用药;(4)父母饮酒;(5)遗传因素。
已知的两个与白血病发生相关的重要环境风险因素是电离辐射和苯。然而,在过去的一个世纪里,至少有4项研究探讨了其他环境因素,如农药、药物和酒精使用,以及遗传因素,如基因融合和易位。
我们确定了可能导致儿童白血病的环境和遗传因素风险,以期降低该疾病的发病率。