环境污染与儿童癌症风险:过去十年证据的范围综述。
Environmental Pollution and Risk of Childhood Cancer: A Scoping Review of Evidence from the Last Decade.
机构信息
Laboratorio de Genética y Cáncer, Instituto Nacional de Pediatría, Mexico City 04530, Mexico.
Laboratorio de Microbiología Molecular, Instituto Politécnico Nacional-ENMyH, Mexico City 07738, Mexico.
出版信息
Int J Mol Sci. 2024 Mar 14;25(6):3284. doi: 10.3390/ijms25063284.
The long-term effects of environmental pollution have been of concern as several pollutants are carcinogenic, potentially inducing a variety of cancers, including childhood cancer, which is a leading cause of death around the world and, thus, is a public health issue. The present scoping review aimed to update and summarize the available literature to detect specific environmental pollutants and their association with certain types of childhood cancer. Studies published from 2013 to 2023 regarding environmental pollution and childhood cancer were retrieved from the PubMed database. A total of 174 studies were eligible for this review and were analyzed. Our search strategy brought up most of the articles that evaluated air pollution (29%) and pesticides (28%). Indoor exposure to chemicals (11%), alcohol and tobacco use during pregnancy (16%), electromagnetic fields (12%), and radon (4%) were the subjects of less research. We found a particularly high percentage of positive associations between prenatal and postnatal exposure to indoor (84%) and outdoor (79%) air pollution, as well as to pesticides (82%), and childhood cancer. Positive associations were found between leukemia and pesticides and air pollution (33% and 27%); CNS tumors and neuroblastoma and pesticides (53% and 43%); and Wilms tumor and other rare cancers were found in association with air pollution (50%). Indoor air pollution was mostly reported in studies assessing several types of cancer (26%). Further studies are needed to investigate the mechanisms underlying the potential associations between indoor/outdoor air pollution and pesticide exposure with childhood cancer risk as more preventable measures could be taken.
环境污染的长期影响一直受到关注,因为有几种污染物具有致癌性,可能会引发多种癌症,包括儿童癌症。儿童癌症是全球范围内的主要死亡原因之一,因此是一个公共卫生问题。本范围综述旨在更新和总结现有文献,以发现特定的环境污染物及其与某些类型儿童癌症的关联。从 2013 年到 2023 年,我们从 PubMed 数据库中检索了有关环境污染和儿童癌症的研究。共有 174 项研究符合本综述的条件,并进行了分析。我们的搜索策略涵盖了评估空气污染(29%)和农药(28%)的大部分文章。室内接触化学物质(11%)、怀孕期间饮酒和吸烟(16%)、电磁场(12%)和氡(4%)是研究较少的主题。我们发现产前和产后暴露于室内(84%)和室外(79%)空气污染以及农药(82%)与儿童癌症之间存在特别高的正相关。在白血病和农药与空气污染(33%和 27%)之间发现了正相关;在中枢神经系统肿瘤和神经母细胞瘤与农药(53%和 43%)之间发现了正相关;在 Wilms 肿瘤和其他罕见癌症与空气污染(50%)之间发现了正相关。在评估多种癌症的研究中(26%)主要报道了室内空气污染。需要进一步研究以探讨室内/室外空气污染和农药暴露与儿童癌症风险之间潜在关联的机制,因为可以采取更多的预防措施。