Serum organochlorines and non-Hodgkin lymphoma: A case-control study in Israeli Jews and palestinians
Date
2018-12-10
Authors
Klil-Drori, Adi J.
Kleinstern, Geffen
Abu Seir, Rania
Choshen-Cohen, Lotan
Abdeen, Ziad
Hussein, Elyan
Aqel, Mohammad
G€oen, Thomas
Perlman, Riki
Ben-Yehuda, Dina
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Associations of organochlorine (OC) pesticides and polychlorinated biphenyls (PCBs) with non-Hodgkin
lymphoma are controversial.We compared serum levels of 6 OC pesticides and 38 PCBs in Israeli Jews (IJ)
and Palestinian Arabs (PA) and assessed possible associations with B-cell non-Hodgkin lymphoma (BNHL).
Ninety B-NHL cases (50 IJ and 40 PA) and 120 controls (65 IJ and 55 PA) were included. Median
concentrations of analytes in controls were compared across ethnic groups using quantile regression,
adjusting for age and sex. We used logistic regression to derive odds ratios (OR) and 95% confidence
intervals (CI) for detectable analytes and B-NHL, adjusting for age, ethnic group, faming and body mass
index. Median values of PCBs and dichlorodiphenyldichloroethylene (DDE) were higher in IJ vs PA
controls (P ¼ 0.0007), as were several PCBs (74, 99, 118, 138, 146, 153, 156, 163, 170, and 180). Overall, OC
pesticide and PCB exposures were comparable with reports from high-income countries. B-NHL was
associated with PCB 146 (OR 1.70, 95% CI: 1.02, 2.83), PCB 156 (OR 1.75, 95% CI: 1.06, 2.89), and highchlorinated
PCBs (OR 1.55, 95% CI: 1.00, 2.40) in all study subjects. These associations were robust in
quantile as well as sensitivity analyses. An association of DDE with B-NHL was noted in PA (OR 1.72, 95%
CI: 1.07, 2.77), but not in IJ (OR 0.87, 95% CI: 0.59, 1.27). Although high-chlorinated PCB concentrations did
not indicate high exposure levels, our findings indicate that B-NHL may be associated with this exposure.
Description
Keywords
Pesticides , Hydrocarbons , Chlorinated , Polychlorinated biphenyls , Lymphoma , Non-Hodgkin , Case-control studies
Citation
TY - JOUR AU - Klil-Drori, Adi AU - Kleinstern, Geffen AU - Abu Seir, Rania AU - Choshen-Cohen, Lotan AU - Abdeen, Ziad AU - Hussein, Elyan AU - Aqel, Mohammad AU - Göen, Thomas AU - Perlman, Riki AU - Ben-Yehuda, Dina AU - Paltiel, Ora PY - 2018/09/01 SP - T1 - Serum organochlorines and non-Hodgkin lymphoma: A case-control study in Israeli Jews and Palestinians VL - 213 DO - 10.1016/j.chemosphere.2018.09.069 JO - Chemosphere ER -