2005
DOI: 10.1158/1055-9965.epi-04-0602
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Maternal Diet and Infant Leukemia: The DNA Topoisomerase II Inhibitor Hypothesis: A Report from the Children's Oncology Group

Abstract: Background: The MLL 11q23 translocation arises in utero and is present in 75% of infant leukemias. That MLL+ acute myeloid leukemia (AML) can arise following chemotherapy with DNA topoisomerase II (DNAt2) inhibitors suggests that these substances, which also occur naturally in foods, may contribute toward infant leukemia. We hypothesized that maternal consumption of dietary DNAt2 inhibitors during pregnancy would increase the risk of infant leukemia, particularly AML(MLL+). Methods: This Children's Oncology Gr… Show more

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Cited by 184 publications
(152 citation statements)
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“…Eligibility criteria for cases included: (1) diagnosis with acute leukaemia in the first year of life between 1 January 1996 and 20 August 2002; (2) an Englishspeaking biological mother available for a telephone interview and (3) no Down syndrome. Controls were identified and contacted by random digit dialling (RDD) (for more details see Spector et al, 2005).…”
Section: Methodsmentioning
confidence: 99%
“…Eligibility criteria for cases included: (1) diagnosis with acute leukaemia in the first year of life between 1 January 1996 and 20 August 2002; (2) an Englishspeaking biological mother available for a telephone interview and (3) no Down syndrome. Controls were identified and contacted by random digit dialling (RDD) (for more details see Spector et al, 2005).…”
Section: Methodsmentioning
confidence: 99%
“…Even though genistein and other bioflavonoids appear to be chemopreventative in adults, the maternal consumption (during pregnancy) of foods that are naturally high in these topoisomerase II poisons increases the risk of developing these infant leukemias more than 3-fold [148]. Once again, chromosomal breakpoints in these leukemias are proximal to topoisomerase II cleavage sites [149].…”
Section: Non-covalent Topoisomerase II Poisonsmentioning
confidence: 99%
“…There is no doubt that the risks of developing early acute leukemia are modulated by complex interactions between inherited predispositions, environmental exposure to damaging agents and chance events (28,34). Despite the fact that such leukemias are very rare, their investigation is absolutely necessary for the study of leukemogenesis because they have a short latency period together with the known immune molecular markers.…”
Section: Molecular and Exploratory Epidemiology What Makes These Leukmentioning
confidence: 99%