Maternal autoimmune disease is not associated with cancer in the offspring

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http://hdl.handle.net/10138/340325

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Seppälä , L K , Madanat-Harjuoja , L-M , Troisi , R , Sampson , J N , Leinonen , M K & Vettenranta , K 2021 , ' Maternal autoimmune disease is not associated with cancer in the offspring ' , Acta Paediatrica , vol. 110 , no. 7 , pp. 2259-2266 . https://doi.org/10.1111/apa.15821

Titel: Maternal autoimmune disease is not associated with cancer in the offspring
Författare: Seppälä, Laura K.; Madanat-Harjuoja, Laura-Maria; Troisi, Rebecca; Sampson, Joshua N.; Leinonen, Maarit K.; Vettenranta, Kim
Upphovmannens organisation: Children's Hospital
University of Helsinki
Helsinki University Hospital Area
HUS Children and Adolescents
Lastentautien yksikkö
Datum: 2021-07
Språk: eng
Sidantal: 8
Tillhör serie: Acta Paediatrica
ISSN: 0803-5253
DOI: https://doi.org/10.1111/apa.15821
Permanenta länken (URI): http://hdl.handle.net/10138/340325
Abstrakt: Aim Autoimmune disease and its medication are associated with increased cancer risk in adults, but it is unknown whether maternal autoimmune disease and/or medication use in pregnancy are associated with increased cancer risk in offspring. Methods In this case-control study, we identified all patients under 20 years of age with their first cancer diagnosis in 1996-2014 from the Finnish Cancer Registry (n = 2029) and 1:5 population-based controls (n = 10,103) from the Medical Birth Register. We obtained information on maternal autoimmune disease and its medication from the relevant Finnish registries and used conditional logistic regression to analyse the risk of offspring cancer after maternal autoimmune disease exposure. Results The odds ratio (OR) for cancer in offspring following maternal autoimmune exposure was 0.76 (95% confidence interval [CI] 0.47-1.23). Individual ORs for inflammatory bowel and connective tissue diseases were 1.08 (95% CI 0.56-2.01) and 0.50 (95% CI 0.23-1.08), respectively. The OR for maternal autoimmune medication was 0.95 (95% CI 0.80-1.14) overall and similar by drug subtype. There was an increased risk with medication in late pregnancy but the ORs were unstable owing to small numbers. Conclusion Our study does not support an increased cancer risk among offspring of women with autoimmune disease or its medication during pregnancy.
Subject: antenatal exposure
childhood cancer risk
maternal autoimmune disease
maternal medication
registry&#8208
based study
3123 Gynaecology and paediatrics
Referentgranskad: Ja
Licens: cc_by
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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