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Childhood leukaemia triggered by infectious events in infancy and childhood,
Leukaemia Research, UK

Leukaemia Research, UK has revealed that major sign-posts along the pathways
leading to childhood leukaemia have been identified - although most
childhood leukaemias have their origins before birth, infectious events in
infancy and childhood may trigger abnormal immune responses that lead to the
disease.

The findings come from the largest and most comprehensive investigation of
childhood leukaemia and other cancers ever undertaken anywhere in the
world - The United Kingdom Childhood Cancer Study (UKCCS)1.

At a meeting earlier this week to examine the results of this 15-year study,
world experts discussed the possible causes of childhood leukaemia. They
confirmed that most childhood leukaemias have their origins before birth,
but that later infectious events in infancy and childhood may trigger an
abnormal immune response leading to disease. They further agreed that the
timing of exposure to common infections in infancy and later in childhood
was critically important.

This unique project interviewed parents, and collated biological material
and clinical records of 3,838 children diagnosed with cancer, including 1737
with leukaemia. A comparison group of further 7,629 children without cancer
was also studied.

As well as looking at immunological pathways, other exposures evaluated
included household levels of background radiation (ionising and
electromagnetic), parental smoking and occupation, breast-feeding and
neonatal vitamin K administration, as well as a wide range of factors
occurring during pregnancy and shortly after birth.

Chairman of the LRF Medical & Scientific Advisory Panel Sir Walter Bodmer
FRS comments: "Understanding causation and thereby finding ways to prevent
childhood leukaemia is a key objective for the Leukaemia Research Fund. Our
investment of several million pounds in the 15-year UKCCS project has been
rewarded with a much clearer idea of why, when and how children get
leukaemia.

"The most plausible explanation now seems to be a challenge to the child's
immune system, quite possibly involving common infections, which cause the
cancerous blood cells to emerge. How such a challenge triggers leukaemia
remains a puzzle to be solved, as is the role of inherited susceptibility."

Professor Mel Greaves FRS, Head of the Section of Haemato-Oncology, The
Institute of Cancer Research, comments: "The UKCCS project has been the most
exhaustive and detailed study ever conducted into identifying possible
causes of leukaemia in children.

"Analysis of the huge amount of data collected from over 1,500 families who
had a child diagnosed with leukaemia during the course of the study is still
ongoing.

"However, it is clear that perceived risk factors such as living near
sources of electromagnetic fields or natural radiation like radon are not
principal causes, if at all, of leukaemia in children.

"The epidemiological evidence fits with the known biology of the disease and
points to an abnormal response in a child's immune system to infection
favouring the outgrowth of blood cells which have been carrying a
chromosomal/genetic lesion acquired before birth during foetal development.
The timing or pattern of infections very early in life appears to be
critical as is, most probably, the genetic background of the individual at
risk."

New data presented at the conference confirmed that the majority of
childhood leukaemias probably arise as a consequence of an abnormal
immunological response to one or more common infections. Furthermore,
children with a wide range of social contacts outside the home during
infancy appear to have lower rates of leukaemia..... CONTINUES.... Leukaemia
Research, UK

About Leukaemia Research, UK

Leukaemia Research was established in 1960 and is still the only national
research charity devoted exclusively to leukaemia, the lymphomas, myeloma,
aplastic anaemia, myelodysplasia, the myeloproliferative disorders and the
related blood disorders in both children and adults.

We receive no government grants and depend entirely on voluntary donations.
A substantial part of the money we need to fight these diseases is raised by
more than 150 voluntary Branches across England, Scotland and Wales.

Supporting doctors and scientists at hospitals and academic institutions
throughout the country, we fund a wide range of projects, from basic
laboratory research to clinical trials with patients.

Patron: His Royal Highness The Duke of Kent KG
President: Ian Botham OBE

Contacting by POST:
Leukaemia Research Fund
43 Great Ormond Street
London
WC1N 3JJ

Visiting IN PERSON:
Leukaemia Research Fund
39 - 40 Eagle Street
London
WC1R 4TH

Tel: 020 7405 0101
Fax: 020 7405 3139
Email: [EMAIL PROTECTED]
http://www.lrf.org.uk


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