Article ; Online: Associations between birth defects with neural crest cell origins and pediatric embryonal tumors.
2023 Volume 129, Issue 22, Page(s) 3595–3602
Abstract: Background: There are few assessments evaluating associations between birth defects with neural crest cell developmental origins (BDNCOs) and embryonal tumors, which are characterized by undifferentiated cells having a molecular profile similar to ... ...
Abstract | Background: There are few assessments evaluating associations between birth defects with neural crest cell developmental origins (BDNCOs) and embryonal tumors, which are characterized by undifferentiated cells having a molecular profile similar to neural crest cells. The effect of BDNCOs on embryonal tumors was estimated to explore potential shared etiologic pathways and genetic origins. Methods: With the use of a multistate, registry-linkage cohort study, BDNCO-embryonal tumor associations were evaluated by generating hazard ratios (HRs) and 95% confidence intervals (CIs) with Cox regression models. BDNCOs consisted of ear, face, and neck defects, Hirschsprung disease, and a selection of congenital heart defects. Embryonal tumors included neuroblastoma, nephroblastoma, and hepatoblastoma. Potential HR modification (HRM) was investigated by infant sex, maternal race/ethnicity, maternal age, and maternal education. Results: The risk of embryonal tumors among those with BDNCOs was 0.09% (co-occurring n = 105) compared to 0.03% (95% CI, 0.03%-0.04%) among those without a birth defect. Children with BDNCOs were 4.2 times (95% CI, 3.5-5.1 times) as likely to be diagnosed with an embryonal tumor compared to children born without a birth defect. BDNCOs were strongly associated with hepatoblastoma (HR, 16.1; 95% CI, 11.3-22.9), and the HRs for neuroblastoma (3.1; 95% CI, 2.3-4.2) and nephroblastoma (2.9; 95% CI, 1.9-4.4) were elevated. There was no notable HRM by the aforementioned factors. Conclusions: Children with BDNCOs are more likely to develop embryonal tumors compared to children without a birth defect. Disruptions of shared developmental pathways may contribute to both phenotypes, which could inform future genomic assessments and cancer surveillance strategies of these conditions. |
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MeSH term(s) | Infant ; Child ; Humans ; Neural Crest ; Cohort Studies ; Hepatoblastoma/epidemiology ; Hepatoblastoma/genetics ; Wilms Tumor/epidemiology ; Wilms Tumor/genetics ; Neuroblastoma/epidemiology ; Neuroblastoma/genetics ; Liver Neoplasms ; Kidney Neoplasms ; Risk Factors |
Language | English |
Publishing date | 2023-07-11 |
Publishing country | United States |
Document type | Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural |
ZDB-ID | 1429-1 |
ISSN | 1097-0142 ; 0008-543X ; 1934-662X |
ISSN (online) | 1097-0142 |
ISSN | 0008-543X ; 1934-662X |
DOI | 10.1002/cncr.34952 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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