Maternal exposure to N-nitrosatable drugs as a risk factor for childhood brain tumours.
BACKGROUND
Animal models suggest that compounds containing a nitrosyl group (N-nitroso compounds (NNO)) can act as potent transplacental carcinogens. Many common drug formulations have the potential to undergo nitrosation in vivo. The association between maternal use of nitrosatable drugs during pregnancy and development of brain tumours in the offspring was examined in a SEER-based case-control study.


METHODS
Maternal exposure to nitrosatable drugs during pregnancy was compared among 361 childhood brain tumour cases and 1083 matched controls recruited through random-digit dialing.


RESULTS
There was no increase in risk observed for childhood brain tumours overall (OR = 1.15; 95% CI: 0.69-1.94) or for astrocytomas individually (OR = 1.16; 95% CI: 0.50-2.69). A slight elevation in risk was noted for medulloblastomas (OR = 1.47; 95% CI: 0.28-7.62) and 'other' tumours (OR = 1.27; 95% CI: 0.56-2.86), however, both estimates were based on small numbers.


CONCLUSIONS
Our findings suggest that no increased risk of childhood brain tumours was associated with maternal exposure to nitrosatable drugs. The study results should be viewed with caution given the imprecision of the point estimates as well as the lack of data on specific timing and dosage of exposure and degree of nitrosatability of drugs taken.
Carozza
S E
SE
Department of Epidemiology, University of North Carolina, Chapel Hill 27599, USA.
Olshan
A F
AF
Faustman
E M
EM
Gula
M J
MJ
Kolonel
L N
LN
Austin
D F
DF
West
E D
ED
Weiss
N S
NS
Swanson
G M
GM
Lyon
J L
JL
D001254:Astrocytoma / Q000139:chemically induced / Q000453:epidemiology; D001932:Brain Neoplasms / Q000139:chemically induced* / Q000453:epidemiology; D016022:Case-Control Studies; D002648:Child; D015987:Effect Modifier, Epidemiologic; D005260:Female; D006801:Humans; D008527:Medulloblastoma / Q000139:chemically induced / Q000453:epidemiology; D015999:Multivariate Analysis; D009603:Nitroso Compounds / Q000009:adverse effects*; D016017:Odds Ratio; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects; D018426:SEER Program; D014481:United States / Q000453:epidemiology
D009603:Nitroso Compounds