(Beyond Pesticides, July 29, 2009) A new study by researchers at the Lombardi Comprehensive Cancer Center at Georgetown University finds a higher level of common household pesticides in the urine of children with acute lymphoblastic leukemia (ALL), a cancer that develops most commonly between three and seven years of age. The findings are published in the August issue of the journal Therapeutic Drug Monitoring.
Researchers, in the study entitled, âPediatric Acute Lymphoblastic Leukemia and Exposure to Pesticides,â caution that these findings, which do not establish a cause-and-effect relationship, suggest an association between pesticide exposure and development of childhood ALL.
âIn our study, we compared urine samples from children with ALL and their mothers with healthy children and their moms. We found elevated levels of common household pesticides more often in the mother-child pairs affected by cancer,â says the studyâs lead investigator, Offie Soldin, Ph.D., an epidemiologist at Lombardi. Dr. Soldin cautions, âWe shouldnât assume that pesticides caused these cancers, but our findings certainly support the need for more robust research in this area.â Previous studies have found that exposures to certain pesticides increases the risk of developing certain cancers and degenerative diseases.
The study was conducted between January 2005 and January 2008 with volunteer participants from Lombardi and Childrenâs National Medical Center who live in the Washington metropolitan area. It included 41 pairs of children with ALL and their mothers (cases), and 41 pairs of healthy children and their mothers (controls). For comparison purposes, the case pairs were matched with control pairs by age, sex and county of residence. Previous studies in agricultural areas of the country have suggested a relationship between pesticides and childhood cancers, but researchers say this is the first study conducted in a large, metropolitan area.
Urine samples were collected from all child-mother pairs and analyzed by the Centers for Disease Control and Prevention to look for evidence of organophosphates (OP), the chemical name of some household pesticides. The body breaks down OP into metabolites which can be tracked in urine samples. The researchers say pesticides were detected in the urine of more than half of the participants, but levels of two common OP metobolites, diethylthiophosphate (DETP) and diethyldithiophosphate (DEDTP), were higher in the children with ALL compared to the control children (p<0.03 and p<0.05).
As a part of the study, the mothers completed a questionnaire to collect information about the familyâs exposure to pesticides, their medical history, home and neighborhood characteristics, diet, and history of smoke exposure. More case mothers (33 percent) than controls (14 percent) reported using insecticides in the home (p<0.02), however there was no correlation found between high levels of the OP metabolites in urine and reported use of pesticides.
âWe know pesticides â sprays, strips, or âbombs,â are found in at least 85 percent of households, but obviously not all the children in these homes develop cancer. What this study suggests is an association between pesticide exposure and the development of childhood ALL, but this isnât a cause-and-effect finding,â Dr. Soldin explains. âFuture research would help us understand the exact role of pesticides in the development of cancer. We hypothesize that prenatal exposure coupled with genetic susceptibility or an additional environmental insult after birth could be to blame.â
Children are more vulnerable to the negative effects of pesticide exposures. EPA concurs that children take in more pesticides relative to body weight than adults and have developing organ systems that are more vulnerable and less able to detoxify toxic chemicals. The National Academy of Sciences reports that children are more susceptible to chemicals than adults and estimates that 50% of lifetime pesticide exposure occurs during the first five years of life. For more information, read our factsheet, “Children and Pesticides Donât Mix.” Select studies on pesticides and childrenâs health can be found here.