Multiple myeloma and family history of lymphohaematopoietic cancers: Results from the International Multiple Myeloma Consortium
Open accessAbstract
Summary: Family clusters of multiple myeloma (MM) suggest disease heritability. Nevertheless, patterns of inheritance and the importance of genetic versus environmental risk factors in MM aetiology remain unclear. We pooled data from eleven case‐control studies from the International Multiple Myeloma Consortium to characterize the association of MM risk with having a first‐degree relative with a history of a lympho‐haematapoietic cancer. Unconditional logistic regression models, adjusted for study, sex, age and education level, were used to estimate associations between MM risk and having a first‐degree relative with a history of non‐Hodgkin lymphoma, Hodgkin lymphoma, leukaemia or MM. Sex, African American race/ethnicity and age were explored as effect modifiers. A total of 2843 cases and 11 470 controls were included. MM risk was elevated in association with having a first‐degree relative with any lympho‐haematapoietic cancer (Odds Ratio (OR) = 1·29, 95% Confidence Interval (CI): 1·08–1·55). The association was particularly strong for having a first‐degree relative with MM (OR = 1·90, 95% CI: 1·26–2·87), especially among men (OR = 4·13, 95% CI: 2·17–7·85) and African Americans (OR = 5·52, 95% CI: 1·87–16·27).These results support the hypothesis that genetic inheritance plays a role in MM aetiology. Future studies are warranted to characterize interactions of genetic markers with environmental exposures.
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The odds ratio for MM among first-degree relatives is 1.90 (95% CI: 1.26-2.87), with a stronger association among men (OR = 4.13, 95% CI: 2.17-7.85) and African Americans (OR = 5.52, 95% CI: 1.87-16.27).
“Retrospective results from the Multiple Myeloma Consortium found that the odds ratio (OR) for MM among first-degree relatives was 1.90, (95% CI: 1.26–2.87) with an especially strong association among men (OR = 4.13, 95% CI: 2.17–7.85) and African Americans (OR = 5.52, 95% CI: 1.87–16.27) [17].”
From Epidemiology, Staging, and Management of Multiple Myeloma (2021) · cites this paper as [17]
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Racial disparities in multiple myeloma
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- Authors
- Schinasi, L. H., Brown, E. E., Camp, N. J., Wang, S. S., Hofmann, J. N., Chiu, B. C., Miligi, L., Beane Freeman, L. E., de Sanjose, S., Bernstein, L., Monnereau, A., Clavel, J., Tricot, G. J., Atanackovic, D., Cocco, P., Orsi, L., Dosman, J. A., McLaughlin, J. R., Purdue, M. P., Cozen, W., Spinelli, J. J., & de Roos, A. J.
- Affiliations
- Drexel University (US)
- University of Alabama at Birmingham (US)
- University of Utah (US)
- Beckman Research Institute (US)
- National Cancer Institute (US)
- University of Chicago (US)
- Institute for Study and Prevention of Cancer Unit of Environmental and Occupational Health Florence Italy
- Occupational and Environmental Epidemiology Branch Division of Cancer and Genetics National Cancer Institute Rockville MD USA
- Cancer Epidemiology Research Programme Catalan Institute of Oncology Barcelona Spain
- Inserm (FR)
- University of Iowa (US)
- University of Cagliari (IT)
- University of Saskatchewan (CA)
- Public Health Ontario (CA)
- University of Southern California (US)
- BC Cancer Agency (CA)
- Department of Environmental and Occupational Health Drexel University Dornsife School of Public Health Philadelphia PA USA
- Corresponding author
- Schinasi, Leah H.
- ORCID
- Schinasi, Leah H.
- Brown, Elizabeth E.
- Camp, Nicola J.
- Wang, Sophia S.
- Hofmann, Jonathan N.
- Chiu, Brian C.
- Miligi, Lucia
- Bernstein, Leslie
- Monnereau, Alain
- Clavel, Jacqueline
- Tricot, Guido J.
- Atanackovic, Djordje
- Cocco, Pierluigi
- Orsi, Laurent
- Dosman, James A.
- McLaughlin, John R.
- Purdue, Mark P.
- Cozen, Wendy
- Spinelli, John J.
- Venue
- British Journal of Haematology
- Publisher
- Wiley
- Published
- 2016-06-22
- Volume
- 175
- Issue
- 1
- Pages
- 87-101
- ISSN
- 0007-1048 (ISSN-L)
- 1365-2141
- PMC
- PMC5035512
- OpenAlex
- W2462737759
- Cited by
- 57
- References
- 45
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 9 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 4
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- British Journal of Haematology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
- Funders
- National Institute of Environmental Health Sciences (R21 ES021592)
- Fondation de France
- National Cancer Institute (U54CA118948, R21CA155951, R25CA76023, R01CA186646)
- American Cancer Society (IRG60‐001‐47)
- Topics
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Health Sciences › Medicine › Epidemiology › Multiple and Secondary Primary Cancers
- Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
- Keywords
- multiple myeloma, familial aggregation, heritability, first-degree relatives, non-Hodgkin lymphoma, Hodgkin's disease, leukemia, genetic risk factors, African Americans, sex differences
- MeSH terms
- Aged, Ethnicity, Family, Female, Humans, Male, Middle Aged, Multiple Myeloma, Risk Factors, Sex Factors, Odds Ratio, Case-Control Studies, Risk Assessment, Hematologic Neoplasms, Racial Groups
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