No higher risk of acute leukaemia in close relatives

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Parents, siblings and children of patients with the most common form of acute leukemia do not run a higher risk of developing the disease as was once believed, according to a new study from the Swedish medical university Karolinska Institutet.

Every year, some 400 people in Sweden are diagnosed with acute myeloid leukemia (AML), the most common form of acute leukemia. Just like for other forms of the disease, the causes of AML are largely unknown and are probably a combination of hereditary and environmental factors. According to earlier studies, first-degree relatives (parents, siblings and children) of patients with AML run three times the normal risk of developing the disease. However, a joint study conducted by researchers at Karolinska Institutet and the USA’s National Institutes of Health (NIH) has now shown that this is not the case.

The teams studied over 20,000 first-degree relatives of AML patients and compared the results with over 90,000 relatives of a control group and found no higher risk for AML or other blood tumour diseases with the exception of polycythemia vera, a disorder leading to the over-production of red blood cells.

“Our results show that close relatives of AML patients can feel reassured that they run no higher risk than normal of developing AML,” says Magnus Björkholm, professor at Karolinska Institutet’s Department of Medicine (Solna) and consultant at Karolinska University Hospital in Sweden.

The researchers also studied relatives of patients with myelodysplastic syndrome (MDS), which can be a precursor of leukaemia. Here too they observed no increase in risk for blood tumour diseases in first-degree relatives.

“In our view, the lack of a familial increase in risk of AML and MDS contrasts sharply with other blood tumour diseases, for which there is often a significant familial connection,” says Professor Björkholm.

Publication:
‘Familial aggregation of acute myeloid leukemia and myelodysplastic
syndromes’, Lynn R. Goldin, Sigurdur Y Kristinsson, Xueying (Sharon) Liang, Åsa R. Derolf, Ola Landgren, Magnus Björkholm, Journal of Clinical Oncology, published online before print December 12, 2011, doi: 10.1200/JCO.2011.37.1203. Read abstract: http://goo.gl/M9XtH

For further information, please contact:
Professor Magnus Björkholm
Department of Medicine, Solna, Karolinska Institutet
Tel: +46 (0)8-517 741 98 or +46 (0)70-578 24 86 (cell)
Email: magnus.bjorkholm@ki.se

Contact the Press Office: http://ki.se/pressroom

Karolinska Institutet is one of the world’s leading medical universities. It accounts for over 40 per cent of the medical academic research conducted in Sweden and offers the country’s broadest range of education in medicine and health sciences. Since 1901 the Nobel Assembly at Karolinska Institutet has selected the Nobel laureates in Physiology or Medicine.

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