Abstract
The aim of the present analysis was to examine the association of a medical history of asthma, hay fever, eczema, or epilepsy with the risk of glioma and meningioma. Data of a German population-based case–control study included 381 meningioma cases, 366 glioma cases, and 1,494 controls. Participants’ histories of asthma, hay fever, eczema, and epilepsy and the respective ages at onset were asked during a personal interview. A small inverse association between allergic condition and both glioma (odds ratio: 0.92; 95% CI: 0.70–1.22) and meningioma (odd ratio: 0.87; 95% CI: 0.66–1.14) was found. For glioma, this inverse association was more pronounced in persons reporting to have asthma compared to other allergic conditions. The positive association between epilepsy and particularly glioma suggests that epilepsy is an early symptom of the disease. As the association was seen also for epilepsies occurring more than a decade before the diagnosis of glioma, this might indicate either an aetiological role of epilepsy, or a relatively long preclinical phase. In conclusion our study confirms previous findings of case control studies but not those from cohort studies. However, possible selection bias in case control studies might not explain the different results in its entirety.
Similar content being viewed by others
References
Bondy ML, Scheurer ME, Malmer B, Barholtz-Sloan J, Davis FG, Il’aysova D, et al. Brain tumor epidemiology: consensus from the brain tumor epidemiology consortium. Cancer. 2008;113(Suppl. 7):1953–68.
Connelly JM, Malkin MG. Environmental risk factors for brain tumors. Curr Neurol Neurosci Rep. 2007;7:208–14. doi:10.1007/s11910-007-0032-4.
Ohgaki H, Kleihues P. Epidemiology and etiology of gliomas. Acta Neuropathol. 2005;109:93–108. doi:10.1007/s00401-005-0991-y.
Wrensch M, Minn Y, Chew R, Bondy M, Berger MS. Epidemiology of primary brain tumors: current concepts and review of the literature. Neuro-oncol. 2002;4:278–99. doi:10.1215/15228517-4-4-278.
Bondy M, Ligon BL. Epidemiology and etiology of intracranial meningiomas: a review. J Neurooncol. 1996;29:197–205. doi:10.1007/BF00165649.
Linos E, Raine T, Alonso A, Michaud D. Atopy and risk of brain tumors: a meta-analysis. J Natl Cancer Inst. 2007;99:1544–50. doi:10.1093/jnci/djm170.
Wang H, Diepgen TL. Is atopy a protective or a risk factor for cancer? A review of epidemiological studies. Allergy. 2005;60:1098–111. doi:10.1111/j.1398-9995.2005.00813.x.
Wigertz A, Lönn S, Schwartzbaum J, Hall P, Auvinen A, Christensen HC, et al. Allergic condition and brain tumor risk. Am J Epidemiol. 2007;166:941–50. doi:10.1093/aje/kwm203.
Schwartzbaum J, Jonsson F, Ahlbom A, Preston-Martin S, Lönn S, Söderberg KC, et al. Cohort studies of association between self reported allergic conditions, immune-related diagnoses and glioma and meningioma risk. Int J Cancer. 2003;106:423–8. doi:10.1002/ijc.11230.
Hageströmer L, Wimin Y, Nyren O, Emtestam L. Incidence of cancer among patients with atopic dermatitis. Arch Dermatol. 2005;141:1123–7. doi:10.1001/archderm.141.9.1123.
Turner MC, Chen Y, Krewski D, Ghadirian P, Thun MJ, Calle EE. Cancer mortality among US men and women with asthma and hay fever. Am J Epidemiol. 2005;162:212–21. doi:10.1093/aje/kwi193.
van Breemen MSM, Wilms EB, Vecht C. Epilepsy in patients with brain tumour: epidemiology, mechanisms, and management. Lancet Neurol. 2007;6:421–30. doi:10.1016/S1474-4422(07)70103-5.
Schlehofer B, Blettner M, Preson-Martin S, Niehoff D, Wahrendorf J, Arslan A, et al. Role of medical history in brain tumour development. Results from the international adult brain tumour study. Int J Cancer. 1999;82:155–60. doi:10.1002/(SICI)1097-0215(19990719)82:2<155::AID-IJC1>3.0.CO;2-P.
Wrensch M, Lee M, Miike R, Newman B, Barger G, Davis R, et al. Familial and personal medical history of cancer and nervous system conditions among adults with glioma and controls. Am J Epidemiol. 1997;145:581–93.
Lote K, Stenwig AE, Sckullerud K, Hirschberg H. Prevalence and prognostic significance of epilepsy in patients with gliomas. Eur J Cancer. 1998;34:98–102. doi:10.1016/S0959-8049(97)00374-2.
Oberndorfer S, Schmal T, Lahrmann H, Urbanit S, Lindner K, Grisold W. The frequency of seizures in patients with primary brain tumors or cerebral metastases (Häufigkeit von epileptischen Anfällen bei Patienten mit primären Hirntumoren oder zerebralen Metastasten). Wien Klin Wochenschr. 2002;114:911–6.
Schwartzbaum J, Jonsson F, Ahlbom A, Preston-Martin S, Malmer B, Lönn S, et al. Prior hospitalization for epilepsy, diabetes, and stroke and subsequent glioma and meningioma risk. Cancer Epidemiol Biomarkers Prev. 2005;14:643–50. doi:10.1158/1055-9965.EPI-04-0119.
Cardis E, Richardson L, Deltour I, Armstrong B, Feychting M, Johansen C, et al. The INTERPHONE study: design, epidemiological methods, and descritpion of the study population. Eur J Epidemiol. 2007;22:647–64. doi:10.1007/s10654-007-9152-z.
Schüz J, Böhler B, Berg G, Schlehofer B, Hettinger I, Schlaefer K, et al. Cellular phones, cordless phones, and the risk of glioma and meningioma (Interphone study group, Germany). Am J Epidemiol. 2006;163:512–20. doi:10.1093/aje/kwj068.
Wiemels JL, Wiencke JK, Patoka J, Moghadassi M, Chew T, McMillan A, et al. Reduced immunoglobulin E and allergy among adults with glioma compared with controls. Cancer Res. 2004;64:8468–73. doi:10.1158/0008-5472.CAN-04-1706.
Wiemels JL, Wiencke JK, Sison JD, Miike R, McMillan A, Wrensch M. History of allergies among adults with glioma and controls. Int J Cancer. 2002;98:609–15. doi:10.1002/ijc.10239.
Brenner AV, Linet MS, Fine HA, Shapiro WR, Selker RG, Black PM, et al. History of allergies and autoimmune diseases and risk of brain tumors in adults. Int J Cancer. 2002;99:252–9. doi:10.1002/ijc.10320.
Hochberg F, Toniolo P, Cole P. Nonoccupational risk indicators of glioblastoma in adults. J Neurooncol. 1990;8:55–60. doi:10.1007/BF00182087.
Schoemaker MJ, Swerdlow AJ, Hepworth SJ, McKinney PA, van Tongeren M, Muir KR. History of allergies and risk of glioma in adults. Int J Cancer. 2006;119:2165–72. doi:10.1002/ijc.22091.
Schwartzbaum J, Ahlbom A, Malmer B, Lönn S, Brookes AJ, Doss H, et al. Polymorphisms associated with asthma are inversely related to glioblastoma multiforme. Cancer Res. 2005;65:6459–65. doi:10.1158/0008-5472.CAN-04-3728.
Schwartzbaum JA, Ahlbom A, Lönn S, Malmer B, Wigertz A, Auvinen A, et al. An international case-control study of Interleukin-4Ralpha, Interleukin-13 and cyclooxygenase-2 polymorphisms and glioblastoma risk. Cancer Epidemiol Biomarkers Prev. 2007;16:2448–54. doi:10.1158/1055-9965.EPI-07-0480.
Scheurer ME, El-Zein R, Thompson PA, Aldape KD, Levin VA, Gilbert MR, et al. Long-term anti-inflammatory and antihistamine medication use and adult glioma risk. Cancer Epidemiol Biomarkers Prev. 2008;17:1277–81. doi:10.1158/1055-9965.EPI-07-2621.
Wiemels JL, Wiencke JK, Kelsey KT, Moghadassi M, Rice T, Urayama KY, et al. Allergy-related polymorphisms influence glioma status and serum IgE levels. Cancer Epidemiol Biomarker Prev. 2007;16:1229–35.
Brenner AV, Butler MA, Wand SS, Ruder AM, Rothman N, Schulte PA, et al. Single nucleotide polymorphisms in selected cytokine genes and risk of adult glioma. Carcinogenesis. 2007;28:2543–7. doi:10.1093/carcin/bgm210.
Schoemaker MJ, Swerdlow AJ, Hepworth SJ, van Tongeren M, Muir KR, McKinney PA. History of allergic disease and risk of meningioma. Am J Epidemiol. 2007;165:477–85. doi:10.1093/aje/kwk048.
Hermann-Kunz E. Prevalence of allergic disease in East- and West-Germany. (Häufigkeit allergischer Krankheiten in Ost- und Westdeutschland). Gesundheitswesen. 1999;61:S100–5.
Acknowledgments
We acknowledge funding from: the European Fifth Framework Program, “Quality of Life and Management of living Resources” (contract QLK4-CT-19999-01563); the “Deutsches Mobilfunkforschungsprogramm” of the German Federal Ministry for the Environment, Nuclear Safety, and Nature Protection; the Ministry for the Environment and Traffic of the state of Baden-Württemberg; the Ministry for the Environment of the state of North Rhine-Westphalia; the MAIFOR Program of the University of Mainz; and the International Union against Cancer (UICC). The UICC received funds for this purpose from the Mobile Manufacturers’ Forum and GSM Association. Provision of funds to the Interphone study investigators via the UICC was governed by agreements that guaranteed Interphone’s complete scientific independence. These agreements are publicly available at http://www.iarc.fr/ENG/Units/RCAd.html [07-01-05]. We would like to thank Marianne Brömmel, Stephanie Estel, Iris Hettinger, Melanie Hetzer, Katharina Kunna-Grass, and Anna Wilms for organizing the field phase and all our interviewers for their skilful work. We thank the clinical INTERPHONE team for their support and the collaboration: Bielefeld: Prof Falk Oppel (Neurosurgical clinic), Dr Uwe Dietrich (Neuroradiology), Dr Volkmar Hans (Neuropathology), Heidelberg: Prof Andreas Unterberg, Prof Stefan Kunze, Dr Karsten Geletneky (Neurosurgical clinic), Prof Marika Kiessling (Neuropathology), Mannheim: Prof Peter Schmiedek, Dr Jochen Tüttenberg (Neurosurgical clinic), Prof Uwe Bleyl (Neuropathology), Mainz: Prof Axel Perneczky, Prof Nico Hopf, Dr Dorothee Koch (Neurosurgical clinic), Prof Wolf Mann, Prof Nickalaos Marangos (ENT clinic), Dr Wibke Müller-Forell (Neuroradiology), Prof Hans Hilmar Göbel (Neuropathology). We also thank the coordination team at the International Agency for Research on Cancer in Lyon for their support.
Conflict of interest statement
All authors disclaim any financial and personal relationship with other people or organisations that could inappropriately influence or bias our work.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Berg-Beckhoff, G., Schüz, J., Blettner, M. et al. History of allergic disease and epilepsy and risk of glioma and meningioma (INTERPHONE study group, Germany). Eur J Epidemiol 24, 433–440 (2009). https://doi.org/10.1007/s10654-009-9355-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10654-009-9355-6