Abstract
In order to investigate the effect of natural infection with M. tuberculosis on cancer incidence, a case-control study was undertaken on 108 recently diagnosed cancer cases (all sites) and 317 controls. After removal of cancer cases or controls considered immunoincompetent (25% and 17% respectively), the remaining subjects were tested by intradermal injection of tuberculin (5 I.U.). Results were compared separately for each sex. It was observed that the proportion of tuberculin-negative subjects was higher in cancer patients than in controls within each sex (males 31.3% vs 20.1%, females: 59.2% vs 37.3%) the difference in females being statistically significant ( p < 0.02). Odds ratio for negative tuberculin test was 1.80 and 2.44 for males and females respectively. The results are discussed on the basis of cell-mediated immunity produced by infection with M. tuberculosis and its relations with tumor growth.
Similar content being viewed by others
References
Apostolopoulos A., Kitrou M., Zavras G. and Lihros G. (1987): Prevalence of positive tuberculin reactions of workers in a large textile factory. Presented at the 4th Panhellenic Congress on Lung Diseases, Athens, 13 Decembre 1987.
Campbell A.H. (1961): The association of lung cancer and tuberculosis. - Austral Ann. Med. 10: 129–136.
Comstock G.W., Livesay V.T. and Webster R.G. (1971): Leukaemia and BCG, a controlled trial. - Lancet 2: 1062–1063.
Crispen R.G. and Rosenthal S.R. (1976): BCG vaccination and cancer mortality. - Cancer Immunol. Immunother. 1: 139–142.
Fleiss J.L. (1981): Statistical Methods for Rates and Proportions. 2nd edition, John Wiley and Sons, Inc. pp 61–71.
Greenspan E.M. (1982): Is there a relation between previous tuberculosis and long-term survival after solid tumor chemotherapy? - Cancer Treatment Rep. 66: 206–208.
Greenspan E.M. (1983): Previous tuberculosis and immunocompetence. Favorable prognostic factors in long-term response to chemotherapy of solid tumors. Cancer: Etiology and Prevention, Proceedings of the Chicago Symposium on Cancer, Etiology and Prevention, Chicago, Illinois U.S.A., Oct. 4–6, 1982, Crispen R. (ed), Elsevier Science Publishing Co., Inc.
Kendrick M.A. and Comstock G.W. (1981): BCG vaccination and the subsequent development of cancer in humans. - J. Natl. Cancer Inst. 66: 431–437.
Lolis X. and Kondakis X.G. (1988): Use of ambulatory medical services in an urban area in Greece. - Iatriki 53: 667–674.
Mabuchi K. and Kessler I. (1983): Cancer risk in tuberculosis patients: A prospective study. In: Cancer: Etiology and Prevention, Proceedings of the Chicago Symposium on Cancer Etiology and Prevention, Chicago, Illinois, U.S.A., Oct. 4–6, 1982, Crispen R. (ed), Elsevier Science Publishing Co., Inc.
Old L. and Clarke D.A. (1959): Effect of Bacillus Calmette-Guerin infection on transplanted tumors in the Mouse. - Nature 184: 291.
Pearl R. (1929): Cancer and Tuberculosis. - Am. J. Hygiene 9: 97–159.
Rokitansky C. (1985): Lehrbuch der Pathologischen Anatomie. Wilhelm Braumuller, Wien, p. 303.
Rosenthal S.R. and Crispen R. (1983): Can BCG vaccination at birth prevent cancer and leukemia. Cancer: Etiology and Prevention, Proceedings of the Chicago Symposium on Cancer, Etiology and Prevention, Chicago, Illinois U.S.A., Oct. 4–6, 1982, Crispen R. (ed), Elsevier Science Publishing Co., Inc.
Rosenthal S.R. (1980): BCG in cancer and leukemia in BCG vaccine. Tuberculosis-Cancer Ed. Rosenthal S.R. p. 295 PSGH Publishing Company, Inc.
Steinitz R. (1965): Pulmonary tuberculosis and carcinoma of the lung. - Am. Rev. Resp. Dis., 92: 758–766.
Varela S. and Troitino P. (1973): Relation entre cancer e infeccion tuberculosa. - Rev. San. Hig. (Madr.) 47: 1009–20.
Waaler H.T. (1970): BCG and leukaemia mortality. -Lancet 2: 1314.
Zbar B. and Tanaka T. (1971): Immunotherapy of cancer regression of tumors after intralesional injection of living Mycobacterium bovis. - Science 172: 271–273.
Zheng W., Blot W.J., Liao M.L., Wang Z.X., LevinL.I., Zhao J.J., Fraumeni J.F. and Gao Y.T.Jr. (1987): Lung cancer and prior tuberculosis infection in Shanghai. - Br. J. Cancer 56: 501–504.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fragoulia, A., Kondakis, X.G. & Dimopoulos, I. Is natural infection with M. tuberculosis protective against cancer?. Eur J Epidemiol 5, 234–238 (1989). https://doi.org/10.1007/BF00156837
Issue Date:
DOI: https://doi.org/10.1007/BF00156837