Systematic review and meta-analysis of glyphosate exposure and risk of lymphohematopoietic cancers

摘要

This systematic review and meta-analysis rigorously examines the relationship between glyphosate exposure and risk of lymphohematopoietic cancer (LHC) including NHL, Hodgkin lymphoma (HL), multiple myeloma (MM), and leukemia. Meta-relative risks (meta-RRs) were positive and marginally statistically significant for the association between any versus no use of glyphosate and risk of NHL (meta-RR = 1.3, 95% confidence interval (Cl) = 1.0-1.6, based on six studies) and MM (meta-RR = 1.4, 95% Cl = 1.0-1.9; four studies). Associations were statistically null for HL (meta-RR =1.1, 95% Cl = 0.7-1.6; two studies), leukemia (meta-RR = 1.0, 95% Cl = 0.6-1.5; three studies), and NHL subtypes except B-cell lymphoma (two studies each). Bias and confounding may account for observed associations. Meta-analysis is constrained by few studies and a crude exposure metric, while the overall body of literature is methodologically limited and findings are not strong or consistent. Thus, a causal relationship has not been established between glyphosate exposure and risk of any type of LHC.