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what causes leukemia in infants — 8 Key Causes Explained

Last Updated on November 20, 2025 by Ugurkan Demir

what causes leukemia in infants — 8 Key Causes Explained
what causes leukemia in infants — 8 Key Causes Explained 4

Leukemia diagnoses in infants and children can be very hard for families. At Liv Hospital, we know how complex this disease is. We are dedicated to giving patient-centered care and support. Find out what causes leukemia in infants and common risk factors doctors look for.

Studies show that genetic and environmental factors help cause leukemia. We will look into these factors. This will give us a better understanding of infant leukemia causes and how genetics and environment interact.

Knowing these factors helps us find ways to prevent and treat leukemia. At Liv Hospital, we mix academic excellence with innovation. We aim to help families find answers and effective treatments for childhood leukemia.

Key Takeaways

  • Genetic factors play a significant role in the development of leukemia.
  • Environmental factors also contribute to the risk of leukemia.
  • Understanding the causes of leukemia is key for effective prevention and treatment.
  • Liv Hospital offers patient-centered care and support for families with leukemia.
  • Our team combines academic excellence with innovation for top-notch healthcare.

Understanding Childhood Leukemia: An Overview

what causes leukemia in infants — 8 Key Causes Explained
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It’s important to understand childhood leukemia to improve treatment and outcomes. This cancer affects the blood and bone marrow. It’s caused by abnormal white blood cells that grow too much.

Types of Childhood Leukemia

Childhood leukemia comes in several types, with acute lymphoblastic leukemia (ALL) being the most common. It makes up about 80% of cases. Acute myeloid leukemia (AML) is more aggressive and needs intense treatment.

Other types include chronic myeloid leukemia (CML) and juvenile myelomonocytic leukemia (JMML). “Diagnosing leukemia can be tough because its symptoms are similar to common childhood illnesses,” 

Prevalence and Statistics

Childhood leukemia is rare, with about 4,000 new cases in the U.S. each year. It’s the leading cancer in kids under 15, making up 30% of all childhood cancers. The rates change with age, with ALL peaking in early childhood and AML spread out more evenly.

  • ALL incidence peaks between 2 and 5 years of age.
  • AML incidence is more evenly distributed across childhood.
  • Survival rates for childhood leukemia have improved significantly over the past few decades.

How Leukemia Develops in Children

Leukemia starts with genetic mutations in bone marrow cells. These mutations cause abnormal white blood cells to grow too much. This crowds out normal cells and weakens the body’s immune system.

The exact reasons for these mutations are not known. But, research points to a mix of genetic and environmental factors. Understanding this is key to finding risk factors and new treatments.

What Causes Leukemia in Infants: The Genetic Connection

what causes leukemia in infants — 8 Key Causes Explained
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Infant leukemia has unique genetic traits that set it apart from leukemia in older kids. We’re learning that the genetic link to leukemia in infants is complex. It involves many factors.

Prenatal Origin of Leukemic Mutations

Research shows that many infant leukemias start from genetic changes during fetal development. These changes can be influenced by genetics and the environment.

Studies indicate that some leukemic mutations are present at birth. This is key for early intervention and better treatment outcomes.

Infant vs. Childhood Leukemia: Key Differences

Leukemia in infants is different from leukemia in older kids. It has unique genetic traits, treatment responses, and prognoses. Infant leukemia often has specific genetic rearrangements not seen in older children.

It’s vital to understand these differences. This helps in creating treatments that meet the unique needs of infants with leukemia.

CharacteristicsInfant LeukemiaChildhood Leukemia
Genetic RearrangementsOften involves MLL gene rearrangementsVarious genetic abnormalities
Age of OnsetTypically diagnosed within the first year of lifeCan occur at any age during childhood
Treatment ResponseOften requires intensive chemotherapyTreatment protocols vary based on leukemia subtype

MLL Gene Rearrangements in Infant Leukemia

The MLL gene is a key player in infant leukemia. Rearrangements of the MLL gene are common in infant leukemia. They are linked to a specific clinical and biological profile.

These rearrangements come from chromosomal translocations involving the MLL gene. They create fusion genes that drive leukemia.

We’re studying the role of MLL gene rearrangements in infant leukemia. Our goal is to develop more effective and targeted therapies.

Genetic Syndromes Associated with Childhood Leukemia

Some genetic syndromes raise the risk of leukemia in kids. These conditions come from inherited or gained genetic changes. They affect how cells grow and divide. Knowing about these syndromes helps spot kids at risk and gives them the right care.

Down Syndrome and Leukemia Risk

Down syndrome makes kids more likely to get leukemia, like ALL and AML. This condition, or trisomy 21, means they have an extra chromosome 21. This can cause leukemic cells to grow.

Studies show kids with Down syndrome are 20 to 30 times more likely to get AML. They are also 2 to 3 times more likely to get ALL than kids without it.

The extra chromosome 21 in Down syndrome can mess with cell function. Regular checks and early detection are key to managing leukemia risk in these kids.

Li-Fraumeni Syndrome

Li-Fraumeni syndrome is a rare genetic disorder. It raises the risk of many cancers, including leukemia. This happens because of inherited changes in the TP53 gene.

  • Increased cancer risk: Li-Fraumeni syndrome greatly increases the risk of many cancers, including leukemia.
  • Genetic basis: It’s caused by TP53 gene mutations. This gene is key in stopping cancer.
  • Early detection: Regular checks are vital for catching cancers early in kids with Li-Fraumeni syndrome.

Fanconi Anemia and Other Genetic Conditions

Fanconi anemia is a genetic disorder that raises leukemia and cancer risk. It’s marked by bone marrow failure and a high risk of cancers. This is due to genetic changes that mess with DNA repair.

“Fanconi anemia is a rare genetic disorder that affects the body’s ability to repair DNA, leading to an increased risk of cancer, including leukemia.”

Source: National Cancer Institute

Other genetic conditions, like Bloom syndrome and ataxia-telangiectasia, also increase leukemia risk. These conditions often have DNA repair or genomic instability problems. This can lead to cancer.

It’s important to understand the genetic syndromes linked to childhood leukemia. This knowledge helps give the right care and management. By spotting kids at risk, healthcare providers can offer better monitoring and care.

Inherited Immune Deficiencies as Risk Factors

It’s important to understand how inherited immune deficiencies can lead to leukemia. These conditions weaken a child’s immune system. This makes them more likely to get infections and possibly leukemia.

Specific Immune Disorders Linked to Leukemia

Some immune disorders increase the risk of leukemia in kids. These include:

  • Severe Combined Immunodeficiency (SCID): This condition severely weakens both B cells and T cells. It causes frequent infections and raises cancer risk.
  • Wiskott-Aldrich Syndrome: A disorder affecting males, it causes eczema, low platelets, and frequent infections. It also raises the risk of leukemia.
  • Ataxia-Telangiectasia: This condition affects the nervous, immune, and other systems. It increases the risk of cancer, including leukemia.

How Immune Deficiencies Contribute to Cancer Development

Immune deficiencies can lead to cancer in several ways:

  1. Impaired Immune Surveillance: The immune system helps find and kill cancer cells. With immune deficiencies, this process fails. Cancer cells can hide and grow.
  2. Increased Genetic Instability: Some immune deficiencies harm DNA repair. This leads to more genetic mistakes. These mistakes can cause cancer.
  3. Chronic Infections: People with immune deficiencies get chronic infections easily. These infections cause long-term inflammation. This can lead to cancer.

Screening Recommendations for High-Risk Children

Children with inherited immune deficiencies need regular checks for leukemia. We suggest:

  • Regular complete blood counts (CBCs) to watch for blood cell count issues.
  • Periodic bone marrow tests for kids with frequent infections or leukemia signs.
  • Genetic counseling for families with immune deficiency or leukemia history.

Early detection and treatment can greatly improve outcomes for these high-risk children.

Gene Mutations and Chromosomal Abnormalities

Leukemia in children is often caused by genetic changes. These include gene mutations and chromosomal abnormalities. These changes can make cells grow and divide abnormally, leading to too many leukemic cells.

Common Genetic Alterations in Childhood Leukemia

Childhood leukemia is linked to several genetic changes. These include:

  • Chromosomal translocations: This is when chromosomes swap genetic material. It can create fusion genes that help leukemic cells grow.
  • Mutations in key regulatory genes: Genes that control cell growth, DNA repair, and cell death can mutate. This helps leukemia develop.
  • Copy number variations: Changes in DNA segments can affect gene expression. This is important for blood cell production.

Acquired vs. Inherited Mutations

It’s important to know the difference between acquired and inherited mutations in childhood leukemia.

  1. Acquired mutations: These happen during a child’s life, often due to environmental factors or DNA errors. Most leukemia-related genetic changes are acquired.
  2. Inherited mutations: Some genetic changes are passed down from parents. They can raise the risk of leukemia. But most childhood leukemia cases are not inherited.

Even with a family history of leukemia, most cases are not inherited. This suggests that most leukemia is caused by acquired mutations.

The Two-Hit Hypothesis in Leukemia Development

The two-hit hypothesis says leukemia needs two genetic “hits” to develop. The first hit might make a cell more likely to become leukemic. The second hit makes it fully malignant.

This idea explains why some children with genetic risks don’t get leukemia until more mutations happen. It shows how complex leukemia development is. It also highlights the importance of detailed genetic analysis in diagnosis and treatment.

Environmental Exposure: Radiation and Leukemia Risk

The link between environmental radiation and leukemia in kids is a big concern. We need to know how different kinds of radiation affect their health.

Ionizing Radiation Exposure

Ionizing radiation can knock electrons out of atoms, making ions. This includes X-rays, gamma rays, and some UV rays. It’s known to increase leukemia risk by damaging DNA and causing mutations.

Sources of ionizing radiation include CT scans and some industrial or environmental exposures. We must look at these sources to understand leukemia risk in kids.

Medical Radiation Considerations

Medical imaging is a big source of ionizing radiation for kids. It’s important to weigh the benefits against the risks. We should make sure medical radiation is only used when necessary and doses are low.

Advances in medical imaging have lowered radiation doses in many cases. But, the long-term effects of repeated exposures are a worry, mainly for kids who have many scans during treatment.

Non-Ionizing Radiation: Current Evidence

Non-ionizing radiation comes from things like cell phones, power lines, and appliances. The health risks of this type of radiation are not fully understood yet. Its link to leukemia is a topic of ongoing research and debate.

Some studies suggest a possible link between non-ionizing radiation and leukemia. But, the evidence is not strong enough yet. We keep watching new studies to understand any risks and set safe exposure levels.

Chemical Exposures and Pesticides

Chemical exposures might link to leukemia in infants and kids. We need to look at how environmental factors, like chemicals in our homes and workplaces, raise leukemia risk.

Household and Industrial Chemicals

Our world is filled with household and industrial chemicals. They’re in cleaning products and pesticides. Some of these chemicals might increase leukemia risk in kids. For example, benzene, found in some workplaces and cigarette smoke, is linked to a higher risk of AML.

Some chemicals can harm our bodies and lead to genetic changes that cause leukemia. It’s important for parents and caregivers to know where chemicals come from in their homes and communities.

Pesticide Exposure During Pregnancy and Early Childhood

Pesticide exposure is a big worry, even more so during pregnancy and early childhood. Research shows that moms exposed to pesticides might raise their kids’ leukemia risk. This can happen through using pesticides at home or in gardens.

Reducing pesticide exposure is key for families. They can avoid using pesticides, choose organic food, and make sure homes are well-ventilated after treatments.

Reducing Chemical Exposure: Practical Steps

We can’t avoid all chemicals, but there are ways to lower exposure. Families can pick products with fewer, safer chemicals. They can use protective gear when handling chemicals and make sure homes are well-ventilated.

  • Choose natural or organic cleaning and gardening products when possible.
  • Avoid mixing different cleaning products, as this can create harmful fumes.
  • Wear protective clothing and gloves when using chemicals.
  • Ensure good ventilation when using products that contain strong chemicals.

By following these steps, families can cut down on harmful chemical exposure. This helps create a healthier environment for their kids.

Parental Lifestyle Factors

Leukemia in children is often linked to genetics. But, research shows that what parents do can also matter. Knowing this can help families lower their risk.

Parental Smoking and Second-hand Smoke

Studies have looked into how parental smoking affects kids. Second-hand smoke is full of harmful chemicals. It can harm a child’s health.

A study in the Journal of the National Cancer Institute found a link. It said kids whose moms smoked during pregnancy were at higher risk of leukemia.

Occupational Exposures of Parents

Parents’ jobs can also impact their kids’ health. Jobs that involve pesticides, solvents, or radiation can expose kids to dangers. This can happen through clothes or other ways.

Research has found that some workplace chemicals might raise leukemia risk in kids. This is based on what parents do at work.

Alcohol Consumption and Other Factors

Drinking alcohol during pregnancy is another area of study. While the link to leukemia isn’t clear, it’s wise to drink less. It’s good for health in general.

Other lifestyle choices, like diet and household chemicals, are also being looked into. But, we need more research to understand their effects.

Family History and Hereditary Patterns

A family history of leukemia can greatly increase a child’s risk of getting the disease. Knowing about hereditary patterns and family connections can help spot those at higher risk. This knowledge can guide prevention and early treatment efforts.

Sibling and Twin Studies

Research on siblings and twins has shed light on leukemia’s genetic roots. It shows that siblings of kids with leukemia face a higher risk, more so if the sibling was young when diagnosed. Twin studies reveal a stronger genetic link, with identical twins at much higher risk if their twin gets leukemia.

Key findings from sibling and twin studies include:

  • Increased risk for siblings of children with leukemia, specially if diagnosed under the age of 7.
  • Higher concordance rates in identical twins compared to fraternal twins.
  • Shared genetic mutations contributing to the increased risk in familial cases.

Is Leukemia Hereditary?

Leukemia isn’t usually seen as a hereditary disease like some cancers. Yet, genetics do play a big part. Certain genetic syndromes and mutations can up the risk of getting leukemia. But most leukemia cases aren’t passed down from parents.

The role of genetic predisposition is complex, involving many genetic and environmental factors. Some families might see more leukemia cases due to shared genetic mutations or environmental factors.

Familial Clustering Without Direct Inheritance

Familial clustering of leukemia cases without clear inheritance is an intriguing area of study. In some families, many members get leukemia without a known genetic syndrome or mutation. This suggests other genetic or environmental factors might be at work.

Factors contributing to familial clustering may include:

  1. Shared environmental exposures.
  2. Complex genetic interactions not yet fully understood.
  3. Potential for unidentified genetic mutations.

Grasping these patterns can help spot children at higher risk. It can also guide screening and prevention strategies.

The Unknown: When No Cause Can Be Identified

In many cases, the cause of leukemia in infants and children is unknown. Despite a lot of research, many kids with leukemia don’t have any known risk factors or genetic predispositions.

It can be hard for families and doctors to understand when leukemia has no clear cause. But, research keeps finding new things about what causes leukemia.

The Role of Random Genetic Events

Research is looking into how random genetic events cause leukemia. Random genetic mutations can happen during cell division without any known cause.

These mutations can lead to leukemia in kids without a family history or known risk factors. Learning about these random events helps us understand leukemia better.

Current Research Directions

Researchers are looking into many areas to find new causes and risk factors for leukemia. They are studying environmental exposures, new genetic syndromes, and how the immune system affects cancer.

  • Investigating the role of epigenetic changes in leukemia development
  • Studying the impact of prenatal and early life exposures on leukemia risk
  • Exploring the possible link between infections and leukemia

Coping with Uncertainty for Families

For families dealing with leukemia, not knowing the cause can be tough. It’s important for them to get full support, including genetic counseling and psychological help.

We know every family’s journey with leukemia is different. Our support services aim to give personalized care and guidance during treatment.

Conclusion: Prevention Strategies and Future Research

Understanding leukemia in infants and children is key to preventing it. We’ve looked at genetic, environmental, and lifestyle factors that play a role. These factors help us know how to stop childhood leukemia.

Prevention involves cutting down on harmful things and keeping mothers healthy. This includes giving them folic acid. We also need to reduce exposure to harmful radiation and chemicals. A healthy lifestyle, like eating well and not smoking, is also important.

Future research should dive deeper into how genes and the environment interact. Studying gene mutations and immune issues will help us understand leukemia better. This knowledge will lead to better treatments and ways to prevent it.

By learning more about childhood leukemia and using what we know to prevent it, we can help more kids. We need to keep supporting research and teaching people about health. This will help keep kids safe and healthy all over the world.

FAQ

What are the main causes of leukemia in children?

Leukemia in kids often comes from a mix of genetic and environmental factors. Genetic syndromes and certain gene changes are risk factors. Exposure to ionizing radiation also plays a part.

Is childhood leukemia genetic?

Some childhood leukemia has a genetic link, but most isn’t passed down. Syndromes like Down syndrome raise the risk. Yet, most cases come from a mix of genes and environment.

How do kids get leukemia?

Leukemia in kids happens when blood cell genes mutate. These changes can happen before or after birth. They’re influenced by genetics and environment.

What causes leukemia in infants?

Infant leukemia often comes from prenatal genetic changes, like MLL gene rearrangements. These changes can increase leukemia risk.

Can leukemia run in families?

There’s a slight chance of leukemia in families with a history of it. But most cases aren’t directly passed down. It shows a mix of genetics and environment.

What are the risk factors for childhood leukemia?

Risk factors include genetic syndromes and ionizing radiation exposure. Environmental factors like pesticides and inherited immune issues also raise the risk.

How can we prevent childhood leukemia?

Preventing childhood leukemia is hard, but reducing risk factors helps. Avoiding ionizing radiation and chemicals is key. Maternal nutrition, including folic acid, is also important.

What is the role of environmental exposures in leukemia development?

Environmental factors like ionizing radiation and chemicals increase leukemia risk. Reducing exposure to these can lower the risk.

Are there any lifestyle changes that can reduce the risk of leukemia in children?

Avoiding known risk factors like second-hand smoke and chemicals helps. Healthy choices during pregnancy and early childhood are also beneficial.

Is there a link between parental lifestyle factors and the risk of leukemia in children?

Parental lifestyle, like smoking, has been studied as a risk factor. But evidence is mixed. More research is needed to understand any links.

Reference:

Medical News Today. (2025, June 13). What are the health benefits and risks of cannabis? https://www.medicalnewstoday.com/articles/320984

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