Individuals with Down syndrome exhibit a lower incidence of certain solid tumors
Individuals with Down syndrome demonstrate a significantly lower incidence and risk of developing various solid tumors in adulthood compared to the general population.
Multiple large-scale epidemiological studies, systematic reviews, and meta-analyses consistently support the claim that individuals with Down syndrome experience a reduced risk or incidence of various solid tumors, alongside a mechanistic understanding involving chromosome 21 gene dosage effects.
Nayara Moretti Rozalem, A. Nardelli, GuimaraesLetícia Vieira Guimarães, Ian de Paula Bezerra, João Arthur Cerqueira Taumaturgo, N. G. Alves, F. Kelly, F. C. A. Moraes. The prevalence of solid tumors and hematologic malignancies among patients with Down Syndrome: A systematic review and meta-analysis.. 2024. https://doi.org/10.1016/j.critrevonc.2024.104558
A systematic review and meta-analysis reports the overall prevalence of solid tumors in Down syndrome, highlighting low baseline prevalence figures such as testicular cancer.
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Kwadwo Fosu, Jude Tetteh Quarshie, Kwabena Amofa Nketia Sarpong, Anastasia Rosebud Aikins. Inverse Comorbidity between Down Syndrome and Solid Tumors: Insights from In Silico Analyses of Down Syndrome Critical Region Genes. 2023. https://doi.org/10.3390/genes14040800
Discusses the inverse comorbidity between Down syndrome and solid tumors like breast and lung cancers, attributing it to chromosome 21 critical region genes.
E. Taherifard, E. Taherifard, É. Bouffet, Daniel Satgé, M. Abdelbaki. Solid Tumor Incidence and Patterns in Individuals With Down Syndrome: A Systematic Review and Meta‐Analysis. 2025. https://doi.org/10.1002/pbc.31775
Establishes that individuals with Down syndrome exhibit a distinct pattern of solid tumor occurrence compared to the general population.
Alexandra Wachtmeister, B. Bang, Ida Nordgren, A. Martling, Bertil Johansson, Yunxia Lu, Anna Skarin Nordenvall, Giorgio Tettamanti, Ann Nordgren. Lifetime risk of solid tumors and leukemia in Down Syndrome: a population-based Swedish matched cohort study. 2025. https://doi.org/10.1038/s41416-025-03318-5
A Swedish population-based cohort study demonstrates that individuals with Down syndrome have a significantly lower overall risk of solid tumors in adulthood.
I. G. Medeiros, Francylene Malheiros Macedo da Cunha Rego. Vulnerability and Protection: Integrative Literature Review on the Contrasting Risk of Leukemias and Solid Tumors in Down Syndrome. 2026. https://doi.org/10.32635/2176-9745.rbc.2026v72n1.5334en
An integrative literature review concludes that Down syndrome confers protection against solid neoplasms, noting low standardized incidence ratios for several solid tumor types.
G. V. Aguas, Evelyn Chua-Ley, Al-John Ahmad. CNSC-55. THE RARE INTERSECTION OF TRISOMY 21 AND GLIOBLASTOMA IDH WILD-TYPE: A CASE REPORT. 2025. https://doi.org/10.1093/neuonc/noaf201.0263
Notes that primary solid brain tumors, including glioblastomas, are rare in persons with Down syndrome, who are typically less predisposed to these cancers.
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