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Evidence for large-scale gene-by-smoking interaction effects on pulmonary function.


ABSTRACT:

Background

Smoking is the strongest environmental risk factor for reduced pulmonary function. The genetic component of various pulmonary traits has also been demonstrated, and at least 26 loci have been reproducibly associated with either FEV 1 (forced expiratory volume in 1 second) or FEV 1 /FVC (FEV 1 /forced vital capacity). Although the main effects of smoking and genetic loci are well established, the question of potential gene-by-smoking interaction effect remains unanswered. The aim of the present study was to assess, using a genetic risk score approach, whether the effect of these 26 loci on pulmonary function is influenced by smoking.

Methods

We evaluated the interaction between smoking exposure, considered as either ever vs never or pack-years, and a 26-single nucleotide polymorphisms (SNPs) genetic risk score in relation to FEV 1 or FEV 1 /FVC in 50?047 participants of European ancestry from the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) and SpiroMeta consortia.

Results

We identified an interaction ( ?int ?=?-0.036, 95% confidence interval, -0.040 to -0.032, P ?=?0.00057) between an unweighted 26 SNP genetic risk score and smoking status (ever/never) on the FEV 1 /FVC ratio. In interpreting this interaction, we showed that the genetic risk of falling below the FEV /FVC threshold used to diagnose chronic obstructive pulmonary disease is higher among ever smokers than among never smokers. A replication analysis in two independent datasets, although not statistically significant, showed a similar trend in the interaction effect.

Conclusions

This study highlights the benefit of using genetic risk scores for identifying interactions missed when studying individual SNPs and shows, for the first time, that persons with the highest genetic risk for low FEV 1 /FVC may be more susceptible to the deleterious effects of smoking.

SUBMITTER: Aschard H 

PROVIDER: S-EPMC5837518 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Evidence for large-scale gene-by-smoking interaction effects on pulmonary function.

Aschard Hugues H   Tobin Martin D MD   Hancock Dana B DB   Skurnik David D   Sood Akshay A   James Alan A   Vernon Smith Albert A   Manichaikul Ani W AW   Campbell Archie A   Prins Bram P BP   Hayward Caroline C   Loth Daan W DW   Porteous David J DJ   Strachan David P DP   Zeggini Eleftheria E   O'Connor George T GT   Brusselle Guy G GG   Boezen H Marike HM   Schulz Holger H   Deary Ian J IJ   Hall Ian P IP   Rudan Igor I   Kaprio Jaakko J   Wilson James F JF   Wilk Jemma B JB   Huffman Jennifer E JE   Hua Zhao Jing J   de Jong Kim K   Lyytikäinen Leo-Pekka LP   Wain Louise V LV   Jarvelin Marjo-Riitta MR   Kähönen Mika M   Fornage Myriam M   Polasek Ozren O   Cassano Patricia A PA   Barr R Graham RG   Rawal Rajesh R   Harris Sarah E SE   Gharib Sina A SA   Enroth Stefan S   Heckbert Susan R SR   Lehtimäki Terho T   Gyllensten Ulf U   Jackson Victoria E VE   Gudnason Vilmundur V   Tang Wenbo W   Dupuis Josée J   Soler Artigas María M   Joshi Amit D AD   London Stephanie J SJ   Kraft Peter P  

International journal of epidemiology 20170601 3


<h4>Background</h4>Smoking is the strongest environmental risk factor for reduced pulmonary function. The genetic component of various pulmonary traits has also been demonstrated, and at least 26 loci have been reproducibly associated with either FEV 1 (forced expiratory volume in 1 second) or FEV 1 /FVC (FEV 1 /forced vital capacity). Although the main effects of smoking and genetic loci are well established, the question of potential gene-by-smoking interaction effect remains unanswered. The a  ...[more]

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