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Immune-mediated genetic pathways resulting in pulmonary function impairment increase lung cancer susceptibility.


ABSTRACT: Impaired lung function is often caused by cigarette smoking, making it challenging to disentangle its role in lung cancer susceptibility. Investigation of the shared genetic basis of these phenotypes in the UK Biobank and International Lung Cancer Consortium (29,266 cases, 56,450 controls) shows that lung cancer is genetically correlated with reduced forced expiratory volume in one second (FEV1: rg?=?0.098, p?=?2.3?×?10-8) and the ratio of FEV1 to forced vital capacity (FEV1/FVC: rg?=?0.137, p?=?2.0?×?10-12). Mendelian randomization analyses demonstrate that reduced FEV1 increases squamous cell carcinoma risk (odds ratio (OR)?=?1.51, 95% confidence intervals: 1.21-1.88), while reduced FEV1/FVC increases the risk of adenocarcinoma (OR?=?1.17, 1.01-1.35) and lung cancer in never smokers (OR?=?1.56, 1.05-2.30). These findings support a causal role of pulmonary impairment in lung cancer etiology. Integrative analyses reveal that pulmonary function instruments, including 73 novel variants, influence lung tissue gene expression and implicate immune-related pathways in mediating the observed effects on lung carcinogenesis.

SUBMITTER: Kachuri L 

PROVIDER: S-EPMC6946810 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Immune-mediated genetic pathways resulting in pulmonary function impairment increase lung cancer susceptibility.

Kachuri Linda L   Johansson Mattias M   Rashkin Sara R SR   Graff Rebecca E RE   Bossé Yohan Y   Manem Venkata V   Caporaso Neil E NE   Landi Maria Teresa MT   Christiani David C DC   Vineis Paolo P   Liu Geoffrey G   Scelo Ghislaine G   Zaridze David D   Shete Sanjay S SS   Albanes Demetrius D   Aldrich Melinda C MC   Tardón Adonina A   Rennert Gad G   Chen Chu C   Goodman Gary E GE   Doherty Jennifer A JA   Bickeböller Heike H   Field John K JK   Davies Michael P MP   Dawn Teare M M   Kiemeney Lambertus A LA   Bojesen Stig E SE   Haugen Aage A   Zienolddiny Shanbeh S   Lam Stephen S   Le Marchand Loïc L   Cheng Iona I   Schabath Matthew B MB   Duell Eric J EJ   Andrew Angeline S AS   Manjer Jonas J   Lazarus Philip P   Arnold Susanne S   McKay James D JD   Emami Nima C NC   Warkentin Matthew T MT   Brhane Yonathan Y   Obeidat Ma'en M   Martin Richard M RM   Relton Caroline C   Davey Smith George G   Haycock Philip C PC   Amos Christopher I CI   Brennan Paul P   Witte John S JS   Hung Rayjean J RJ  

Nature communications 20200107 1


Impaired lung function is often caused by cigarette smoking, making it challenging to disentangle its role in lung cancer susceptibility. Investigation of the shared genetic basis of these phenotypes in the UK Biobank and International Lung Cancer Consortium (29,266 cases, 56,450 controls) shows that lung cancer is genetically correlated with reduced forced expiratory volume in one second (FEV<sub>1</sub>: r<sub>g</sub> = 0.098, p = 2.3 × 10<sup>-8</sup>) and the ratio of FEV<sub>1</sub> to forc  ...[more]

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