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

  • Linda Kachuri
  • , Mattias Johansson
  • , Sara R. Rashkin
  • , Rebecca E. Graff
  • , Yohan Bossé
  • , Venkata Manem
  • , Neil E. Caporaso
  • , Maria Teresa Landi
  • , David C. Christiani
  • , Paolo Vineis
  • , Geoffrey Liu
  • , Ghislaine Scelo
  • , David Zaridze
  • , Sanjay S. Shete
  • , Demetrius Albanes
  • , Melinda C. Aldrich
  • , Adonina Tardón
  • , Gad Rennert
  • , Chu Chen
  • , Gary E. Goodman
  • Jennifer A. Doherty, Heike Bickeböller, John K. Field, Michael P. Davies, M. Dawn Teare, Lambertus A. Kiemeney, Stig E. Bojesen, Aage Haugen, Shanbeh Zienolddiny, Stephen Lam, Loïc Le Marchand, Iona Cheng, Matthew B. Schabath, Eric J. Duell, Angeline S. Andrew, Jonas Manjer, Philip Lazarus, Susanne Arnold, James D. McKay, Nima C. Emami, Matthew T. Warkentin, Yonathan Brhane, Ma’en Obeidat, Richard M. Martin, Caroline Relton, George Davey Smith, Philip C. Haycock, Christopher I. Amos, Paul Brennan, John S. Witte, Rayjean J. Hung
  • University of California at San Francisco
  • University of Toronto
  • International Agency for Research on Cancer
  • Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval
  • National Institutes of Health
  • Harvard University
  • Imperial College London
  • University Health Network
  • Russian N.N. Blokhin Cancer Research Centre
  • University of Texas MD Anderson Cancer Center
  • Vanderbilt University
  • University of Oviedo
  • Clalit Health Services
  • Fred Hutchinson Cancer Research Center
  • University of Utah
  • University of Göttingen
  • University of Liverpool
  • Newcastle University
  • Radboud University Nijmegen
  • University of Copenhagen
  • National Institute of Occupational Health
  • Provincial Health Services Authority
  • University of Hawai'i at Mānoa
  • Moffitt Cancer Center
  • Bellvitge Biomedical Research Institute
  • Dartmouth College
  • Lund University
  • University of Kentucky
  • University of British Columbia
  • University of Bristol
  • University Hospitals Bristol NHS Foundation Trust and the University of Bristol
  • Baylor College of Medicine

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

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.

Original languageEnglish
Article number27
JournalNature Communications
Volume11
Issue number1
DOIs
StatePublished - Dec 1 2020

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