Ethnic differences of genetic risk and smoking in lung cancer: two prospective cohort studies

Abstract Background The role of genetic background underlying the disparity of relative risk of smoking and lung cancer between European populations and East Asians remains unclear. Methods To assess the role of ethnic differences in genetic factors associated with smoking-related risk of lung cance...

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Veröffentlicht in:International journal of epidemiology 2023-12, Vol.52 (6), p.1815-1825
Hauptverfasser: Zhu, Meng, Lv, Jun, Huang, Yanqian, Ma, Hongxia, Li, Ni, Wei, Xiaoxia, Ji, Mengmeng, Ma, Zhimin, Song, Ci, Wang, Cheng, Dai, Juncheng, Tan, Fengwei, Guo, Yu, Walters, Robin, Millwood, Iona Y, Hung, Rayjean J, Christiani, David C, Yu, Canqing, Jin, Guangfu, Chen, Zhengming, Wei, Qingyi, Amos, Christopher I, Hu, Zhibin, Li, Liming, Shen, Hongbing
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container_end_page 1825
container_issue 6
container_start_page 1815
container_title International journal of epidemiology
container_volume 52
creator Zhu, Meng
Lv, Jun
Huang, Yanqian
Ma, Hongxia
Li, Ni
Wei, Xiaoxia
Ji, Mengmeng
Ma, Zhimin
Song, Ci
Wang, Cheng
Dai, Juncheng
Tan, Fengwei
Guo, Yu
Walters, Robin
Millwood, Iona Y
Hung, Rayjean J
Christiani, David C
Yu, Canqing
Jin, Guangfu
Chen, Zhengming
Wei, Qingyi
Amos, Christopher I
Hu, Zhibin
Li, Liming
Shen, Hongbing
description Abstract Background The role of genetic background underlying the disparity of relative risk of smoking and lung cancer between European populations and East Asians remains unclear. Methods To assess the role of ethnic differences in genetic factors associated with smoking-related risk of lung cancer, we first constructed ethnic-specific polygenic risk scores (PRSs) to quantify individual genetic risk of lung cancer in Chinese and European populations. Then, we compared genetic risk and smoking as well as their interactions on lung cancer between two cohorts, including the China Kadoorie Biobank (CKB) and the UK Biobank (UKB). We also evaluated the absolute risk reduction over a 5-year period. Results Differences in compositions and association effects were observed between the Chinese-specific PRSs and European-specific PRSs, especially for smoking-related loci. The PRSs were consistently associated with lung cancer risk, but stronger associations were observed in smokers of the UKB [hazard ratio (HR) 1.26 vs 1.15, P  =  0.028]. A significant interaction between genetic risk and smoking on lung cancer was observed in the UKB (RERI, 11.39 (95% CI, 7.01–17.94)], but not in the CKB. Obvious higher absolute risk was observed in nonsmokers of the CKB, and a greater absolute risk reduction was found in the UKB (10.95 vs 7.12 per 1000 person-years, P 
doi_str_mv 10.1093/ije/dyad118
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Methods To assess the role of ethnic differences in genetic factors associated with smoking-related risk of lung cancer, we first constructed ethnic-specific polygenic risk scores (PRSs) to quantify individual genetic risk of lung cancer in Chinese and European populations. Then, we compared genetic risk and smoking as well as their interactions on lung cancer between two cohorts, including the China Kadoorie Biobank (CKB) and the UK Biobank (UKB). We also evaluated the absolute risk reduction over a 5-year period. Results Differences in compositions and association effects were observed between the Chinese-specific PRSs and European-specific PRSs, especially for smoking-related loci. The PRSs were consistently associated with lung cancer risk, but stronger associations were observed in smokers of the UKB [hazard ratio (HR) 1.26 vs 1.15, P  =  0.028]. A significant interaction between genetic risk and smoking on lung cancer was observed in the UKB (RERI, 11.39 (95% CI, 7.01–17.94)], but not in the CKB. Obvious higher absolute risk was observed in nonsmokers of the CKB, and a greater absolute risk reduction was found in the UKB (10.95 vs 7.12 per 1000 person-years, P &lt;0.001) by comparing heavy smokers with nonsmokers, especially for those at high genetic risk. Conclusions Ethnic differences in genetic factors and the high incidence of lung cancer in nonsmokers of East Asian ethnicity were involved in the disparity of smoking-related risk of lung cancer.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/dyad118</identifier><identifier>PMID: 37676847</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Genetic Risk Score ; Humans ; Lung Neoplasms - epidemiology ; Lung Neoplasms - genetics ; Prospective Studies ; Risk Factors ; Smoking - adverse effects ; Smoking - genetics ; Tobacco Smoking</subject><ispartof>International journal of epidemiology, 2023-12, Vol.52 (6), p.1815-1825</ispartof><rights>The Author(s) 2023; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association 2023</rights><rights>The Author(s) 2023; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c320t-e28f1e571af17b36da20f95c733dbe091575d689d332cf6243e21f89e40484093</citedby><cites>FETCH-LOGICAL-c320t-e28f1e571af17b36da20f95c733dbe091575d689d332cf6243e21f89e40484093</cites><orcidid>0000-0001-7916-3870 ; 0000-0002-0019-0014 ; 0000-0002-8277-5234 ; 0000-0002-2462-9693 ; 0000-0003-3560-6216 ; 0000-0001-5530-7745 ; 0000-0002-2581-5906</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1579,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37676847$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Meng</creatorcontrib><creatorcontrib>Lv, Jun</creatorcontrib><creatorcontrib>Huang, Yanqian</creatorcontrib><creatorcontrib>Ma, Hongxia</creatorcontrib><creatorcontrib>Li, Ni</creatorcontrib><creatorcontrib>Wei, Xiaoxia</creatorcontrib><creatorcontrib>Ji, Mengmeng</creatorcontrib><creatorcontrib>Ma, Zhimin</creatorcontrib><creatorcontrib>Song, Ci</creatorcontrib><creatorcontrib>Wang, Cheng</creatorcontrib><creatorcontrib>Dai, Juncheng</creatorcontrib><creatorcontrib>Tan, Fengwei</creatorcontrib><creatorcontrib>Guo, Yu</creatorcontrib><creatorcontrib>Walters, Robin</creatorcontrib><creatorcontrib>Millwood, Iona Y</creatorcontrib><creatorcontrib>Hung, Rayjean J</creatorcontrib><creatorcontrib>Christiani, David C</creatorcontrib><creatorcontrib>Yu, Canqing</creatorcontrib><creatorcontrib>Jin, Guangfu</creatorcontrib><creatorcontrib>Chen, Zhengming</creatorcontrib><creatorcontrib>Wei, Qingyi</creatorcontrib><creatorcontrib>Amos, Christopher I</creatorcontrib><creatorcontrib>Hu, Zhibin</creatorcontrib><creatorcontrib>Li, Liming</creatorcontrib><creatorcontrib>Shen, Hongbing</creatorcontrib><title>Ethnic differences of genetic risk and smoking in lung cancer: two prospective cohort studies</title><title>International journal of epidemiology</title><addtitle>Int J Epidemiol</addtitle><description>Abstract Background The role of genetic background underlying the disparity of relative risk of smoking and lung cancer between European populations and East Asians remains unclear. Methods To assess the role of ethnic differences in genetic factors associated with smoking-related risk of lung cancer, we first constructed ethnic-specific polygenic risk scores (PRSs) to quantify individual genetic risk of lung cancer in Chinese and European populations. Then, we compared genetic risk and smoking as well as their interactions on lung cancer between two cohorts, including the China Kadoorie Biobank (CKB) and the UK Biobank (UKB). We also evaluated the absolute risk reduction over a 5-year period. Results Differences in compositions and association effects were observed between the Chinese-specific PRSs and European-specific PRSs, especially for smoking-related loci. The PRSs were consistently associated with lung cancer risk, but stronger associations were observed in smokers of the UKB [hazard ratio (HR) 1.26 vs 1.15, P  =  0.028]. A significant interaction between genetic risk and smoking on lung cancer was observed in the UKB (RERI, 11.39 (95% CI, 7.01–17.94)], but not in the CKB. Obvious higher absolute risk was observed in nonsmokers of the CKB, and a greater absolute risk reduction was found in the UKB (10.95 vs 7.12 per 1000 person-years, P &lt;0.001) by comparing heavy smokers with nonsmokers, especially for those at high genetic risk. Conclusions Ethnic differences in genetic factors and the high incidence of lung cancer in nonsmokers of East Asian ethnicity were involved in the disparity of smoking-related risk of lung cancer.</description><subject>Genetic Risk Score</subject><subject>Humans</subject><subject>Lung Neoplasms - epidemiology</subject><subject>Lung Neoplasms - genetics</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Smoking - genetics</subject><subject>Tobacco Smoking</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEYRYMotj5W7iUrEWRsMskkM-6k1AcU3OhShmnypU07L5OM0n9vpNWlqwuXw-VyELqg5JaSgk3sGiZ6W2lK8wM0plzwhIk8O0RjwghJMinpCJ14vyaEcs6LYzRiUkiRczlG77Owaq3C2hoDDloFHncGL6GFEGtn_QZXrca-6Ta2XWLb4nqIqaqIujscvjrcu873oIL9BKy6VecC9mHQFvwZOjJV7eF8n6fo7WH2On1K5i-Pz9P7eaJYSkICaW4oZJJWhsoFE7pKiSkyJRnTCyAFzWSmRV5oxlJlRMoZpNTkBXDCcx4dnKLr3W688jGAD2VjvYK6rlroBl-muWCM8IzIiN7sUBVfewem7J1tKrctKSl_fJbRZ7n3GenL_fCwaED_sb8CI3C1A7qh_3fpG4Xtfwg</recordid><startdate>20231225</startdate><enddate>20231225</enddate><creator>Zhu, Meng</creator><creator>Lv, Jun</creator><creator>Huang, Yanqian</creator><creator>Ma, Hongxia</creator><creator>Li, Ni</creator><creator>Wei, Xiaoxia</creator><creator>Ji, Mengmeng</creator><creator>Ma, Zhimin</creator><creator>Song, Ci</creator><creator>Wang, Cheng</creator><creator>Dai, Juncheng</creator><creator>Tan, Fengwei</creator><creator>Guo, Yu</creator><creator>Walters, Robin</creator><creator>Millwood, Iona Y</creator><creator>Hung, Rayjean J</creator><creator>Christiani, David C</creator><creator>Yu, Canqing</creator><creator>Jin, Guangfu</creator><creator>Chen, Zhengming</creator><creator>Wei, Qingyi</creator><creator>Amos, Christopher I</creator><creator>Hu, Zhibin</creator><creator>Li, Liming</creator><creator>Shen, Hongbing</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7916-3870</orcidid><orcidid>https://orcid.org/0000-0002-0019-0014</orcidid><orcidid>https://orcid.org/0000-0002-8277-5234</orcidid><orcidid>https://orcid.org/0000-0002-2462-9693</orcidid><orcidid>https://orcid.org/0000-0003-3560-6216</orcidid><orcidid>https://orcid.org/0000-0001-5530-7745</orcidid><orcidid>https://orcid.org/0000-0002-2581-5906</orcidid></search><sort><creationdate>20231225</creationdate><title>Ethnic differences of genetic risk and smoking in lung cancer: two prospective cohort studies</title><author>Zhu, Meng ; 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Methods To assess the role of ethnic differences in genetic factors associated with smoking-related risk of lung cancer, we first constructed ethnic-specific polygenic risk scores (PRSs) to quantify individual genetic risk of lung cancer in Chinese and European populations. Then, we compared genetic risk and smoking as well as their interactions on lung cancer between two cohorts, including the China Kadoorie Biobank (CKB) and the UK Biobank (UKB). We also evaluated the absolute risk reduction over a 5-year period. Results Differences in compositions and association effects were observed between the Chinese-specific PRSs and European-specific PRSs, especially for smoking-related loci. The PRSs were consistently associated with lung cancer risk, but stronger associations were observed in smokers of the UKB [hazard ratio (HR) 1.26 vs 1.15, P  =  0.028]. A significant interaction between genetic risk and smoking on lung cancer was observed in the UKB (RERI, 11.39 (95% CI, 7.01–17.94)], but not in the CKB. Obvious higher absolute risk was observed in nonsmokers of the CKB, and a greater absolute risk reduction was found in the UKB (10.95 vs 7.12 per 1000 person-years, P &lt;0.001) by comparing heavy smokers with nonsmokers, especially for those at high genetic risk. Conclusions Ethnic differences in genetic factors and the high incidence of lung cancer in nonsmokers of East Asian ethnicity were involved in the disparity of smoking-related risk of lung cancer.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37676847</pmid><doi>10.1093/ije/dyad118</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7916-3870</orcidid><orcidid>https://orcid.org/0000-0002-0019-0014</orcidid><orcidid>https://orcid.org/0000-0002-8277-5234</orcidid><orcidid>https://orcid.org/0000-0002-2462-9693</orcidid><orcidid>https://orcid.org/0000-0003-3560-6216</orcidid><orcidid>https://orcid.org/0000-0001-5530-7745</orcidid><orcidid>https://orcid.org/0000-0002-2581-5906</orcidid></addata></record>
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subjects Genetic Risk Score
Humans
Lung Neoplasms - epidemiology
Lung Neoplasms - genetics
Prospective Studies
Risk Factors
Smoking - adverse effects
Smoking - genetics
Tobacco Smoking
title Ethnic differences of genetic risk and smoking in lung cancer: two prospective cohort studies
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