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Genetic Polymorphisms in 15q25 and 19q13 Loci, Cotinine Levels, and Risk of Lung Cancer in EPIC

Lookup NU author(s): Professor Caroline Relton

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Abstract

Backgrounds: Multiple polymorphisms affecting smoking behavior have been identified through genome-wide association studies. Circulating levels of the nicotine metabolite cotinine is a marker of recent smoking exposure. Hence, genetic variants influencing smoking behavior are expected to be associated with cotinine levels. Methods: We conducted an analysis in a lung cancer case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. We investigated the effects of single-nucleotide polymorphisms (SNP) previously associated with smoking behavior on (i) circulating cotinine and (ii) lung cancer risk. A total of 894 cases and 1,805 controls were analyzed for cotinine and genotyped for 10 polymorphisms on 7p14, 8p11, 10q23, 15q25, and 19q13. Results: Two variants in the nicotinic acetylcholine receptor subunit genes CHRNA5 and CHRNA3 on 15q25, rs16969968 and rs578776, were associated with cotinine (P = 0.001 and 0.03, respectively) in current smokers and with lung cancer risk (P < 0.001 and P 0.001, respectively). Two 19q13 variants, rs7937 and rs4105144, were associated with increased cotinine (P = 0.003 and P < 0.001, respectively) but decreased lung cancer risk (P = 0.01 for both, after adjusting for cotinine). Variants in 7p14, 8p11, and 10q23 were not associated with cotinine or lung cancer risk. Conclusions: 15q25 and 19q13 SNPs were associated with circulating cotinine. The directions of association for 15q25 variants with cotinine were in accordance with that expected of lung cancer risk, whereas SNPs on 19q13 displayed contrasting associations of cotinine and lung cancer that require further investigation. Impact: This study is the largest to date investigating the effects of polymorphisms affecting smoking behavior on lung cancer risk using circulating cotinine measures as proxies for recent smoking behavior. Cancer Epidemiol Biomarkers Prev; 20(10); 2250-61. (C) 2011 AACR.


Publication metadata

Author(s): Timofeeva MN, McKay JD, Smith GD, Johansson M, Byrnes GB, Chabrier A, Relton C, Ueland PM, Vollset SE, Midttun O, Nygard O, Slimani N, Romieu I, Clavel-Chapelon F, Boutron-Ruault MC, Fagherazzi G, Kaaks R, Teucher B, Boeing H, Weikert C, Bueno-de-Mesquita HB, van Gils C, Peeters PHM, Agudo A, Barricarte A, Huerta JM, Rodriguez L, Sanchez MJ, Larranaga N, Khaw KT, Wareham N, Allen NE, Travis RC, Gallo V, Norat T, Krogh V, Masala G, Panico S, Sacerdote C, Tumino R, Trichopoulou A, Lagiou P, Trichopoulos D, Rasmuson T, Hallmans G, Riboli E, Vineis P, Brennan P

Publication type: Article

Publication status: Published

Journal: Cancer Epidemiology, Biomarkers & Prevention

Year: 2011

Volume: 20

Issue: 10

Pages: 2250-2261

Print publication date: 23/08/2011

Acceptance date: 03/08/2011

ISSN (print): 1055-9965

ISSN (electronic): 1538-7755

Publisher: American Association for Cancer Research

URL: http://dx.doi.org/10.1158/1055-9965.EPI-11-0496

DOI: 10.1158/1055-9965.EPI-11-0496


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Funding

Funder referenceFunder name
Denmark: Danish Cancer Society
France: Ligue centre le Cancer
Hellenic Health Foundation
Institut Gustave Roussy
Italy: Italian Association for Research on Cancer
LK Research Funds
Netherlands: Dutch Ministry of Public Health, Welfare and Sports (VWS)
Regional Government of Skane
Statistics Netherlands
UK: Cancer Research UK
World Cancer Research Fund (WCRF)
Dutch Prevention Funds
Dutch ZON (Zorg Onderzoek Nederland)
European Commission (SANCO)
Germany: German Cancer Aid
Greece: Hellenic Ministry of Health
IARC
Institut National de la Sante et de la Recherche Medicale (INSERM)
Medical Research Council
Mutuelle Generale de l'Education Nationale
National Research Council
Netherlands Cancer Registry (NKR)
Norway: Helga-Nordforsk center of excellence in food, nutrition, and health
Stavros Niarchos Foundation
Sweden: Swedish Cancer Society
Swedish Scientific Council
World Cancer Research Fund (UK)
01-EA-9401Federal Ministry of Education and Research
Exp 96/0032Spain: Spanish Ministry of Health

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