Interactions between household air pollution and GWAS-identified lung cancer susceptibility markers in the Female Lung Cancer Consortium in Asia (FLCCA)

H. Dean Hosgood, Minsun Song, Chao Agnes Hsiung, Zhihua Yin, Xiao Ou Shu, Zhaoming Wang, Nilanjan Chatterjee, Wei Zheng, Neil Caporaso, Laurie Burdette, Meredith Yeager, Sonja I. Berndt, Maria Teresa Landi, Chien Jen Chen, Gee Chen Chang, Chin Fu Hsiao, Ying Huang Tsai, Li Hsin Chien, Kuan Yu Chen, Ming Shyan HuangWu Chou Su, Yuh Min Chen, Chung Hsing Chen, Tsung Ying Yang, Chih Liang Wang, Jen Yu Hung, Chien Chung Lin, Reury Perng Perng, Chih Yi Chen, Kun Chieh Chen, Yao Jen Li, Chong Jen Yu, Yi Song Chen, Ying Hsiang Chen, Fang Yu Tsai, Christopher Kim, Wei Jie Seow, Bryan A. Bassig, Wei Wu, Peng Guan, Qincheng He, Yu Tang Gao, Qiuyin Cai, Wong Ho Chow, Yong Bing Xiang, Dongxin Lin, Chen Wu, Yi Long Wu, Min Ho Shin, Yun Chul Hong, Keitaro Matsuo, Kexin Chen, Maria Pik Wong, Dara Lu, Li Jin, Jiu Cun Wang, Adeline Seow, Tangchun Wu, Hongbing Shen, Joseph F. Fraumeni, Pan Chyr Yang, I. Shou Chang, Baosen Zhou, Stephen J. Chanock, Nathaniel Rothman, Qing Lan

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


We previously carried out a multi-stage genome-wide association study (GWAS) on lung cancer among never smokers in the Female Lung Cancer Consortium in Asia (FLCCA) (6,609 cases, 7,457 controls) that identified novel susceptibility loci at 10q25.2, 6q22.2, and 6p21.32, and confirmed two previously identified loci at 5p15.33 and 3q28. Household air pollution (HAP) attributed to solid fuel burning for heating and cooking, is the leading cause of the overall disease burden in Southeast Asia, and is known to contain lung carcinogens. To evaluate the gene–HAP interactions associated with lung cancer in loci independent of smoking, we analyzed data from studies participating in FLCCA with fuel use information available (n = 3; 1,731 cases; 1,349 controls). Coal use was associated with a 30 % increased risk of lung cancer (OR 1.3, 95 % CI 1.0–1.6). Among the five a priori SNPs identified by our GWAS, two showed a significant interaction with coal use (HLA Class II rs2395185, p = 0.02; TP63 rs4488809 (rs4600802), p = 0.04). The risk of lung cancer associated with coal exposure varied with the respective alleles for these two SNPs. Our observations provide evidence that genetic variation in HLA Class II and TP63 may modify the association between HAP and lung cancer risk. The roles played in the cell cycle and inflammation pathways by the proteins encoded by these two genes provide biological plausibility for these interactions; however, additional replication studies are needed in other non-smoking populations.

Original languageEnglish (US)
Pages (from-to)333-341
Number of pages9
JournalHuman Genetics
Issue number3
StatePublished - Feb 6 2015

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)


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