Repository logo
  • Log In
    Log in via Symplectic to deposit your publication(s).
Repository logo
  • Communities & Collections
  • Research Outputs
  • Statistics
  • Log In
    Log in via Symplectic to deposit your publication(s).
  1. Home
  2. Faculty of Medicine
  3. School of Public Health
  4. School of Public Health
  5. Causal effects of lifetime smoking on breast and colorectal cancer risk: Mendelian randomization study
 
  • Details
Causal effects of lifetime smoking on breast and colorectal cancer risk: Mendelian randomization study
File(s)
MR_smoking_R3.doc (678 KB)
Accepted version
Author(s)
Dimou, Niki
Yarmolinsky, James
Bouras, Emmanouil
Tsilidis, Konstantinos K
Martin, Richard M
more
Type
Journal Article
Abstract
BACKGROUND: Observational evidence has shown that smoking is a risk factor for breast and colorectal cancer. We used Mendelian randomization (MR) to examine causal associations between smoking and risks of breast and colorectal cancer. METHODS: Genome-wide association study summary data were used to identify genetic variants associated with lifetime amount of smoking (n=126 variants) and ever having smoked regularly (n=112 variants). Using two-sample MR, we examined these variants in relation to incident breast (122,977 cases/105,974 controls) and colorectal cancer (52,775 cases/45,940 controls). RESULTS: In inverse-variance weighted models, a genetic predisposition to higher lifetime amount of smoking was positively associated with breast cancer risk [odds ratio [OR] per 1-standard deviation (SD) increment: 1.13 (95% confidence interval [CI]: 1.00-1.26); P: 0.04]; although heterogeneity was observed. Similar associations were found for estrogen receptor-positive and estrogen receptor-negative tumors. Higher lifetime amount of smoking was positively associated with colorectal cancer [OR per 1-SD increment: 1.21 (95% CI: 1.04-1.40); P: 0.01], colon cancer [OR: 1.31 (95% CI: 1.11-1.55); P: <0.01], and rectal cancer [OR: 1.36 (95% CI: 1.07-1.73); P: 0.01]. Ever having smoked regularly was not associated with risks of breast [OR: 1.01 (95% CI: 0.90-1.14); P: 0.85] or colorectal cancer [OR: 0.97 (95% CI: 0.86-1.10); P: 0.68]. CONCLUSIONS: These findings are consistent with prior observational evidence and support a causal role of higher lifetime smoking amount in the development of breast and colorectal cancer. IMPACT: The results from this comprehensive MR analysis indicate that lifetime smoking is a causal risk factor for these common malignancies.
Date Issued
2021-05-01
Date Acceptance
2021-02-23
Citation
Cancer Epidemiology, Biomarkers and Prevention, 2021, 30 (5), pp.953-964
URI
http://hdl.handle.net/10044/1/88262
URL
https://cebp.aacrjournals.org/content/30/5/953
DOI
https://www.dx.doi.org/10.1158/1055-9965.EPI-20-1218
ISSN
1055-9965
Publisher
American Association for Cancer Research
Start Page
953
End Page
964
Journal / Book Title
Cancer Epidemiology, Biomarkers and Prevention
Volume
30
Issue
5
Copyright Statement
©2021 American Association for Cancer Research. This is the Accepted Manuscript version of a published work appearing in Cancer Epidemiology, Biomarkers and Prevention, May 2021, https://doi.org/10.1158/1055-9965.EPI-20-1218.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33653810
PII: 1055-9965.EPI-20-1218
Subjects
Epidemiology
11 Medical and Health Sciences
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2021-03-02
About
Spiral Depositing with Spiral Publishing with Spiral Symplectic
Contact us
Open access team Report an issue
Other Services
Scholarly Communications Library Services
logo

Imperial College London

South Kensington Campus

London SW7 2AZ, UK

tel: +44 (0)20 7589 5111

Accessibility Modern slavery statement Cookie Policy

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science

  • Cookie settings
  • Privacy policy
  • End User Agreement
  • Send Feedback