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)
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
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