An interaction between Nrf2 polymorphisms and smoking status affects annual decline in FEV1: a longitudinal retrospective cohort study
2011

Genetic Variants and Smoking Affect Lung Function Decline

Sample size: 915 publication 10 minutes Evidence: moderate

Author Information

Author(s): Masuko Hironori, Sakamoto Tohru, Kaneko Yoshiko, Iijima Hiroaki, Naito Takashi, Noguchi Emiko, Hirota Tomomitsu, Tamari Mayumi, Hizawa Nobuyuki

Primary Institution: University of Tsukuba

Hypothesis

Particular genetic variants of the Nrf2 gene may be associated with a rapid decline in FEV1 due to cigarette smoking.

Conclusion

The study found that genetic variations in the Nrf2 gene influence the rate of annual FEV1 decline, particularly in smokers.

Supporting Evidence

  • Annual FEV1 decline was significantly associated with smoking behavior.
  • Mean annual FEV1 declines varied by genotype of the rs6726395 SNP.
  • Individuals with the G/G genotype had a greater decline in FEV1 compared to those with the A/A genotype.

Takeaway

This study shows that some people might lose lung function faster if they smoke and have certain genes.

Methodology

A retrospective cohort study was conducted with 915 participants, analyzing their FEV1 decline using a linear mixed-effect model.

Potential Biases

Attrition bias may have affected the estimation of FEV1 decline.

Limitations

The study was retrospective, which may introduce bias, and it excluded individuals with preexisting lung conditions.

Participant Demographics

Participants were 915 Japanese individuals, average age 52.1 years, including 63% never-smokers, 23% ex-smokers, and 14% current-smokers.

Statistical Information

P-Value

0.011

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2350-12-97

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