Volume 11, Pages (September 2016)

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Volume 11, Pages 219-226 (September 2016) Genetic Risk Can Be Decreased: Quitting Smoking Decreases and Delays Lung Cancer for Smokers With High and Low CHRNA5 Risk Genotypes — A Meta-Analysis Li-Shiun Chen, Timothy Baker, Rayjean J. Hung, Amy Horton, Robert Culverhouse, Sarah Hartz, Nancy Saccone, Iona Cheng, Bo Deng, Younghun Han, Helen M. Hansen, Janet Horsman, Claire Kim, Albert Rosenberger, Katja K. Aben, Angeline S. Andrew, Shen-Chih Chang, Kai-Uwe Saum, Hendrik Dienemann, Dorothy K. Hatsukami, Eric O. Johnson, Mala Pande, Margaret R. Wrensch, John McLaughlin, Vidar Skaug, Erik H. van der Heijden, Jason Wampfler, Angela Wenzlaff, Penella Woll, Shanbeh Zienolddiny, Heike Bickeböller, Hermann Brenner, Eric J. Duell, Aage Haugen, Irene Brüske, Lambertus A. Kiemeney, Philip Lazarus, Loic Le Marchand, Geoffrey Liu, Jose Mayordomo, Angela Risch, Ann G. Schwartz, M. Dawn Teare, Xifeng Wu, John K. Wiencke, Ping Yang, Zuo-Feng Zhang, Margaret R. Spitz, Christopher I. Amos, Laura J. Bierut EBioMedicine Volume 11, Pages 219-226 (September 2016) DOI: 10.1016/j.ebiom.2016.08.012 Copyright © 2016 Forschungsgesellschaft für Arbeitsphysiologie und Arbeitschutz e.V. Terms and Conditions

Fig. 1 CHRNA5 rs16969968 predicts risk of lung cancer. Smoking cessation decreases probability of lung cancer regardless of CHRNA5 rs16969968 genotype. Quit: individuals who report having quit smoking when ascertained as cases of lung cancer or controls. N=12,690 (6988 cases of lung cancer and 5702 controls). All participants have smoked at least 100 cigarettes (5833 active smokers, 6857 smokers who have quit). Adjusted for age, sex and rs16969968 genotype. EBioMedicine 2016 11, 219-226DOI: (10.1016/j.ebiom.2016.08.012) Copyright © 2016 Forschungsgesellschaft für Arbeitsphysiologie und Arbeitschutz e.V. Terms and Conditions

Fig. 2 CHRNA5 rs16969968 predicts earlier lung cancer. Smoking cessation delays lung cancer, regardless of CHRNA5 rs16969968 genotype. Quit: individuals who report having quit smoking when ascertained as cases of lung cancer. N=6,988 cases of lung cancer who are ever smokers. (3,471 current smokers, 3,517 former Smokers. Adjusted for sex, study, and rs16969968 genotype. EBioMedicine 2016 11, 219-226DOI: (10.1016/j.ebiom.2016.08.012) Copyright © 2016 Forschungsgesellschaft für Arbeitsphysiologie und Arbeitschutz e.V. Terms and Conditions

Fig. 3 Summary diagram of CHRNA5 rs16969968 genotypes, smoking cessation, and lung cancer risks. *These associations are based on existing evidence (Chen et al., 2015a, b). EBioMedicine 2016 11, 219-226DOI: (10.1016/j.ebiom.2016.08.012) Copyright © 2016 Forschungsgesellschaft für Arbeitsphysiologie und Arbeitschutz e.V. Terms and Conditions