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. 2025 Apr;20(4):521-530.
doi: 10.1016/j.jtho.2024.11.019. Epub 2024 Nov 22.

Polygenic Risk Score and Lung Adenocarcinoma Risk Among Never-Smokers by EGFR Mutation Status: A Brief Report

Batel Blechter  1 Chao Agnes Hsiung  2 Xiaoyu Wang  3 Haoyu Zhang  3 Wei Jie Seow  4 Jianxin Shi  3 Nilanjan Chatterjee  5 Hee Nam Kim  6 Maria Pik Wong  7 Yun-Chul Hong  8 Jason Y Y Wong  9 Juncheng Dai  10 H Dean Hosgood  11 Zhaoming Wang  12 I-Shou Chang  13 Jiyeon Choi  3 Jiucun Wang  14 Minsun Song  15 Wei Hu  3 Wei Zheng  16 Jin Hee Kim  17 Baosen Zhou  18 Demetrius Albanes  3 Min-Ho Shin  8 Lap Ping Chung  7 She-Juan An  19 Hong Zheng  20 Yasushi Yatabe  21 Xu-Chao Zhang  19 Young Tae Kim  22 Xiao-Ou Shu  16 Young-Chul Kim  23 Roel C H Vermeulen  24 Bryan A Bassig  25 Jiang Chang  26 James Chung Man Ho  27 Bu-Tian Ji  3 Michiaki Kubo  28 Yataro Daigo  29 Yukihide Momozawa  28 Yoichiro Kamatani  30 Takayuki Honda  31 Hideo Kunitoh  32 Shun-Ichi Watanabe  33 Yohei Miyagi  34 Haruhiko Nakayama  35 Shingo Matsumoto  36 Masahiro Tsuboi  37 Koichi Goto  36 Zhihua Yin  38 Atsushi Takahashi  30 Akiteru Goto  39 Yoshihiro Minamiya  40 Kimihiro Shimizu  41 Kazumi Tanaka  42 Tangchun Wu  43 Fusheng Wei  44 Jian Su  19 Yeul Hong Kim  45 In-Jae Oh  23 Victor Ho Fun Lee  46 Wu-Chou Su  47 Yuh-Min Chen  48 Gee-Chen Chang  49 Kuan-Yu Chen  50 Ming-Shyan Huang  51 Hsien-Chih Lin  2 Adeline Seow  52 Jae Yong Park  53 Sun-Seog Kweon  54 Chien-Jen Chen  55 Yu-Tang Gao  56 Chen Wu  57 Biyun Qian  20 Daru Lu  14 Jianjun Liu  58 Hyo-Sung Jeon  59 Chin-Fu Hsiao  2 Jae Sook Sung  45 Ying-Huang Tsai  60 Yoo Jin Jung  61 Huan Guo  62 Zhibin Hu  10 Tzu-Yu Chen  2 Laurie Burdett  63 Meredith Yeager  63 Amy Hutchinson  63 Sonja I Berndt  3 Wei Wu  38 Junwen Wang  64 Jin Eun Choi  59 Kyong Hwa Park  45 Sook Whan Sung  65 Li Liu  66 Chang Hyun Kang  61 Chung-Hsing Chen  13 Jun Xu  67 Peng Guan  68 Wen Tan  57 Chih-Liang Wang  69 Alan Dart Loon Sihoe  70 Ying Chen  71 Yi Young Choi  59 Jun Suk Kim  72 Ho-Il Yoon  73 Qiuyin Cai  16 In Kyu Park  61 Ping Xu  74 Qincheng He  75 Chih-Yi Chen  76 Junjie Wu  14 Wei-Yen Lim  71 Kun-Chieh Chen  77 John K C Chan  78 Jihua Li  79 Hongyan Chen  14 Chong-Jen Yu  80 Li Jin  14 Joseph F Fraumeni Jr  3 Jie Liu  81 Maria Teresa Landi  3 Taiki Yamaji  82 Yang Yang  83 Belynda Hicks  63 Kathleen Wyatt  63 Shengchao A Li  63 Hongxia Ma  84 Bao Song  81 Zhehai Wang  81 Sensen Cheng  81 Xuelian Li  68 Yangwu Ren  68 Motoki Iwasaki  85 Junjie Zhu  9 Gening Jiang  9 Ke Fei  9 Guoping Wu  19 Li-Hsin Chien  86 Fang-Yu Tsai  87 Jinming Yu  81 Victoria L Stevens  88 Pan-Chyr Yang  89 Dongxin Lin  71 Kexin Chen  20 Yi-Long Wu  19 Keitaro Matsuo  90 Nathaniel Rothman  3 Kouya Shiraishi  91 Hongbing Shen  92 Stephen J Chanock  3 Takashi Kohno  91 Qing Lan  3
Affiliations

Polygenic Risk Score and Lung Adenocarcinoma Risk Among Never-Smokers by EGFR Mutation Status: A Brief Report

Batel Blechter et al. J Thorac Oncol. 2025 Apr.

Abstract

We assessed the association between a genome-wide polygenic risk score (PRS) developed for lung adenocarcinoma (LUAD) risk and mutation on the EGFR gene in 998 East Asian never-smoking female LUAD cases (518 EGFR-positive; 480 EGFR-negative) and 4544 never-smoking controls using case-case and multinomial regression analyses. We found that the PRS was more strongly associated with EGFR-positive LUAD compared with EGFR-negative LUAD, where the association between the fourth quartile of the PRS and EGFR-positive LUAD (odds ratio = 8.63, 95% confidence interval: 5.67-13.14) was significantly higher than the association between the fourth quartile of the PRS with EGFR-negative LUAD (odds ratio = 3.50, 95% confidence interval: 2.44-5.00) (p-heterogeneity = 3.66 × 10-3). Our findings suggest that germline genetic susceptibility may be differentially associated with LUAD in never-smoking female East Asian patients depending on the cancer's mutation status, which may have important public health and clinical implications.

Keywords: EGFR mutation; Lung adenocarcinoma; Never-smokers; Polygenic risk score.

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Conflict of interest statement

Disclosure The authors declare no conflict of interest.

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