Department of Oncology, Nanjing Jiangning Hospital, The Affiliated Jiangning Hospital with Nanjing Medical University, 169 Hushan Road, Dongshan Street, Nanjing, 211000, Jiangsu, China.
Sci Rep. 2024 Oct 4;14(1):23047. doi: 10.1038/s41598-024-74883-7.
Asthma and lung cancer are both significant public health concerns worldwide. Previous observational studies have indicated a potential link between asthma and an increased risk of lung cancer, whereas the causal relationship remains uncertain. We aimed to investigate the potential causal relationship between asthma and lung cancer risk utilizing Mendelian randomization (MR) design.The present study employed a two-sample MR analysis utilizing summary statistics from genome-wide association studies (GWAS) with European descent of asthma and lung cancer. The MR analysis was performed using inverse variance weighting (IVW), supplemented with MR-Egger regression and weighted median method to investigate the potential causality between asthma and lung cancer. Furthermore, Sensitivity analyses were also conducted to ensure the reliability of the findings. The MR analysis showed that genetically predicted asthma had suggestive causal association with the elevated risk of lung cancer [odds ratio (OR), 1.05 (95%Cl,1.01-1.09), P = 0.01]. The consistent direction of effects observed in the three methods further supported this finding. In addition, sensitivity analyses demonstrated the reliability of the results. This study provided potential evidence supporting a causal association between asthma and lung cancer. These findings highlighted the importance of early detection and prevention strategies for lung cancer in individuals with asthma. Further research was needed to elucidate the underlying mechanisms linking asthma and lung cancer.
哮喘和肺癌都是全球范围内重大的公共卫生问题。先前的观察性研究表明,哮喘与肺癌风险增加之间存在潜在关联,而因果关系尚不确定。我们旨在利用孟德尔随机化(MR)设计研究哮喘与肺癌风险之间的潜在因果关系。本研究采用两样本 MR 分析,利用欧洲裔人群哮喘和肺癌的全基因组关联研究(GWAS)汇总统计数据进行分析。MR 分析采用逆方差加权(IVW)进行,同时采用 MR-Egger 回归和加权中位数方法来研究哮喘和肺癌之间的潜在因果关系。此外,还进行了敏感性分析以确保研究结果的可靠性。MR 分析表明,遗传预测的哮喘与肺癌风险升高具有提示性的因果关系[比值比(OR),1.05(95%CI,1.01-1.09),P=0.01]。三种方法观察到的一致效应方向进一步支持了这一发现。此外,敏感性分析也证明了结果的可靠性。本研究提供了潜在的证据支持哮喘和肺癌之间存在因果关系。这些发现强调了在哮喘患者中早期发现和预防肺癌策略的重要性。需要进一步研究来阐明哮喘和肺癌之间的潜在机制。