Table 2. Gene–environment effects from genome-wide interaction analyses in respiratory disease.
| Environmental stimulus | COPD or lung function | Asthma |
|---|---|---|
| Tobacco smoke | Significant interactions with GRS for COPD and lung function in the UK Biobank data; replication needed75,94. | Significant interaction at KLH1, with evidence of consistency across five large cohorts96. |
| Significant, replicated interactions at known COPD risk loci CHRNB4 and EGLN278. | Several other loci with suggestive significance7,97–99. | |
| Significant but not replicated interactions at several other loci78,95. | ||
| Outdoor air pollution | Significant but not replicated interactions between lung function and PM2.5, PM10 or NO2 at seven loci (such as C1orf159, FAT1 and KDM3B)80. | Suggestive evidence of an interaction effect of NO2 on childhood asthma at B4GALT5, ADCY2 and DLG2100. |
| No interaction with a GRS for lung function80. | ||
| Occupational dust and chemicals | Suggestive associations for lung function identified from cohorts that used self-reported job title as a proxy for exposure101,102. | No genome-wide gene-environment studies. |
P < 0.05 or the Bonferroni-corrected equivalent was considered evidence of replication. COPD, chronic obstructive pulmonary disease; GRS, genetic risk score PM2.5; particulate matter under 2.5 μm; PM10, particulate matter under 10 μm.