Abstract

BackgroundActive smoking is the main risk factor for COPD. Here, epigenetic mechanisms may play a role, since cigarette smoking is associated with differential DNA methylation in whole blood. So far, it is unclear whether epigenetics also play a role in subjects with COPD who never smoked. Therefore, we aimed to identify differential DNA methylation associated with lung function in never smokers.MethodsWe determined epigenome-wide DNA methylation levels of 396,243 CpG-sites (Illumina 450 K) in blood of never smokers in four independent cohorts, LifeLines COPD&C (N = 903), LifeLines DEEP (N = 166), Rotterdam Study (RS)-III (N = 150) and RS-BIOS (N = 206). We meta-analyzed the cohort-specific methylation results to identify differentially methylated CpG-sites with FEV1/FVC. Expression Quantitative Trait Methylation (eQTM) analysis was performed in the Biobank-based Integrative Omics Studies (BIOS).ResultsA total of 36 CpG-sites were associated with FEV1/FVC in never smokers at p-value< 0.0001, but the meta-analysis did not reveal any epigenome-wide significant CpG-sites. Of interest, 35 of these 36 CpG-sites have not been associated with lung function before in studies including subjects irrespective of smoking history. Among the top hits were cg10012512, cg02885771, annotated to the gene LTV1 Ribosome Biogenesis factor (LTV1), and cg25105536, annotated to Kelch Like Family Member 32 (KLHL32). Moreover, a total of 11 eQTMS were identified.ConclusionsWith the identification of 35 CpG-sites that are unique for never smokers, our study shows that DNA methylation is also associated with FEV1/FVC in subjects that never smoked and therefore not merely related to smoking.

Highlights

  • Active smoking is the main risk factor for Chronic Obstructive Pulmonary Disease (COPD)

  • We did not find any epigenome-wide significant association in current smokers nor in never smokers, the associations between Deoxyribonucleic acid (DNA) methylation and COPD were different between both groups

  • Since this cohort is a non-random selection from the LifeLines cohort study with COPD as one of the selection criteria, the percentages of COPD cases should not be interpreted as prevalence

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Summary

Introduction

Epigenetic mechanisms may play a role, since cigarette smoking is associated with differential DNA methylation in whole blood It is unclear whether epigenetics play a role in subjects with COPD who never smoked. Only a few studies have investigated the association between DNA methylation in peripheral blood and COPD or lung function using an epigenome-wide hypothesis free approach [10,11,12,13,14,15,16,17]. In previous studies, subjects were mainly included irrespective of smoking status, including current smokers, ex-smokers and never smokers As a consequence, it is currently not known if there are differences in DNA methylation between healthy individuals and patients with COPD who have never smoked. We aim to assess the association between DNA methylation and lung function in never smokers, meta-analyzing four independent population-based cohorts

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