Deadly Genetic Link To Smoking, Cancer
Scientists: "Double Whammy" Gene Boosts Lung Cancer Risk 80%, Makes It Harder To Quit
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Smoking Could Be In Your Genes
If you've tried and tried but can't quit smoking, it may not have much to do with your will power. A new study shows that your genes may be to blame. Karen Brown reports.
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Lung Cancer's Genetic Link
Doctors have long been baffled by why some smokers develop lung cancer and others don't. Now, as Emily Senay reports, new studies show that genetics might play a much larger role than once thought.
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The discovery by three separate teams of scientists makes the strongest case so far for the biological underpinnings of the addiction of smoking and sheds light on how genetics and cigarettes join forces to cause cancer, experts said. The findings also lay the groundwork for more tailored quit-smoking treatments.
"This is kind of a double whammy gene," said Christopher Amos, a professor of epidemiology at the M.D. Anderson Cancer Center in Houston and author of one of the studies. "It also makes you more likely to be dependent on smoking and less likely to quit smoking."
A smoker who inherits this genetic variation from both parents has an 80 percent greater chance of lung cancer than a smoker without the variants, the researchers reported. And that same smoker on average lights up two extra cigarettes a day and has a much harder time quitting than smokers who do not have these genetic differences.
The three studies, funded by governments in the U.S. and Europe, is being published Thursday in the journals Nature and Nature Genetics.
The scientists surveyed genetic markers in more than 35,000 people in Europe, Canada and the United States, zeroing in on the same set of genetic differences. They are not quite sure if what they found is a set of variations in one gene or in three closely connected genes. But they said the result is the same: These genetic quirks increase the risk of addiction and lung cancer.
The studies' authors disagreed on whether the set of variants directly increased the risk of lung cancer or did so indirectly by causing more smoking that led to the cancer.
The genetic variations, which encode nicotine receptors on cells, could eventually help explain some of the mysteries of chain smoking, nicotine addiction and lung cancer that can't be chalked up to environmental factors, brain biology and statistics, experts said. These oddities include why there are 100-year-old smokers who don't get cancer and people who light up an occasional cigarette and do not get hooked.
In the last 40 years, the rate of adult Americans smoking has been cut from 42 percent in 1965 to less than 21 percent now.
The new studies point to surprising areas of the genes not associated with pleasure and addiction rewards. That may help explain why people have trouble quitting, said Dr. Nora Volkow, director of the National Institute of Drug Abuse, which funded one of the studies. Eventual testing for the genetic variants could lead to custom treatments for quitting smoking.
"This is really telling us that the vulnerability to smoking and how much you smoke is clearly biologically based," said psychiatry professor Dr. Laura Bierut, of Washington University in St. Louis, and a genetics and smoking expert who did not take part in the studies. She praised the research as "very intriguing."
The studies mostly looked at smokers and ex-smokers - although two of the studies also looked at several hundred nonsmokers. The research only involved white people of European descent. People of Asian and African descent will be studied soon and may yield quite different results, scientists said. Smoking-related diseases worldwide kill about one in 10 adults, according to the World Health Organization.
The studies show on average the consequences of the set of variations in the alphabet of genetic code that people inherit from each parent:
- Smokers who get the set of variants from only one parent see a risk of lung cancer that is about one-third higher than people without any variants. They also smoke about one more cigarette a day on average than other smokers. This group makes up about 45 percent of the population studied.
- Smokers who inherit the variants from both parents have almost a one in four chance of developing lung cancer. Their risk is between 70 and 80 percent higher than the cancer risk of other smokers without the genetic variants. They smoke on average of two extra cigarettes a day, and have a 45 percent higher risk of peripheral artery disease. This group accounts for about one in nine people of European descent.
- Smokers who do not have the variants are still more than 10 times more likely to get lung cancer than nonsmokers. Smokers without the variant overall have about a 14 percent risk of getting lung cancer. By comparison the risk of lung cancer for people who have never smoked is less than 1 percent, said another study author, Paul Brennan of the International Agency for Research on Cancer in Lyon, France.
Brennan and Amos, working on different teams, linked the genetic variation itself - when triggered by smoking - directly to lung cancer. Brennan said the nicotine receptors that the variants act on also can stimulate tumor growth.
Brennan's study also found that lung cancer risk for nonsmokers with the variants was higher than for those without the variants. However, his small sample size of nonsmokers requires further study. Amos' study didn't find increased lung cancer risk for people with the set of variants who have never smoked.
But Kari Stefansson, lead author of the largest of the three studies and chief executive of deCode Genetics of Iceland, said the increased lung cancer risk was indirect, and that the variant caused more addiction and more smoking. It was the extra cigarettes from increased daily smoking and the inability to quit that contributed to the higher cancer risk, Stefansson said.
"It's very likely that in the end there's going to be a test and this is going to be folded into a panel of tests for the risk of cancers," said Stefansson, whose company already does prostate cancer genetic tests. The tests will lead to better treatments, but probably not prevention of smoking, he said.
Stefansson and others emphasize that people without the variants should not take that genetic finding as a green light to smoke. There are other smoking-related diseases and they would still be at high risk of lung cancer.
For Stefansson, the research hits home. His father, a smoker, died of lung cancer. And Stefansson, who doesn't smoke, frequently lectures his 23-year-old daughter "who smokes like a chimney." She acts like she is immortal and smoking can't kill her, Stefansson said. But his own research shows that her genes are probably stacked against her.
© MMVIII, CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.



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See all 71 Commentswow rushman, you must be a regular on the cell phone. This story IS in the health section. Don''t you know if the background ain''t pink, it ain''t health?
rushman71 at 01:16 PM,
Good point.
"Cellphones greater threat than smoking"
"A top Australian neurosurgeon of Indian origin says that cell phones use is a greater threat to human health than smoking, which kills 5.4 million people each year. Dr Vini Khurana, a neurosurgeon at the Canberra Hospital, told UK%u2019s Independent newspaper that there is growing evidence that using handsets for 10 years or more can double the risk of brain cancer."
"Dr Khurana says that the cellphone threat is greater because far more people use cellphones than smoke worldwide, some of them starting use at the age of 3 years."
http://computing.in.msn.com/articles/article.aspx?cp-documentid=1321171
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Where is your article, CBS?
==
No, that Fox News for ya.
And, there is nothing like being in the chemo infusion room and someone gets up and asks if he can take his iv outside so he can smoke.
"A top Australian neurosurgeon of Indian origin says that cell phones use is a greater threat to human health than smoking, which kills 5.4 million people each year. Dr Vini Khurana, a neurosurgeon at the Canberra Hospital, told UK%u2019s Independent newspaper that there is growing evidence that using handsets for 10 years or more can double the risk of brain cancer."
"Ultimately, it is estimated that there are 13,000 deaths/year as a result of brain tumors.[1]"
- 5 seconds research on Google and Wikipedia
Thus, double the rate of brain cancer would add 18,000 deaths a year. Hardly a drop in the ocean compared to 5.4 million smoking caused deaths.
As usual there''s lies, lies and statistics. Always get the whole story, Fox only gives you part.
What were your symptoms?
USBrit,
Re: "Thus, double the rate of brain cancer would add 18,000 deaths a year. Hardly a drop in the ocean compared to 5.4 million smoking caused deaths."
"As usual there''s lies, lies and statistics. Always get the whole story, Fox only gives you part."
The study shows that long-term cell-phone use doubles (or quadruples) brain cancer RISK not overall RATE. Do you understand the difference?
If true, this means that brain cancer cases will skyrocket as a result, not merely double, since cell-phone use is so prevalent.
Posted by FeelFree1
Not sure that I do. If there is known "x%" RISK of something happening and a known "y" number of people affected, then the theoretical RATE of this whatever happeneing is calcuable. If you double the x% risk then you should double the expected rate. Am I missing an exponential factor in this? (I''m a chemist, but sometimes math is not my strong point). I gotta go for about an hour but I''ll be back - I''d like to see your reasoning.
USBrit,
If a certain percentage of people suffer from an ailment, prior to the introduction of an activity- cell phone usage, in this case, then, suddenly, billions of people begin engaging in an activity that significantly increases the RISK of this ailment, then the total number of people who will suffer from this ailment will BALLOON, not double.
In other words, if the number of smokers suddenly doubles, then we can expect that smoking-related deaths will also double. Similarly, when the number of people engaging in a possibly risky activity, (cell phone use, in this case), goes from 0 to some huge number, the risks of ailments associated with this activity will remain constant, while the related number of INSTANCES will grow proportionally to increased rate of use.
Hence, prior to the beginning of humans consuming tobacco, tobacco smoking related deaths were 0. It is safe to assume that those deaths grew proportionally with the increasing rate of consumption (all else equal).
Another significant, and largely ignored health risk- obesity.
"Brits Find Obesity Deadlier Than Smoking"
"Obesity epidemic spiraling out of control, report warns"
www.consumeraffairs.com/news04/2007/10/obesity_smoking.html
For those quoting the FOX story on Cell phones and Cancer, this is not something proven, in fact, many researchers came to the opposite conclusion. Here''s a story on CBS''s site from 2006: http://www.cbsnews.com/stories/2006/12/05/health/webmd/main2232261.shtml?source=search_story
I am now 71.
Re: "FeelFree1: For once, you and I agree on something!!! :)"
Posted by rushman71
I''m not sure why you think that. I agree with, and am amused by, many of your comments.
Sorry "rushman71". I think I missed the sarcasm.
Re: "I get the feeling this cell-phone story is just one such."
Posted by USBrit
Maybe. But I see a whole lot more money to be made in maintaining that they are safe, than in revealing that they are not, including the financial interests some sponsors of CBS Newz.
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Our main stream media is ALWAYS slanted towards the interests of big corporations, in my view, since that is who pays them, and that is what they are.
If our media was slanted to the "left" under the Bush regime, there is no way that we would have invaded Iraq, as all Bush claims were pretty easily called into question, yet our media chose to parrot the official line, without challenge.
WHY DON''T OUR GOVERNMENT JUST OUTLAW CIGARETTES, AND TOBACCO PRODUCTS? AND THE LOBBYIST WHO PEDDLE THIS DEADLY PRODUCTS.
HMMMMM, NO MORE KICK BACKS.
GOD "BLESS" AMERICA. NOT " G D AMERICA."
Just a few months ago, science contradicted something by disproving something it previously proved - that a bullet can be traced to a specific gun or rifle which fired it. For years, we accepted this type of evidence and convicted many. Then recently, we disproved the reliability of that type of evidence. I wonder how many people were convicted wrongfully over it.
Trusting science too much leaves plenty of room for rationalizing. We can connect dots and form conclusions, but whether it is absolute and correct leaves great doubt. There is too much junk science out there.
The statement, "There is no doubt that smoking causes cancer..." is a total fabrication.
NO ONE knows what causes cancer.
Cancer has been observed in high concentrations in people who smoke.
This does not indicate that "smoking causes cancer".
If everyone who smokes gets cancer, that might indicate that "smoking causes cancer", BUT most people who smoke DONOT get cancer. That is FACT.
Doug
Actually, I would recommend smoking weed.
Posted by denn034 at 05:32 PM : Apr 02, 2008
Huh?
1) by distancing cigarettes from blame-- "its your genes!" the big companies (not just tobacco-- but people who "cure" cancer, and / or ...REPORT ABOUT THIS STUFF AND SELL ADVERTISING--LIKE cbs AND a.p...)CAN CONTINUE MAKING MORE MONEY.
2) if its your genes-- you can feel better in the "knowledge" that you "can''t quit" (because you are doomed at birth presumeably)and then give up trying--and ...buy more cigarettes.
My mother died from emphazima caused by smoking.
Her father died of same.
By older brother died of same.
If my younger brother, who smokes, has a similar fate... as the Godfather says,
"...I''m going to blame somebody."
~~~~~~~~~~~
It makes you stupid.
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