Heritability Analyses Uncover Shared Genetic Effects of Lung Function and Change over Time.

Genetic influence on lung functions has been identified in previous studies; however, the relative longitudinal effects of genetic factors and their interactions with smoking on lung function remain unclear. Here, we identified the longitudinal effects of genetic variants on lung function by determining single nucleotide polymorphism (SNP) heritability and genetic correlations, and by analyzing interactions with smoking. Subject-specific means and annual change rates were calculated for eight spirometric measures obtained from 6622 Korean adults aged 40-69 years every two years for 14 years, and their heritabilities were estimated separately. Statistically significant ( p < 0.05) heritability for the subject-specific means of all spirometric measures (8~32%) and change rates of forced expiratory volume in 1 s to forced vital capacity ratio (FEV 1 /FVC; 16%) and post-bronchodilator FEV 1 /FVC (17%) were detected. Significant genetic correlations of the change rate with the subject-specific mean were observed for FEV 1 /FVC (ρg = 0.64) and post-bronchodilator FEV 1 /FVC (ρg = 0.47). Furthermore, post-bronchodilator FEV 1 /FVC showed significant heritability of SNP-by-smoking interaction (hGXS2 = 0.4) for the annual change rate. The GWAS also detected genome-wide significant SNPs for FEV 1 (rs4793538), FEV 1 /FVC (rs2704589, rs62201158, and rs9391733), and post-bronchodilator FEV 1 /FVC (rs2445936). We found statistically significant evidence of heritability role on the change in lung function, and this was shared with the effects on cross-sectional measurements. We also found some evidence of interaction with smoking for the change of lung function.