Association between lung cancer somatic mutations and occupational exposure in never-smokers

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TitreAssociation between lung cancer somatic mutations and occupational exposure in never-smokers
Type de publicationJournal Article
Year of Publication2017
AuteursParis C, Do P, Mastroianni B, Dixmier A, Dumont P, Pichon E, Chouaid C, Coudert B, Foucher P, Fraboulet S, Locatelli-Sanchez M, Baize N, Dansin E, Moreau L, Vincent M, Missy P, Morin F, Moro-Sibilot D, Couraud S, Investig BCASIFCT-1002
JournalEUROPEAN RESPIRATORY JOURNAL
Volume50
Pagination1700716
Date PublishedOCT 1
Type of ArticleArticle
ISSN0903-1936
Résumé

{Occupational exposure constitutes a common risk factor for lung cancer. We observed molecular alterations in 73% of never-smokers, 35% of men and 8% of women were exposed to at least one occupational carcinogen. We report herein associations between molecular patterns and occupational exposure. BioCAST was a cohort study of lung cancer in never-smokers that reported risk factor exposure and molecular patterns. Occupational exposure was assessed via a validated 71-item questionnaire. Patients were categorised into groups that were unexposed and exposed to polycyclic aromatic hydrocarbons (PAH), asbestos, silica, diesel exhaust fumes (DEF), chrome and paints. Test results were recorded for EGFR, KRAS, HER2, BRAF and PIK3 mutations, and ALK alterations. Overall, 313 out of 384 patients included in BioCAST were analysed. Asbestos-exposed patients displayed a significantly lower rate of EGFR mutations (20% versus 44%

DOI10.1183/13993003.00716-2017