RT Journal Article SR Electronic T1 Epigenome-wide association study of lung function level and its change JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1900457 DO 10.1183/13993003.00457-2019 VO 54 IS 1 A1 Medea Imboden A1 Matthias Wielscher A1 Faisal I. Rezwan A1 André F.S. Amaral A1 Emmanuel Schaffner A1 Ayoung Jeong A1 Anna Beckmeyer-Borowko A1 Sarah E. Harris A1 John M. Starr A1 Ian J. Deary A1 Claudia Flexeder A1 Melanie Waldenberger A1 Annette Peters A1 Holger Schulz A1 Su Chen A1 Shadia Khan Sunny A1 Wilfried J.J. Karmaus A1 Yu Jiang A1 Gertraud Erhart A1 Florian Kronenberg A1 Ryan Arathimos A1 Gemma C. Sharp A1 Alexander John Henderson A1 Yu Fu A1 Päivi Piirilä A1 Kirsi H. Pietiläinen A1 Miina Ollikainen A1 Asa Johansson A1 Ulf Gyllensten A1 Maaike de Vries A1 Diana A. van der Plaat A1 Kim de Jong A1 H. Marike Boezen A1 Ian P. Hall A1 Martin D. Tobin A1 Marjo-Riitta Jarvelin A1 John W. Holloway A1 Deborah Jarvis A1 Nicole M. Probst-Hensch YR 2019 UL http://erj.ersjournals.com/content/54/1/1900457.abstract AB Previous reports link differential DNA methylation (DNAme) to environmental exposures that are associated with lung function. Direct evidence on lung function DNAme is, however, limited. We undertook an agnostic epigenome-wide association study (EWAS) on pre-bronchodilation lung function and its change in adults.In a discovery–replication EWAS design, DNAme in blood and spirometry were measured twice, 6–15 years apart, in the same participants of three adult population-based discovery cohorts (n=2043). Associated DNAme markers (p<5×10−7) were tested in seven replication cohorts (adult: n=3327; childhood: n=420). Technical bias-adjusted residuals of a regression of the normalised absolute β-values on control probe-derived principle components were regressed on level and change of forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and their ratio (FEV1/FVC) in the covariate-adjusted discovery EWAS. Inverse-variance-weighted meta-analyses were performed on results from discovery and replication samples in all participants and never-smokers.EWAS signals were enriched for smoking-related DNAme. We replicated 57 lung function DNAme markers in adult, but not childhood samples, all previously associated with smoking. Markers not previously associated with smoking failed replication. cg05575921 (AHRR (aryl hydrocarbon receptor repressor)) showed the statistically most significant association with cross-sectional lung function (FEV1/FVC: pdiscovery=3.96×10−21 and pcombined=7.22×10−50). A score combining 10 DNAme markers previously reported to mediate the effect of smoking on lung function was associated with lung function (FEV1/FVC: p=2.65×10−20).Our results reveal that lung function-associated methylation signals in adults are predominantly smoking related, and possibly of clinical utility in identifying poor lung function and accelerated decline. Larger studies with more repeat time-points are needed to identify lung function DNAme in never-smokers and in children.An agnostic association study on lung function using longitudinal population-based cohort data shows that differentially methylated genomic sites related to smoking are strongly associated with lung function in adults http://ow.ly/wYID30onUB4