RT Journal Article SR Electronic T1 Smoking and blood DNA methylation: novel associations, replication of previous findings and assessment of reversibility JF bioRxiv FD Cold Spring Harbor Laboratory SP 660878 DO 10.1101/660878 A1 Dugué, Pierre-Antoine A1 Jung, Chol-Hee A1 Joo, JiHoon E A1 Wang, Xiaochuan A1 Wong, Ee Ming A1 Makalic, Enes A1 Schmidt, Daniel F A1 Baglietto, Laura A1 Severi, Gianluca A1 Southey, Melissa C A1 English, Dallas R A1 Giles, Graham G A1 Milne, Roger L YR 2019 UL http://biorxiv.org/content/early/2019/06/08/660878.abstract AB We conducted a genome-wide association study of blood DNA methylation and smoking, attempted replication of previously discovered associations, and assessed the reversibility of smoking-associated methylation changes. DNA methylation was measured in baseline peripheral blood samples for 5,044 participants in the Melbourne Collaborative Cohort Study. For 1,032 participants, these measures were repeated using blood samples collected at follow-up, a median of 11 years later. A cross-sectional analysis of the association between smoking and DNA methylation and a longitudinal analysis of changes in smoking status and changes in DNA methylation were conducted. We used our cross-sectional analysis to replicate previously reported associations for current (N=3,327) and former (N=172) smoking. A comprehensive smoking index accounting for the bioactivity of smoking and several aspects of smoking history was constructed to assess the reversibility of smoking-induced methylation changes. We identified 4,496 cross-sectional associations at P<10−7, including 3,296 that were novel. We replicated the majority (90%) of previously reported associations for current and former smokers. In our data, we observed for former smokers a substantial degree of return to the methylation levels of never smokers, compared with current smokers (median: 74%, IQR=63-86%). Consistent with this, we found wide-ranging estimates for the half-life parameter of the comprehensive smoking index. Longitudinal analyses identified 368 sites at which methylation changed upon smoking cessation. Our study provides evidence of many novel associations between smoking and DNA methylation at CpGs across the genome, replicates the vast majority of previously reported associations, and indicates wide-ranging reversibility rates for smoking-induced methylation changes.