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Inherited EGFR Mutation Raises Lung Cancer Risk in Nonsmokers

The variant was tied to a 25.2-fold higher lung cancer risk overall and a 61.7-fold increase in nonsmokers, researchers reported.

  • Researchers reported in Science on September 24, 2026, that a rare inherited EGFR T790M variant increases lung cancer risk 25.2-fold, making it one of the strongest known genetic risk factors for any cancer.
  • Analyzing data from nearly 3.4 million people, study co-lead Jaclyn LoPiccolo, MD, PhD, of Dana-Farber Cancer Institute found the mutation confers a 61.7-fold higher risk for nonsmokers and a 10.6-fold increase for smokers.
  • The variant's effect exceeds established BRCA1 and BRCA2 breast cancer risks and smoking's 3.8-fold risk. Researchers observed no significant associations between T790M and 17 other non-lung cancers.
  • Dr. John A. D'Orazio, M.D., Ph.D., at Golisano Children's at UK notes that genetic knowledge enables personalized, proactive care plans. Clinical experts aim to incorporate findings into computed tomography screening guidelines.
  • The INHERIT study seeks to validate these findings for broad clinical use, shifting from reactive treatment to proactive monitoring and detection at the most curable, early stages.
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Inside Precision Medicine broke the news on Wednesday, September 23, 2026.
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