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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.