RT Journal Article T1 Evidence for shared genetic risk factors between lymphangioleiomyomatosis and pulmonary function. A1 Farre, Xavier A1 Espin, Roderic A1 Baiges, Alexandra A1 Blommaert, Eline A1 Kim, Wonji A1 Giannikou, Krinio A1 Herranz, Carmen A1 Roman, Antonio A1 Saez, Berta A1 Casanova, Alvaro A1 Ancochea, Julio A1 Valenzuela, Claudia A1 Ussetti, Piedad A1 Laporta, Rosalia A1 Rodriguez-Portal, Jose A A1 van Moorsel, Coline H M A1 van der Vis, Joanne J A1 Quanjel, Marian J R A1 Tena-Garitaonaindia, Mireia A1 Sanchez de Medina, Fermín A1 Mateo, Francesca A1 Molina-Molina, Maria A1 Won, Sungho A1 Kwiatkowski, David J A1 de Cid, Rafael A1 Pujana, Miquel Angel K1 Humans K1 Female K1 Forced Expiratory Volume K1 Genome-Wide Association Study K1 Transcriptome AB Lymphangioleiomyomatosis (LAM) is a rare low-grade metastasising disease characterised by cystic lung destruction. The genetic basis of LAM remains incompletely determined, and the disease cell-of-origin is uncertain. We analysed the possibility of a shared genetic basis between LAM and cancer, and LAM and pulmonary function. The results of genome-wide association studies of LAM, 17 cancer types and spirometry measures (forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC ratio and peak expiratory flow (PEF)) were analysed for genetic correlations, shared genetic variants and causality. Genomic and transcriptomic data were examined, and immunodetection assays were performed to evaluate pleiotropic genes. There were no significant overall genetic correlations between LAM and cancer, but LAM correlated negatively with FVC and PEF, and a trend in the same direction was observed for FEV1. 22 shared genetic variants were uncovered between LAM and pulmonary function, while seven shared variants were identified between LAM and cancer. The LAM-pulmonary function shared genetics identified four pleiotropic genes previously recognised in LAM single-cell transcriptomes: ADAM12, BNC2, NR2F2 and SP5. We had previously associated NR2F2 variants with LAM, and we identified its functional partner NR3C1 as another pleotropic factor. NR3C1 expression was confirmed in LAM lung lesions. Another candidate pleiotropic factor, CNTN2, was found more abundant in plasma of LAM patients than that of healthy women. This study suggests the existence of a common genetic aetiology between LAM and pulmonary function. PB European Respiratory Society SN 2312-0541 YR 2021 FD 2021-09-17 LK http://hdl.handle.net/10668/20258 UL http://hdl.handle.net/10668/20258 LA en NO Farré X, Espín R, Baiges A, Blommaert E, Kim W, Giannikou K, et al. Evidence for shared genetic risk factors between lymphangioleiomyomatosis and pulmonary function. ERJ Open Res. 2022 Jan 24;8(1):00375-2021. NO This research was supported by Asociación Española de LAM; The LAM Foundation Seed Grant2019; Carlos III Institute of Health grants PI18/01029, PI21/01306 and ICI19/00047 (co-funded by European RegionalDevelopment Fund (ERDF), “A way to build Europe”); Ministry of Economy and Competitivity grantSAF2017-88457-R; the Generalitat de Catalunya SGR 2017-449 and 2017-529; PERIS PFI-Salut SLT017-20-000076; andthe CERCA Program to IDIBELL and Institut Germans Trias i Pujol. X. Farré is supported by the VEIS project(001-P-001647, ERDF Operational Programme of Catalonia 2014–2020; co-funded by ERDF, “A way to buildEurope”). Funding information for this article has been deposited with the Crossref Funder Registry DS RISalud RD May 9, 2025