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Article Abstract

Background: Geographical variations in the frequency of oncogenic driver alterations in non-small cell lung cancer (NSCLC) are observed worldwide, likely influenced by genetic and environmental factors. Radon, a leading cause of lung cancer in nonsmokers, may influence NSCLC's molecular profile.

Objectives: This study aims to explore the potential correlation between estimated indoor radon concentrations and the frequency of driver alterations in NSCLC across Europe.

Design: Ecological study of European countries with available data on indoor radon exposure (estimated mean levels and the proportion (%) of dwellings with concentrations >200 and >400 Bq/m), and frequency of NSCLC actionable genomic alterations (, ) from PubMed articles and meeting abstracts with sample size >100 patients.

Methods: We retrospectively analyzed NSCLC molecular data and radon exposure levels from European countries. Radon data, including the mean and proportion (%) of dwellings with concentrations >200 and >400 Bq/m, were sourced from the European Commission Report 2005. NSCLC molecular alteration frequency (, ) was extracted from PubMed articles with sample sizes >100 patients. The correlation between molecular alteration frequencies and country-specific radon data were assessed.

Results: Data on radon exposure and / frequency were available for 21 European countries. Five countries had mean radon levels >100 Bq/m, and eight countries had ⩾3% of dwellings with concentrations >400 Bq/m. The median frequency of mutations and fusions was 11.3% (range 7%-18.1%) and 4.1% (range 3.4%-12%), respectively. A positive correlation was found between estimated -fusion frequency and the percentage of dwellings with >400 Bq/m ( = 0.72,  = 0.001). No correlation was found between EGFR mutation frequency and radon exposure.

Conclusion: We found a positive correlation between estimated fusion frequency in NSCLC and the proportion of dwellings exceeding 400 Bq/m radon exposure in 21 European countries. Further research is needed to explore the potential influence of radon and other environmental factors on NSCLC with driver alterations.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202949PMC
http://dx.doi.org/10.1177/17588359251351449DOI Listing

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