As part of a carefully designed study of Swedish non-smoking and smoking lu
ng cancer patients and matched population controls, we have studied the int
eraction of GSTT1 genotype with smoking on lung cancer risk. The GSTT1 null
genotype appeared to be protective against lung cancer among never-smokers
(OR = 0.2; 95% CI = 0.05-0.6), but conferred a 5-fold increased risk of lu
ng cancer among smokers with higher (> 23) packyears (PY) (OR = 4.8; 95% CI
= 1.0-22.5). We conclude that the GSTT1 null genotype may be a susceptibil
ity factor for lung cancer at higher accumulated smoking dose. (C) 2001 Els
evier Science Ireland Ltd. All rights reserved.