the abundant expression of collagen type VI α5 (COL6A5) exists in lung tissue, and its role in lung cancer is still unknown. We performed a genetic association study with an attempt to detect the relationships between single nucleotide polymorphisms (Snps) in COL6A5 and lung cancer predisposition in chinese Han population. We finally selected six tag-SNPs to determine their genotypes among 510 lung cancer patients and 495 healthy controls with the MassARRAY platform. The associations of SNPs and lung cancer risk were estimated by logistic regression method with adjustment for confounding factors. two available databases were used for gene expression and prognosis analysis. COL6A5 rs13062453, rs1497305, and rs77123808 were significantly associated with the risk of lung cancer in the whole population or stratified subgroups (p < 0.05). Among them, COL6A5 rs13062453 and rs1497305 were also linked to the susceptibility of lung adenocarcinoma. Additionally, rs1497305 was found to be strongly related to the TNM staging under five genetic models (p < 0.05). Results from databases suggested the important role of COL6A5 in lung cancer development. COL6A5 polymorphisms rs13062453, rs1497305 and rs77123808 were associated with lung cancer risk in Chinese Han population. These findings first yield new insight of COL6A5 in lung cancer.The incidence and mortality rates of lung cancer rank first worldwide, with 2,093,876 (11.6% of total cancer patients) new cases and 1,761,007 (18.4% of total cancer deaths) deaths occurred globally in 2018 1 . Considering the sex-distribution difference, lung cancer is the leading cause of cancer incidence (1,368,524 new cases) and death (1,184,947 deaths) among males, accounting for approximately 14.4% new cases and 22.0% deaths respectively, and the third prevalent cancer (725,352 new cases, 8.4%) with second fatality rate (576,060 deaths, 13.8%) among females 1 . The morbidity and mortality of lung cancer is very high in China, even worse, continue rising in recent years 2 . Previous epidemiological studies have reported a dramatical increase of crude incidence of lung cancer among Chinese from 2000 to 2014, which reached 57.13 per 100,000 in 2014 (74.31 per 100,000 in males and 39.08 per 100,000 in females) 2,3 . In the same year, the estimated mortality rate of lung cancer deaths is 45.80 per 100,000 (61.10 per 100,000 in males and 29.71 per 100,000 in females) 3 . Multiple etiological analyses have found that external risk factors such as smoking, air pollution and occupational exposure contribute to the lung tumorigenesis 4-6 . Moreover, researchers have emphasized that genetic factors play critical roles in the development of lung cancer as well. Nowadays, accumulating evidence has elucidated that genetic polymorphisms are risk markers that can mediate individual susceptibility to lung cancer 7-11 . These findings also provide multiple promising indicators that pave the road for individual cancer risk assessment. Therefore, exploring these novel factors is a vital step which not only re...