Ontology highlight
ABSTRACT: Background
Solar elastosis and neval remnants are histologic markers characteristic of divergent melanoma pathways linked to differences in age at onset, host phenotype, and sun exposure. However, the association between these pathway markers and newly identified low-penetrance melanoma susceptibility loci remains unknown.Methods
In the Genes, Environment and Melanoma (GEM) Study, 2103 Caucasian participants had first primary melanomas that underwent centralized pathology review. For 47 single-nucleotide polymorphisms (SNPs) previously identified as low-penetrant melanoma risk variants, we used multinomial logistic regression to compare melanoma with solar elastosis and melanoma with neval remnants simultaneously to melanoma with neither of these markers, excluding melanomas with both markers. All statistical tests were two-sided.Results
IRF4 rs12203592 was the only SNP to pass the false discovery threshold in baseline models adjusted for age, sex, and study center. rs12203592*T was associated positively with melanoma with solar elastosis (odds ratio [OR] = 1.47, 95% confidence interval [CI] = 1.18 to 1.82) and inversely with melanoma with neval remnants (OR = 0.65, 95% CI = 0.48 to 0.87) compared with melanoma with neither marker (P global = 3.78 x 10(-08)). Adjusting for phenotypic characteristics and total sun exposure hours did not materially affect rs12203592's associations. Distinct early- and late-onset age distributions were observed in patients with IRF4 rs12203592 [CC] and [TT] genotypes, respectively.Conclusions
Our findings suggest a role of IRF4 rs12203592 in pathway-specific risk for melanoma development. We hypothesize that IRF4 rs12203592 could underlie in part the bimodal age distribution reported for melanoma and linked to the divergent pathways.
SUBMITTER: Gibbs DC
PROVIDER: S-EPMC4948568 | biostudies-literature | 2016 Jul
REPOSITORIES: biostudies-literature
Gibbs David C DC Orlow Irene I Bramson Jennifer I JI Kanetsky Peter A PA Luo Li L Kricker Anne A Armstrong Bruce K BK Anton-Culver Hoda H Gruber Stephen B SB Marrett Loraine D LD Gallagher Richard P RP Zanetti Roberto R Rosso Stefano S Dwyer Terence T Sharma Ajay A La Pilla Emily E From Lynn L Busam Klaus J KJ Cust Anne E AE Ollila David W DW Begg Colin B CB Berwick Marianne M Thomas Nancy E NE
Journal of the National Cancer Institute 20160208 7
<h4>Background</h4>Solar elastosis and neval remnants are histologic markers characteristic of divergent melanoma pathways linked to differences in age at onset, host phenotype, and sun exposure. However, the association between these pathway markers and newly identified low-penetrance melanoma susceptibility loci remains unknown.<h4>Methods</h4>In the Genes, Environment and Melanoma (GEM) Study, 2103 Caucasian participants had first primary melanomas that underwent centralized pathology review. ...[more]