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PMID: 10631149 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Melanocortin-1 receptor polymorphisms and risk of melanoma: is the association explained solely by pigmentation phenotype?

American journal of human genetics ·Vol. 66 ·No. 1 ·2000-01-00 ·Pages 176-86

Palmer JS, Duffy DL, Box NF, Aitken JF, O'Gorman LE, Green AC, Hayward NK, Martin NG, Sturm RA

Abstract

Risk of cutaneous malignant melanoma (CMM) is increased in sun-exposed whites, particularly those with a pale complexion. This study was designed to investigate the relationship of the melanocortin-1 receptor (MC1R) genotype to CMM risk, controlled for pigmentation phenotype. We report the occurrence of five common MC1R variants in an Australian population-based sample of 460 individuals with familial and sporadic CMM and 399 control individuals-and their relationship to such other risk factors as skin, hair, and eye color; freckling; and nevus count. There was a strong relationship between MC1R variants and hair color and skin type. Moreover, MC1R variants were found in 72% of the individuals with CMM, whereas only 56% of the control individuals carried at least one variant (P<.001), a finding independent of strength of family history of melanoma. Three active alleles (Arg151Cys, Arg160Trp, and Asp294His), previously associated with red hair, doubled CMM risk for each additional allele carried (odds ratio 2.0; 95% confidence interval 1. 6-2.6). No such independent association could be demonstrated with the Val60Leu and Asp84Glu variants. Among pale-skinned individuals alone, this association between CMM and MC1R variants was absent, but it persisted among those reporting a medium or olive/dark complexion. We conclude that the effect that MC1R variant alleles have on CMM is partly mediated via determination of pigmentation phenotype and that these alleles may also negate the protection normally afforded by darker skin coloring in some members of this white population.

MeSH Terms
Data Interpretation, Statistical Eye Color/genetics Female Genetic Variation Genotype Hair Color/genetics Humans Linkage Disequilibrium Male Melanoma/genetics Phenotype Pigmentation/genetics Polymerase Chain Reaction Polymorphism, Genetic Receptors, Corticotropin/genetics Receptors, Melanocortin Risk Factors Skin Pigmentation/genetics Whites/genetics
Chemicals
Receptors, Corticotropin Receptors, Melanocortin
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Palmer J S
Centre for Molecular and Cellular Biology and Queensland Institute of Medical Research and Joint Genetics Program, University of Queensland, Brisbane, QLD 4072, Australia.
Duffy D L
Box N F
Aitken J F
O'Gorman L E
Green A C
Hayward N K
Martin N G
Sturm R A
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Article Info
Journal
American journal of human genetics
Abbr.
Am J Hum Genet
ISSN
0002-9297
Published
2000-01-00
Pages
176-86
Language
English
Region
United States
NLM ID
0370475
PMCID
PMC1288324
Subset
IM
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