Association of melanoma-risk variants with primary melanoma tumor prognostic characteristics and melanoma-specific survival in the GEM study Journal Article


Authors: Davari, D. R.; Orlow, I.; Kanetsky, P. A.; Luo, L.; Busam, K. J.; Sharma, A.; Kricker, A.; Cust, A. E.; Anton-Culver, H.; Gruber, S. B.; Gallagher, R. P.; Zanetti, R.; Rosso, S.; Sacchetto, L.; Dwyer, T.; Gibbs, D. C.; Ollila, D. W.; Begg, C. B.; Berwick, M.; Thomas, N. E.; on behalf of the GEM Study Group
Article Title: Association of melanoma-risk variants with primary melanoma tumor prognostic characteristics and melanoma-specific survival in the GEM study
Abstract: Genome-wide association studies (GWAS) and candidate pathway studies have identified low-penetrant genetic variants associated with cutaneous melanoma. We investigated the association of melanoma-risk variants with primary melanoma tumor prognostic characteristics and mel-anoma-specific survival. The Genes, Environment, and Melanoma Study enrolled 3285 European origin participants with incident invasive primary melanoma. For each of 47 melanoma-risk single nucleotide polymorphisms (SNPs), we used linear and logistic regression modeling to estimate, re-spectively, the per allele mean changes in log of Breslow thickness and odds ratios for presence of ulceration, mitoses, and tumor-infiltrating lymphocytes (TILs). We also used Cox proportional haz-ards regression modeling to estimate the per allele hazard ratios for melanoma-specific survival. Passing the false discovery threshold (p = 0.0026) were associations of IRF4 rs12203592 and CCND1 rs1485993 with log of Breslow thickness, and association of TERT rs2242652 with presence of mitoses. IRF4 rs12203592 also had nominal associations (p < 0.05) with presence of mitoses and mel-anoma-specific survival, as well as a borderline association (p = 0.07) with ulceration. CCND1 rs1485993 also had a borderline association with presence of mitoses (p = 0.06). MX2 rs45430 had nominal associations with log of Breslow thickness, presence of mitoses, and melanoma-specific survival. Our study indicates that further research investigating the associations of these genetic variants with underlying biologic pathways related to tumor progression is warranted. © 2021 by the authors.
Keywords: survival; single nucleotide polymorphism; melanoma; tumor-infiltrating lymphocytes; ulceration; breslow thickness; mitoses
Journal Title: Current Oncology
Volume: 28
Issue: 6
ISSN: 1198-0052
Publisher: Multimed Inc  
Date Published: 2021-12-01
Start Page: 4756
End Page: 4771
Language: English
DOI: 10.3390/curroncol28060401
PROVIDER: scopus
PMCID: PMC8628692
PUBMED: 34898573
DOI/URL:
Notes: Article -- Export Date: 1 December 2021 -- Source: Scopus
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MSK Authors
  1. Colin B Begg
    306 Begg
  2. Irene Orlow
    247 Orlow
  3. Klaus J Busam
    688 Busam
  4. Ajay P Sharma
    13 Sharma