An inherited variant in the gene coding for vitamin D-binding protein and survival from cutaneous melanoma: A BioGenoMEL study

John R. Davies (Corresponding Author), Sinead Field, Juliette Randerson-Moor, Mark Harland, Rajiv Kumar, Gabriella M. Anic, Eduardo Nagore, Johan Hansson, Veronica Höiom, Göran Jönsson, Nelleke A. Gruis, Jong Y. Park, Jian Guan, P. Sivaramakrishna Rachakonda, Judith Wendt, Dace Pjanova, Susana Puig, Dirk Schadendorf, Ichiro Okamoto, Håkan OlssonPaul Affleck, Zaida García-Casado, Joan Anton Puig-Butille, Alexander J. Stratigos, Elizabeth Kodela, Simona Donina, Antje Sucker, Ismail Hosen, Kathleen M. Egan, Jennifer H. Barrett, Remco van Doorn, D. Timothy Bishop, Julia Newton-Bishop

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

An association between low serum vitamin D levels and poorer melanoma survival has been reported. We have studied inheritance of a polymorphism of the GC gene, rs2282679, coding for the vitamin D-binding protein, which is associated with lower serum levels of vitamin D, in a meta-analysis of 3137 melanoma patients. The aim was to investigate evidence for a causal relationship between vitamin D and outcome (Mendelian randomization). The variant was not associated with reduced overall survival (OS) in the UK cohort, per-allele hazard ratio (HR) for death 1.23 (95% confidence interval (CI) 0.93, 1.64). In the smaller cohorts, HR in OS analysis was 1.07 (95% CI 0.88, 1.3) and for all cohorts combined, HR for OS was 1.09 (95% CI 0.93, 1.29). There was evidence of increased melanoma-specific deaths in the seven cohorts for which these data were available. The lack of unequivocal findings despite the large sample size illustrates the difficulties of implementing Mendelian randomization.

Original languageEnglish
Pages (from-to)234-243
Number of pages10
JournalPigment Cell and Melanoma Research
Volume27
Issue number2
DOIs
Publication statusPublished - Mar 2014
Externally publishedYes

Keywords*

  • GC
  • Melanoma
  • Mendelian randomization
  • Survival analysis
  • Vitamin D

Field of Science*

  • 1.6 Biological sciences
  • 3.1 Basic medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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