Associations of MC1R with BRAF
mutations in melanoma have been inconsistent between studies. We sought to
determine for 1227 participants in the international population-based Genes,
Environment and Melanoma (GEM) study whether MC1R and
phenotypes were associated with melanoma BRAF/NRAS subtypes. We
used logistic regression adjusted by age, sex, and study design features and
examined effect modifications. BRAF+ were associated
with younger age, blond/light brown hair, increased nevi, and less freckling and
NRAS+ with older age relative to WT
(BRAF−/NRAS−) melanomas
(all P<0.05). Comparing specific BRAF
subtypes to WT, BRAF V600E was associated with younger age,
blond/light brown hair, and increased nevi and V600K with increased nevi and
less freckling (all P<0.05). MC1R was
positively associated with BRAF V600E cases but only among
individuals with darker phototypes or darker hair
(Pinteraction<0.05), but inversely
associated with BRAF V600K
(Ptrend=0.006) with no significant effect
modification by phenotypes. These results support distinct etiologies for
BRAF V600E, BRAF V600K,
NRAS+, and WT melanomas.
MC1R’s associations with BRAF V600E
cases limited to individuals with darker phenotypes indicate that
MC1R genotypes specifically provide information about
BRAF V600E melanoma risk in those not considered high risk
based on phenotype. Our results also suggest melanin pathways deserve further
study in BRAF V600E melanomagenesis.