PMID- 28884047 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2095-3941 (Print) IS - 2095-3941 (Linking) VI - 14 IP - 3 DP - 2017 Aug TI - BsmI (rs1544410) and FokI (rs2228570) vitamin D receptor polymorphisms, smoking, and body mass index as risk factors of cutaneous malignant melanoma in northeast Italy. PG - 302-318 LID - 10.20892/j.issn.2095-3941.2017.0064 [doi] AB - OBJECTIVE: : To investigate whether vitamin D receptor gene (VDR) BsmI-rs1544410 and FokI-rs2228570 polymorphisms, smoking duration, and body mass index (BMI) are risk factors for cutaneous melanoma, especially metastatic melanoma. METHODS: : We studied 120 cutaneous melanoma cases [68 stage I and II non-metastatic melanoma (NMetM) patients, plus 52 Stage III and IV metastatic melanoma (MetM) patients], and 120 matching healthy controls from northeast Italy. VDR polymorphisms were measured by restriction fragment length polymorphism analysis. Absence or presence of BsmI and FokI restriction sites was denoted by " B" and " F" or by " b" and " f," respectively. RESULTS: : VDR-BsmI bb genotype was more frequent among MetM (32.7%) than among NMetM cases (13.2%), with odds ratio (OR)=3.18. Comparison of all melanoma patients vs healthy controls showed that the following biomarkers were at risk: >/=20 years of smoking (OR=2.43); >/=20 years of smoking combined with bb (OR=4.78), Bb+bb (OR=2.30), Ff (OR=3.04), and Ff+ff (OR=3.08); obesity (BMI>30 kg/m(2)) alone (OR=3.54); and obesity combined with Bb+bb (OR=3.52), Ff (OR=4.78), and Ff+ff (OR=6.56). Comparison of MetM vs NMetM patients revealed that the following biomarkers were at risk: >/=20 years of smoking (OR=2.39), >/=20 years of smoking combined with bb (OR=5.13), Bb+bb (OR=3.07), and Ff+ff (OR=2.66); and obesity combined with Bb+bb (OR=5.27), Ff (OR=6.28), and Ff+ff (OR=9.18). Triple combination of >/=20 years of smoking, obesity, and Bb+bb yielded OR=9.65 for melanoma patients vs healthy controls and OR=12.2 for MetM vs. NMetM patients. CONCLUSIONS: : Risk factors for cutaneous MetM include two VDR polymorphisms combined with smoking duration and obesity. Results suggest gene-environment implications in melanoma susceptibility and severity. Future studies in larger cohorts and in subjects with different genetic background are warranted to extend our findings. FAU - Cauci, Sabina AU - Cauci S AD - Department of Medicine, University of Udine, Udine 33100, Italy. FAU - Maione, Vincenzo AU - Maione V AD - Department of Medicine, University of Udine, Udine 33100, Italy. FAU - Buligan, Cinzia AU - Buligan C AD - Department of Medicine, University of Udine, Udine 33100, Italy. AD - Dermatology Clinic University Hospital of Brescia, Brescia 25123, Italy. FAU - Linussio, Martina AU - Linussio M AD - Department of Medicine, University of Udine, Udine 33100, Italy. FAU - Serraino, Diego AU - Serraino D AD - Department of Medicine, University of Udine, Udine 33100, Italy. FAU - Stinco, Giuseppe AU - Stinco G AD - Department of Medicine, University of Udine, Udine 33100, Italy. AD - Dermatology Clinic University Hospital of Brescia, Brescia 25123, Italy. LA - eng PT - Journal Article PL - China TA - Cancer Biol Med JT - Cancer biology & medicine JID - 101588850 PMC - PMC5570607 OTO - NOTNLM OT - VDR polymorphism OT - Vitamin D receptor OT - body mass index OT - cutaneous melanoma OT - metastatic melanoma OT - obesity OT - skin cancer OT - smoking EDAT- 2017/09/09 06:00 MHDA- 2017/09/09 06:01 PMCR- 2017/08/01 CRDT- 2017/09/09 06:00 PHST- 2017/09/09 06:00 [entrez] PHST- 2017/09/09 06:00 [pubmed] PHST- 2017/09/09 06:01 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - cbm-14-3-302 [pii] AID - 10.20892/j.issn.2095-3941.2017.0064 [doi] PST - ppublish SO - Cancer Biol Med. 2017 Aug;14(3):302-318. doi: 10.20892/j.issn.2095-3941.2017.0064.