Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.

<h4>Background</h4>Low vitamin D status (serum 25(OH)D concentration) is associated with increased incidence and unfavourable outcome of various types of cancer. However, there are limited data on influence of serum 25(OH)D on risk and prognosis of malignant melanoma.<h4>Methods<...

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Main Authors: Benjamin Bade, Alexander Zdebik, Stefan Wagenpfeil, Stefan Gräber, Jürgen Geisel, Thomas Vogt, Jörg Reichrath
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0112863&type=printable
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author Benjamin Bade
Alexander Zdebik
Stefan Wagenpfeil
Stefan Gräber
Jürgen Geisel
Thomas Vogt
Jörg Reichrath
author_facet Benjamin Bade
Alexander Zdebik
Stefan Wagenpfeil
Stefan Gräber
Jürgen Geisel
Thomas Vogt
Jörg Reichrath
author_sort Benjamin Bade
collection DOAJ
description <h4>Background</h4>Low vitamin D status (serum 25(OH)D concentration) is associated with increased incidence and unfavourable outcome of various types of cancer. However, there are limited data on influence of serum 25(OH)D on risk and prognosis of malignant melanoma.<h4>Methods</h4>Basal serum 25(OH)D concentrations were retrospectively analyzed in a cohort of melanoma patients (n = 324) and healthy controls (n = 141). We tested the hypothesis that serum 25(OH)D concentrations are predictive of melanoma risk, thickness of primary melanomas, and overall survival (OS).<h4>Results</h4>Median serum 25(OH)D concentrations were significantly lower (p = 0.004) in melanoma patients (median = 13.6 ng/ml) as compared to controls (median = 15.6 ng/ml). Primary tumors of patients with low serum 25(OH)D concentrations (<10 ng/ml) had significantly (p = 0.006) greater Breslow thickness (median: 1.9 mm) as compared to patients with higher levels (>20 ng/ml; median: 1.00 mm). Patients with 25(OH)D serum concentrations in the lowest quartile had inferior overall survival (median: 80 months) comparing with the highest quartile (median: 195 months; p = 0.049).<h4>Conclusions</h4>Our data support the concept that serum 25(OH)D concentrations are associated with risk and prognosis of melanoma. Whether normalizing serum 25(OH)D concentrations in these patients improves outcomes will require testing in future clinical trials.
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spelling doaj.art-0cdad9c6b3484d819e59f91af411ec2c2025-02-22T05:32:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11286310.1371/journal.pone.0112863Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.Benjamin BadeAlexander ZdebikStefan WagenpfeilStefan GräberJürgen GeiselThomas VogtJörg Reichrath<h4>Background</h4>Low vitamin D status (serum 25(OH)D concentration) is associated with increased incidence and unfavourable outcome of various types of cancer. However, there are limited data on influence of serum 25(OH)D on risk and prognosis of malignant melanoma.<h4>Methods</h4>Basal serum 25(OH)D concentrations were retrospectively analyzed in a cohort of melanoma patients (n = 324) and healthy controls (n = 141). We tested the hypothesis that serum 25(OH)D concentrations are predictive of melanoma risk, thickness of primary melanomas, and overall survival (OS).<h4>Results</h4>Median serum 25(OH)D concentrations were significantly lower (p = 0.004) in melanoma patients (median = 13.6 ng/ml) as compared to controls (median = 15.6 ng/ml). Primary tumors of patients with low serum 25(OH)D concentrations (<10 ng/ml) had significantly (p = 0.006) greater Breslow thickness (median: 1.9 mm) as compared to patients with higher levels (>20 ng/ml; median: 1.00 mm). Patients with 25(OH)D serum concentrations in the lowest quartile had inferior overall survival (median: 80 months) comparing with the highest quartile (median: 195 months; p = 0.049).<h4>Conclusions</h4>Our data support the concept that serum 25(OH)D concentrations are associated with risk and prognosis of melanoma. Whether normalizing serum 25(OH)D concentrations in these patients improves outcomes will require testing in future clinical trials.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0112863&type=printable
spellingShingle Benjamin Bade
Alexander Zdebik
Stefan Wagenpfeil
Stefan Gräber
Jürgen Geisel
Thomas Vogt
Jörg Reichrath
Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
PLoS ONE
title Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
title_full Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
title_fullStr Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
title_full_unstemmed Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
title_short Low serum 25-hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis.
title_sort low serum 25 hydroxyvitamin d concentrations are associated with increased risk for melanoma and unfavourable prognosis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0112863&type=printable
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