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Pharmacologic Induction of Epidermal Melanin and Protection Against Sunburn in a Humanized Mouse Model
Published on: September 7, 2013
MITF E318K's effect on melanoma risk independent of, but modified by, other risk factors
Marianne Berwick1, Jamie MacArthur, Irene Orlow
1Departments of Internal Medicine and Dermatology, University of New Mexico, Albuquerque, NM, USA.
Abstract:
A rare germline variant in the microphthalmia-associated transcription factor (MITF) gene, E318K, has been reported as associated with melanoma. We confirmed its independent association with melanoma [odds ratio (OR) 1.7, 95% confidence interval (CI) = 1.1, 2.7, P = 0.03]; adjusted for age, sex, center, age × sex interaction, pigmentation characteristics, family history of melanoma, and nevus density). In stratified analyses, carriage of MITF E318K was associated with melanoma more strongly in people with dark hair than fair hair (P for interaction, 0.03) and in those with no moles than some or many moles (P for interaction, <0.01). There was no evidence of interaction between MC1R 'red hair variants' and MITF E318K. Moreover, risk of melanoma among carriers with 'low risk' phenotypes was as great or greater than among those with 'at risk' phenotypes with few exceptions.
Insights
The rare MITF E318K gene variant is linked to melanoma risk. This risk is higher in individuals with dark hair or fewer moles, independent of MC1R variants.
Area of Science:
- Genetics
- Dermatology
- Cancer Research
Background:
- The microphthalmia-associated transcription factor (MITF) gene plays a crucial role in melanocyte development and is implicated in various pigmentation disorders.
- A rare germline variant, E318K, in the MITF gene has been previously suggested to be associated with melanoma risk.
Purpose of the Study:
- To confirm the independent association of the MITF E318K variant with melanoma.
- To investigate potential interactions between MITF E318K and other risk factors, including hair color, nevus count, and MC1R variants.
Main Methods:
- Case-control study design.
- Statistical analysis including odds ratios (OR) and 95% confidence intervals (CI) to assess the association between MITF E318K and melanoma.
- Stratified analyses were performed to evaluate effect modification by hair color, mole count, and MC1R variants.
Main Results:
- The MITF E318K variant showed an independent association with melanoma (OR = 1.7, 95% CI = 1.1–2.7, P = 0.03).
- The association was stronger in individuals with dark hair (P-interaction = 0.03) and those with no moles (P-interaction < 0.01).
- No significant interaction was observed between MITF E318K and MC1R 'red hair variants'.
Conclusions:
- The MITF E318K germline variant is a confirmed risk factor for melanoma.
- Its impact on melanoma risk is modulated by pigmentation phenotypes, particularly hair color and mole count.
- These findings highlight the complex genetic architecture of melanoma and the importance of considering gene-gene and gene-environment interactions.
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