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New research has shown why people with the greatest number of moles are
at increased risk of the most dangerous form of skin cancer.
The study, led by Professors Julia Newton Bishop and Tim Bishop of
the Melanoma Genetics Consortium (GenoMEL) at the University of Leeds,
looked at more than 10,000 people, comparing those who have been
diagnosed with melanoma to those who do not have the disease.
Researchers across Europe and in Australia, looked at 300,000
variations in their research subjects' genetic make-up, to pinpoint
which genes were most significant in developing melanoma – a disease
which causes the overwhelming majority of skin cancer related deaths.
Their findings are published in the journal Nature Genetics.
Across the large sample, a number of clear genetic patterns emerged.
It is already well known that red-haired people, those with fair
skin and those who sunburn easily are most at risk of melanoma, and the
people who had been diagnosed with melanoma were found to be much more
likely to be carrying the genes most closely associated with red hair
and freckles. "This is what we expected to find," said Professor Bishop
of the Leeds Institute of Molecular Medicine and the Cancer Research UK
Centre at Leeds. "But the links seemed to be much stronger than we
anticipated."
"We had known for some time that people with many moles are at
increased risk of melanoma. In this study we found a clear link between
some genes on chromosomes 9 and 22 and increased risk of melanoma.
These genes were not associated with skin colour," he added.
"Instead, in joint research with colleagues at King's College London
and in Brisbane who counted the number of moles on volunteer twins, we
showed that these genes actually influenced the number of moles a
person has."
Around 48,000 people worldwide die of melanoma each year. It is more
common in males and those with pale skin – and is on the increase. It
is widely believed that the increase in melanomas is largely due to
social and behavioural activities, such as increased exposure to the
sun, partly caused by the availability of cheaper foreign holidays.
Sunny holidays increase the risk because it is intermittent sun
exposure which causes melanoma rather than daily exposure over longer
periods of time.
Even so, the process by which sunlight and genetics combine to cause
cancer in some people, is still poorly understood, as Professor Bishop
explained: "If you take the people who have the greatest exposure to
sunlight – those who work outside for example – and compare them to
those with the least exposure, their risks of getting skin cancer are
actually quite similar. Statistically, the differences are quite
negligible.
"What we do know is that the combination of particular genes and a
lifestyle of significant sun exposure is putting people at greatest
risk."
The research shows that there are at least five genes which
influence the risk of melanoma. A person carrying all the variants
associated with an increased risk is around eight times more likely to
develop melanoma than those carrying none, though the majority of
people carry at least one of these variants.
Sara Hiom, Cancer Research UK's director of health information,
said: "The more we can understand malignant melanoma through research
like this the closer we should get to controlling what is an often
fatal cancer. This study confirms Cancer Research UK's advice in its
SunSmart campaign that people with lots of moles – as well as those
with red hair and fair skin – are more at risk of the most dangerous
form of skin cancer and should take extra care in the sun.
"The research goes further and identifies the actual genes associated with this increased risk."
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