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Is 2,3,5-Pyrroletricarboxylic Acid in Hair a Better Risk Indicator for Melanoma than Traditional Epidemiologic Measures for Skin Phenotype?

Title: Is 2,3,5-Pyrroletricarboxylic Acid in Hair a Better Risk Indicator for Melanoma than Traditional Epidemiologic Measures for Skin Phenotype?
Authors: Rosso, Stefano; Zanetti, Roberto; Sánchez, Maria José; Nieto, Adoración; Miranda, Ana; Mercier, Mariette; Loria, Dora; Østerlind, Anne; Greinert, Rüdiger; Chirlaque, Maria-Dolores; Fabbrocini, Gabriella; Barbera, Cesare; Sancho-Garnier, Hélène; Lauria, Carmela; Balzi, Daniela; Zoccola, Marina; for the Helios Working Group
Publisher Information: Oxford University Press
Publication Year: 2007
Collection: HighWire Press (Stanford University)
Subject Terms: ORIGINAL CONTRIBUTIONS
Description: This study aims to assess type of melanin as a risk indicator for skin tumors, in a sample of melanoma cases and controls within a larger multicenter study (Helios 2), held in Europe and South America in 2001–2002. In each case and control, the melanin content in hair was assessed by three methods: 1) the amount of 2,3,5-pyrroletricarboxylic acid (PTCA); 2) the absorbance ratio with ultraviolet spectroscopy; and 3) the spectra of near-infrared spectroscopy. Statistical analysis was performed in a Bayesian setting, defining priors for confounders and effect modifiers from the larger study data set. Subjects with values of PTCA of less than 85 ng/mg carried an increased risk (26 vs. seven discordant pairs: odds ratio = 4.4, 95% confidence interval: 1.52, 14.54), adjusted by hair color, eye color, and number of nevi ( n = ≥40). The absorbance ratio showed a weaker and nonsignificant odds ratio of 1.5. After correction by misclassification, near-infrared spectroscopy was associated with an odds ratio of 2.3 (95% confidence interval: 1.36, 4.22). The amount of PTCA is thus a strong and independent risk indicator for melanoma. Incorporating PTCA determination into epidemiologic studies is therefore recommended.
Document Type: text
File Description: text/html
Language: English
Relation: http://aje.oxfordjournals.org/cgi/content/short/kwm018v1; http://dx.doi.org/10.1093/aje/kwm018
DOI: 10.1093/aje/kwm018
Availability: http://aje.oxfordjournals.org/cgi/content/short/kwm018v1; https://doi.org/10.1093/aje/kwm018
Rights: Copyright (C) 2007, Oxford University Press
Accession Number: edsbas.E7A34C7C
Database: BASE