- Orlow, Irene;
- Shi, Yang;
- Kanetsky, Peter A;
- Thomas, Nancy E;
- Luo, Li;
- Corrales‐Guerrero, Sergio;
- Cust, Anne E;
- Sacchetto, Lidia;
- Zanetti, Roberto;
- Rosso, Stefano;
- Armstrong, Bruce K;
- Dwyer, Terence;
- Venn, Alison;
- Gallagher, Richard P;
- Gruber, Stephen B;
- Marrett, Loraine D;
- Anton‐Culver, Hoda;
- Busam, Klaus;
- Begg, Colin B;
- Berwick, Marianne;
- Group, the GEM Study
Evidence on the relationship between the vitamin D pathway and outcomes in melanoma is growing, although it is not always clear. We investigated the impact of measured levels of sun exposure at diagnosis on associations of vitamin D receptor gene (VDR) polymorphisms and melanoma death in 3336 incident primary melanoma cases. Interactions between six SNPs and a common 3'-end haplotype were significant (p < .05). These SNPs, and a haplotype, had a statistically significant association with survival among subjects exposed to high UVB in multivariable regression models and exerted their effect in the opposite direction among those with low UVB. SNPs rs1544410/BsmI and rs731236/TaqI remained significant after adjustment for multiple testing. These results suggest that the association between VDR and melanoma-specific survival is modified by sun exposure around diagnosis, and require validation in an independent study. Whether the observed effects are dependent or independent of vitamin D activation remains to be determined.