Case report · PMID 40210573

Melanotan II nasal spray: a possible risk factor for oral mucosal malignant melanoma? — VialBase Research

22-year-old female developed oral mucosal malignant melanoma after Melanotan II nasal spray use

Last updated · 2025 · Yassin Alsabbagh A, Bhujel N, Singh RP · International Journal of Oral and Maxillofacial Surgery
Key findings
  • 22-year-old female developed oral mucosal malignant melanoma after Melanotan II nasal spray use
  • Used MT-II for tanning purposes
  • Authors raise concern about causative/promotional role of MT-II in melanoma
  • MT-II is unlicensed and illegal to sell in UK

PMID 40210573 — Melanotan II and Oral Melanoma

Compound: Melanotan-II Citation: Yassin Alsabbagh A et al. Int J Oral Maxillofac Surg. 2025;54(9):806-808. doi:10.1016/j.ijom.2025.03.014

Summary

Case report of a 22-year-old female who developed a mass in the anterior maxilla confirmed as malignant melanoma after using Melanotan II nasal spray for tanning. Authors propose MT-II as a possible risk factor.

Key Findings

  • Young patient (22) with no traditional melanoma risk factors developed oral mucosal melanoma
  • Temporal association with Melanotan II nasal spray use
  • Histological confirmation of malignant melanoma
  • MT-II activates MC1R on melanocytes, which could theoretically promote melanocyte transformation

Clinical Significance

This case adds to mounting safety concerns about unregulated Melanotan II use. While a single case report cannot establish causation, the mechanistic plausibility (melanocyte hyperactivation via MC1R) and the young patient age make this a significant safety signal. Oral mucosal melanoma is extremely rare, making any potential association noteworthy.

PubMed

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