Albinizm
Etiologia i przyczyny
Albinizm to grupa genetycznie uwarunkowanych zaburzeń charakteryzujących się zmniejszoną lub całkowitym brakiem produkcji melaniny, pigmentu odpowiedzialnego za barwę skóry, włosów i oczu. Dziedziczenie jest głównie autosomalne recesywne, z częstością występowania około 1:17 000–20 000 w Europie i Ameryce Północnej, a nawet 1:5 000 w niektórych regionach Afryki. Wyróżnia się dwa główne typy: albinizm oczno-skórny (OCA) i albinizm oczny (OA). OCA obejmuje osiem typów (OCA1-OCA8), z których OCA1 jest spowodowany mutacjami w genie TYR kodującym tyrozynazę – kluczowy enzym w syntezie melaniny. Mutacje mogą prowadzić do całkowitego braku aktywności enzymu (OCA1A) lub jej obniżenia (OCA1B). Inne typy OCA wynikają z mutacji w genach takich jak OCA2, TYRP1, SLC45A2, SLC24A5, LRMDA i DCT. Albinizm oczny (OA), dziedziczony sprzężenie z chromosomem X, dotyczy głównie oczu i jest najczęściej związany z mutacjami w genie GPR143. Albinizm może także występować w ramach zespołów genetycznych, takich jak zespół Hermansky’ego-Pudlaka, Chediaka-Higashiego czy Griscelliego, które oprócz zaburzeń pigmentacji manifestują dodatkowe objawy kliniczne, np. zaburzenia krzepnięcia czy immunodeficyt.
Etiologia albinizmu (Albinizm)
Albinizm to grupa rzadkich, uwarunkowanych genetycznie zaburzeń, charakteryzujących się zmniejszoną lub całkowitym brakiem produkcji melaniny – pigmentu odpowiedzialnego za nadawanie koloru skórze, włosom i oczom. Przyczyną albinizmu są mutacje genów zaangażowanych w produkcję, transport lub magazynowanie melaniny w organizmie12. Melanina jest wytwarzana przez wyspecjalizowane komórki zwane melanocytami, które znajdują się w skórze, włosach i oczach. Mutacje genetyczne zakłócają zdolność tych komórek do wytwarzania melaniny, co prowadzi do zmniejszenia pigmentacji w różnych częściach ciała34.
Genetyczne podłoże albinizmu
Albinizm jest schorzeniem dziedziczonym głównie w sposób autosomalny recesywny, co oznacza, że dziecko musi otrzymać dwie kopie zmutowanego genu (po jednej od każdego z rodziców), aby rozwinęła się choroba56. Rodzice, którzy są nosicielami zmutowanego genu, zazwyczaj nie wykazują objawów albinizmu, ponieważ posiadają również jeden prawidłowy gen. Para nosicieli ma 25% szans na urodzenie dziecka z albinizmem, 50% szans na urodzenie dziecka będącego nosicielem i 25% szans na urodzenie dziecka bez mutacji78.
Około 1 na 70 osób jest nosicielem mutacji genetycznej związanej z albinizmem, co powoduje, że jest to stosunkowo rzadkie schorzenie910. Występowanie albinizmu może się różnić w zależności od regionu geograficznego i grupy etnicznej11. W Ameryce Północnej i Europie albinizm dotyka około 1 na 17 000 do 20 000 osób, podczas gdy w niektórych regionach Afryki częstość występowania może wynosić 1 na 5 0001213.
Typy albinizmu i ich genetyczne przyczyny
Wyróżnia się dwa główne typy albinizmu: albinizm oczno-skórny (OCA) oraz albinizm oczny (OA), które są spowodowane różnymi mutacjami genetycznymi1415.
Albinizm oczno-skórny (OCA)
Albinizm oczno-skórny (OCA) jest najczęstszą formą albinizmu i charakteryzuje się zmniejszoną pigmentacją skóry, włosów i oczu. Dotychczas opisano osiem typów albinizmu oczno-skórnego (OCA1-OCA8), z których każdy jest spowodowany mutacjami w różnych genach1617:
- OCA1 – spowodowany mutacjami w genie TYR, który koduje enzym tyrozynazę. Tyrozynaza katalizuje kilka etapów w syntezie melaniny, w tym przekształcenie tyrozyny w L-DOPA i utlenianie L-DOPA do DOPAchinonu. Jest to kluczowy etap w produkcji melaniny. Mutacje w tym genie mogą prowadzić do całkowitego braku aktywności tyrozynazy (OCA1A) lub zmniejszonej aktywności (OCA1B)1819.
- OCA2 – wynika z mutacji w genie OCA2 (dawniej znanym jako gen P), który koduje białko błonowe P melanosomów. Funkcja tego białka nie jest jeszcze w pełni poznana, ale może być związana z regulacją pH organelli i gromadzeniem glutationu w wakuolach2021.
- OCA3 – spowodowany mutacjami w genie TYRP1, który koduje białko związane z tyrozynazą 1. Białko to prawdopodobnie stabilizuje i moduluje aktywność tyrozynazy oraz przyczynia się do integralności melanosomów2223.
- OCA4 – wynika z mutacji w genie SLC45A2, który koduje białko transportujące (MATP) z rodziny nośników rozpuszczalnych 45, członek 2. Białko to jest prawdopodobnie odpowiedzialne za transport substancji niezbędnych do biosyntezy melaniny do melanosomów2425.
- OCA5 – gen odpowiedzialny za ten typ albinizmu nie został jeszcze zidentyfikowany26.
- OCA6 – spowodowany mutacjami w genie SLC24A5 (rodzina nośników rozpuszczalnych 24, członek 5), który koduje białko wymiany kationów Na/K/Ca o strukturze podobnej do tej obserwowanej w OCA4. Jego funkcja jest również prawdopodobnie podobna27.
- OCA7 – wynika z mutacji w genie LRMDA (białko związane z różnicowaniem melanocytów bogate w leucynę), który koduje białko prawdopodobnie odgrywające rolę w różnicowaniu melanocytów28.
- OCA8 – najnowszy zidentyfikowany typ, spowodowany mutacjami w genie DCT (TYRP2)29.
Albinizm oczny (OA)
Albinizm oczny (OA) różni się od albinizmu oczno-skórnego tym, że wpływa głównie na oczy, podczas gdy pigmentacja skóry i włosów może być normalna lub tylko nieznacznie zmniejszona30. Ten typ albinizmu jest dziedziczony w sposób sprzężony z chromosomem X, co oznacza, że występuje głównie u mężczyzn, podczas gdy kobiety są zazwyczaj tylko nosicielkami3132.
Najczęstszą formą albinizmu ocznego jest OA1 (znany również jako albinizm oczny typu Nettleship-Falls), który jest spowodowany mutacjami w genie GPR143 na chromosomie X3334. Produkt tego genu jest receptorem sprzężonym z białkiem G, a mutacja prowadzi do nieprawidłowej biogenezy melanosomów, czego rezultatem są tzw. „makromelanosome”35.
Albinizm jako część zespołów genetycznych
Albinizm może być również częścią bardziej złożonych zespołów genetycznych, w których obok zaburzeń pigmentacji występują dodatkowe problemy zdrowotne36:
- Zespół Hermansky’ego-Pudlaka (HPS) – rzadka forma albinizmu spowodowana mutacją w jednym z dziesięciu różnych genów. HPS charakteryzuje się albinizmem w połączeniu z zaburzeniami krzepnięcia krwi, co prowadzi do zwiększonej tendencji do siniaków i krwawień. Niektóre typy HPS mogą również powodować problemy z płucami i jelitami3738.
- Zespół Chediaka-Higashiego (CHS) – inna rzadka forma albinizmu podobna do OCA, spowodowana mutacją w genie LYST. CHS może powodować niską liczbę czerwonych krwinek (anemia), powiększoną wątrobę i zwiększoną podatność na infekcje3940.
- Zespół Griscelliego typu 2 (GS2) – zwany również częściowym albinizmem z zespołem niedoboru odporności, jest rzadkim schorzeniem spowodowanym wadliwym genem. Objawy obejmują jasną skórę, srebrne włosy i poważne problemy z układem immunologicznym, które mogą ostatecznie uszkodzić narządy i tkanki41.
- Zespół Angelmana (AS) i zespół Pradera-Williego (PWS) – oba są spowodowane spontanicznymi (nie dziedziczonymi) częściowymi delecjami chromosomu 15q. Albinizm występuje, ponieważ allel OCA2 znajduje się na jednym chromosomie 15q, co powoduje haploinsuficjencję produktu genu OCA2, białka P42.
Mechanizmy molekularne w albinizmie
Szlak produkcji melaniny składa się z serii reakcji, które przekształcają tyrozynę w dwa rodzaje melaniny: eumelaninę (czarno-brązową) i feomelaninę (czerwono-blond). Mutacje genetyczne wpływające na białka/enzymy w tym szlaku nieuchronnie prowadzą do zmniejszonej produkcji melaniny4344.
Tyrozynaza jest głównym enzymem (kodowanym na chromosomie 11) zaangażowanym w serię przekształceń prowadzących do powstania melaniny z tyrozyny. Jest odpowiedzialna za przekształcenie tyrozyny w DOPA, a następnie w dopachinon. Poprzez sekwencję etapów, dopachinon zostaje następnie przekształcony w eumelaninę lub feomelaninę4546.
W albinizmie, w zależności od typu, mutacje mogą wpływać na różne etapy tego szlaku, prowadząc do zaburzeń w produkcji, transporcie lub magazynowaniu melaniny. Na przykład, w OCA1 mutacje w genie TYR mogą całkowicie wyłączyć aktywność tyrozynazy lub znacznie ją zmniejszyć. W przypadku OCA2, mutacje wpływają na białko P, które reguluje pH środowiska, w którym działa tyrozynaza47.
Ostatnie badania sugerują również istnienie patogennych haplotypów w genie TYR, które mogą powodować łagodniejszą formę albinizmu. Haplotypy te zawierają kombinację wariantów, które samodzielnie nie są patogenne, ale razem mogą zakłócać normalną funkcję tyrozynazy4849.
Heterogenność genetyczna i konsekwencje kliniczne
Albinizm charakteryzuje się znaczną heterogennością genetyczną, co oznacza, że mutacje w różnych genach mogą prowadzić do podobnych fenotypów klinicznych. Jednakże stopień redukcji pigmentacji może się znacznie różnić w zależności od konkretnego typu albinizmu i specyficznej mutacji50.
W przypadku OCA1A, który jest spowodowany całkowitym brakiem aktywności tyrozynazy, pacjenci mają biały kolor włosów, bardzo jasną skórę i zazwyczaj czerwonawe oczy ze względu na widoczność naczyń krwionośnych. W OCA1B, gdzie aktywność tyrozynazy jest zmniejszona, ale nie całkowicie zahamowana, pacjenci mogą mieć jasnożółte lub jasnobrązowe włosy i niebieskie oczy51.
Osoby z OCA2 mają zazwyczaj jasne kremowe do jasnobrązowego włosy i niebieskawe oczy. OCA3 i OCA4 mogą prowadzić do jeszcze bardziej zróżnicowanych fenotypów, co podkreśla złożoność szlaków produkcji melaniny i różnorodność mechanizmów genetycznych zaangażowanych w albinizm52.
Rozwój układu wzrokowego jest silnie uzależniony od obecności melaniny. Brak lub zmniejszona ilość melaniny może powodować nieprawidłowe krzyżowanie się włókien nerwu wzrokowego w wyniku błędnie skierowanych projekcji siatkówkowo-kolankowatych. Uważa się, że melanina kontroluje specyficzność docelową neuronów w mózgu53.
Większość osób z albinizmem cierpi na problemy ze wzrokiem, w tym światłowstręt (nadwrażliwość na światło), oczopląs (mimowolne ruchy oczu), zeza i zmniejszoną ostrość widzenia. Te problemy są spowodowane nieprawidłowym rozwojem siatkówki i dróg wzrokowych w wyniku braku melaniny podczas rozwoju embryonalnego54.
Diagnostyka i poradnictwo genetyczne
Diagnoza albinizmu jest zwykle oparta na badaniu klinicznym skóry i oczu. Jednakże, ze względu na heterogenność genetyczną i nakładające się fenotypy, testy genetyczne mogą być pomocne w potwierdzeniu diagnozy i określeniu konkretnego typu albinizmu5556.
Badania DNA mogą określić dokładny typ albinizmu i ryzyko przekazania zmutowanego genu potomstwu. Testy te są szczególnie ważne dla par planujących potomstwo, jeśli w rodzinie występowały przypadki albinizmu57.
Poradnictwo genetyczne jest zalecane dla pacjentów z albinizmem i ich rodzin. Specjalista ds. genetyki może pomóc określić konkretny typ albinizmu, co może pomóc w ustaleniu odpowiedniej opieki, identyfikacji możliwych powikłań i określeniu ryzyka wystąpienia choroby u przyszłych dzieci5859.
Stan badań nad albinizmem
Badania nad genami odpowiedzialnymi za albinizm są w toku. Dotychczas rozpoznano siedem form albinizmu oczno-skórnego (OCA1-OCA7) oraz albinizm oczny (OA). Jednakże wciąż istnieją przypadki albinizmu, w których nie zidentyfikowano mutacji w żadnym z znanych genów, co sugeruje, że mogą istnieć dodatkowe geny odpowiedzialne za tę chorobę6061.
Postęp w dziedzinie genetyki i genomiki umożliwił lepsze zrozumienie mechanizmów molekularnych leżących u podstaw albinizmu. Heterogenność locus w obrębie rodzin i między rodzinami stanowi jedno z głównych wyzwań w odkrywaniu wariantów patogennych leżących u podstaw etiologii choroby. Problem ten jest szczególnie istotny w populacjach o wysokim stopniu pokrewieństwa62.
Nowe badania sugerują również możliwość dziedziczenia digenicznego w albinizmie, gdzie warianty w dwóch różnych genach mogą współdziałać, prowadząc do powstania fenotypu albinizmu. Na przykład, warianty genów TYR i OCA2 mogą występować w różnych kombinacjach zygotyczności w obrębie jednej rodziny, co może prowadzić do nowych interakcji generujących fenotypy OCA63.
Chociaż obecnie nie ma lekarstwa na albinizm, trwają badania nad potencjalnymi terapiami genowymi. Badania na modelach zwierzęcych wykazały obiecujące wyniki dla terapii genowej, w której nieprawidłowy gen jest zastępowany normalną kopią genu, co prowadzi do odwrócenia niektórych nieprawidłowości siatkówki64.
Model komórkowy naśladujący OCA jest ważnym przełomem, który prowadzi do lepszego zrozumienia, w jaki sposób albinizm prowadzi do nieprawidłowego rozwoju siatkówki, nerwu wzrokowego i dołka środkowego (obszaru w siatkówce odpowiedzialnego za najostrzejsze widzenie centralne). Jeśli naukowcy potwierdzą, że rozwój dołka środkowego zależy od obecności pigmentu w nabłonku barwnikowym siatkówki (RPE), mogliby teoretycznie poprawić pigmentację w RPE, co mogłoby prowadzić do znacznej poprawy ostrości widzenia u osób z OCA65.
Albinizm pozostaje fascynującym przedmiotem badań medycznych i genetycznych, oferując wgląd w złożone szlaki produkcji melaniny i rozwoju układu wzrokowego. Identyfikacja nowych genów i mechanizmów związanych z albinizmem może prowadzić do lepszego zrozumienia podstawowej biologii pigmentacji i potencjalnie do nowych strategii terapeutycznych dla osób z tym schorzeniem66.
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Materiały źródłowe
- #1 Understanding Albinism: Causes, Symptoms And Typeshttps://www.ajhospital.in/news/understanding-albinism-causes-symptoms-and-types
Albinism is primarily a genetic condition caused by inherited mutations in specific genes. These genetic mutations disrupt the production, transportation, or storage of melanin in the body. The most common types of albinism, known as oculocutaneous albinism (OCA), are caused by mutations in genes such as OCA1, OCA2, OCA3, and OCA4. Each gene mutation has a unique impact on melanin production, leading to variations in the severity of albinism’s characteristics. […] Albinism is caused by inheriting mutations in specific genes that disrupt the production, transportation, or storage of melanin in the body. […] Albinism is a condition that encompasses various types, each characterised by distinct genetic mutations and unique phenotypic presentations. The most common form is known as oculocutaneous albinism (OCA), which further branches into subtypes based on specific gene mutations.
- #2 Albinism: What It Is, Symptoms, Types & Causes | Bajaj Allianzhttps://www.bajajallianz.com/blog/wellness/understanding-albinism-causes-types-and-signs.html
Causes of albinism revolve around genetic mutations that affect melanin production. Melanin is synthesised by specialised cells known as melanocytes, and any disruption in this process leads to albinism. The primary genetic causes include: […] Mutations in the TYR gene: A defect in the tyrosinase enzyme, which is crucial for melanin production. […] OCA2 gene defects: These affect melanin synthesis and distribution. […] Other genetic mutations: Additional genes like TYRP1, SLC45A2, and GPR143 also play roles in different types of albinism. […] For albinism to manifest, a child must inherit the defective gene from both parents, making it an autosomal recessive condition.
- #3 Albinism – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/albinism/symptoms-causes/syc-20369184
Albinism is caused by a change in one of these genes. Different types of albinism can occur, based mainly on which gene change caused the disorder. The gene change may result in no melanin at all or a big decrease in the amount of melanin. […] Several genes give instructions for making one of several proteins involved in producing melanin. Melanin is made by cells called melanocytes that are found in your skin, hair and eyes. […] Oculocutaneous albinism (OCA), the most common type, means a person gets two copies of a changed gene one from each parent. This is called autosomal recessive inheritance. OCA is the result of a change in one of eight genes, labeled from OCA1 to OCA8. OCA causes decreased pigment in the skin, hair and eyes, as well as vision problems. The amount of pigment varies by type. The resulting color of skin, hair and eyes also varies by and within types.
- #4 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
Albinism, in any of its forms, is the result of heritable mutations that lead to defective melanocytes, unable to properly synthesize melanin or distribute it through dermal tissues. […] The specific gene mutations causing each form or albinism are mentioned below in the „History and Physical” section. […] To date, seven types of nonsyndromic albinism (OCA1 to OCA7) have been described. These are all due to isolated genetic mutations whose constellation of signs and symptoms do not manifest so broadly that they can be classified as syndromic. […] The genetic aberrations specific to each form of OCA, syndromic albinisms, and selected albinism-associated disorders are included below: […] OCA1: Autosomal recessive. The TYR gene product tyrosinase normally hydroxylates L-tyrosine to L-DOPA and oxidates L-DOPA to DOPAquinone. This serves as the rate-limiting/ step in melanin synthesis. Loss of this function leads to an inability to synthesize melanin.
- #5 Albinism – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/albinism/symptoms-causes/syc-20369184
Autosomal recessive inheritance pattern. To have an autosomal recessive disorder, you inherit two changed genes, sometimes called mutations. You get one from each parent. Their health is rarely affected because they have only one changed gene. Two carriers have a 25% chance of having an unaffected child with two unaffected genes. They have a 50% chance of having an unaffected child who also is a carrier. They have a 25% chance of having an affected child with two changed genes.
- #6 Albinism (for Teens) | Nemours KidsHealthhttps://kidshealth.org/en/teens/albinism.html
Albinism is an inherited condition that leads to someone having very light skin, hair, and eyes. It happens because they have less melanin than usual in their body. […] Most of the time, someone has albinism because they inherited the gene for it from both their mother and father. Having just one of the genes (being a carrier”) does not give you albinism. […] Sometimes, albinism is caused by a new gene change (called a mutation).
- #7 Albinismhttps://www.nhs.uk/conditions/albinism/
Albinism is passed on in an autosomal recessive inheritance pattern. This means a child has to get 2 copies of the gene that causes albinism (1 from each parent) to have the condition. […] Most types of OA are passed on in an X-linked inheritance pattern. This pattern affects boys and girls differently: girls who get the albinism gene usually become carriers only, while boys who get it will have albinism.
- #8 Albinism: What it is, types, symptoms, treatment, and is it genetichttps://www.medicalnewstoday.com/articles/245861
Albinism is an inherited condition in which the body produces little or no melanin, the pigment that gives color to the skin and hair. […] Albinism is a genetic condition. […] An estimated 1 in 70 people carry the genetic mutation associated with albinism. […] Specialized cells in the skin, hair, and eyes called melanocytes produce melanin. If there is a change in one of these genes, it can cause albinism. […] Most commonly, the mutations interfere with an enzyme called tyrosinase. This enzyme breaks down the amino acid tyrosine and creates melanin. […] Depending on the specific mutation, melanin production either slows down or stops entirely. […] Yes, albinism is genetic. Most types of albinism have what doctors call an autosomal recessive inheritance pattern. […] With autosomal recessive inheritance, an individual must receive mutated copies of a gene from both the mother and father to develop albinism.
- #9 Albinism: What it is, types, symptoms, treatment, and is it genetichttps://www.medicalnewstoday.com/articles/245861
Albinism is an inherited condition in which the body produces little or no melanin, the pigment that gives color to the skin and hair. […] Albinism is a genetic condition. […] An estimated 1 in 70 people carry the genetic mutation associated with albinism. […] Specialized cells in the skin, hair, and eyes called melanocytes produce melanin. If there is a change in one of these genes, it can cause albinism. […] Most commonly, the mutations interfere with an enzyme called tyrosinase. This enzyme breaks down the amino acid tyrosine and creates melanin. […] Depending on the specific mutation, melanin production either slows down or stops entirely. […] Yes, albinism is genetic. Most types of albinism have what doctors call an autosomal recessive inheritance pattern. […] With autosomal recessive inheritance, an individual must receive mutated copies of a gene from both the mother and father to develop albinism.
- #10https://dermnetnz.org/topics/albinism
Albinism is mostly a recessively inherited disease, which means two albinism genes are inherited (one from each parent). […] About 1 in 70 people have a gene for albinism. Couples whom are each carriers of the recessive albinism gene have a 1 in 4 chance of producing a child with albinism. […] The main problems of albinism are caused by the inability of the body to produce melanin pigment (whose major role in the skin is to absorb UV light from the sun so skin is not sun-damaged).
- #11 Oculocutaneous albinism – UpToDatehttps://www.uptodate.com/contents/oculocutaneous-albinism
Oculocutaneous albinism (OCA) is a group of rare genetic disorders of melanin biosynthesis that disrupt melanosomal proteins; each is inherited in an autosomal recessive pattern. Eight types of OCA caused by variants in different genes have been recognized. All types share reduced to absent pigmentation of skin, hair, and eyes, but the clinical phenotypes vary along a broad spectrum of disease severity. […] The ocular manifestations, including reduced vision, photophobia, nystagmus, and strabismus, are the most debilitating aspect of OCA. They are associated with a reduction in melanin within the iris and retina and misrouting of the optic nerve fibers from the eye to the brain during development. […] The overall prevalence of albinism in the Western world is estimated to be 1 in 17,000 to 1 in 20,000, with ample variations across ethnic groups and geographic regions. One in 70 individuals is estimated to carry an OCA-mutated allele.
- #12https://www.oxfordbiolabs.com/blogs/news/albinism-genetics-causes-and-symptoms
In North America and Europe, albinism affects 1 in 20,000 people, and in some places in Africa, 1 in 5,000 suffer from this hereditary condition. […] Albinism is a rare, genetic disorder that causes partial or complete lack of pigmentation (melanin) in the skin, hair and eyes. This results in a vulnerability to sunlight, which may lead to sunburn and sometimes skin cancer. It affects people from all around the world regardless of race, ethnicity, or gender. Its caused by a recessive gene, meaning that usually both parents are carriers and pass the gene to their children. Genetic mutations inhibit the production of pigment in melanocytes, the cells responsible for pigmentation. […] There is not a way to counter-act albinism. Quality of life can be improved with lifestyle changes like wearing sunscreen, sunglasses, and clothing that covers the skin. Visual aids, prescription glasses or contact lenses, and surgery can help, along with other coping skills. Prevention through genetic testing prior to childbirth is not a viable, cost-effective option, unless a family member or relative has albinism. In these cases a geneticist can assess the chances of having children with albinism.
- #13 Albinism and Human Eyes: How Does Albinism Affect Vision?https://www.allaboutvision.com/conditions/related/how-albinism-affects-vision/
An estimated one in 18,000 to 20,000 people in the U.S. has some type of albinism. While albinism is generally rare, some forms of the condition are extremely rare. All types can affect a person’s vision. […] The most common form, oculocutaneous albinism (OCA), occurs when the tyrosinase (TYR) gene mutates, resulting in a person having an absence or reduced amount of melanin (color-providing pigment). […] Ocular albinism (OA) is the other main form of albinism. Unlike OCA, it only affects the eyes. It is also much less common than OCA, affecting only around one in 60,000 males and even fewer females. Ocular albinism affects only the eyes, not the skin or hair. Ocular albinism reduces coloring in the iris and affects proper development of the retina. […] People with OA may have light sensitivity, nystagmus, strabismus and depth perception issues. Their visual acuity is typically lower than normal, ranging from 20/60 to 20/400.
- #14 Oculocutaneous Albinism and Ocular Albinism Overview – GeneReviews® – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK590568/
Albinism is a genetically heterogeneous hypopigmentary disorder characterized by cutaneous and ocular hypopigmentation. […] Review the genetic causes of oculocutaneous albinism and ocular albinism. […] Table 2 summarizes genes known to be associated with nonsyndromic OCA and OA. All nonsyndromic OCA is inherited in an autosomal recessive manner. OA (which is always nonsyndromic) is inherited in an X-linked manner. […] Nonsyndromic oculocutaneous albinism (OCA) caused by pathogenic variants in TYR, OCA2, TYRP1, SLC45A2, SLC24A5, LRMDA (C10orf11), or DCT (TYRP2) is inherited in an autosomal recessive manner. Ocular albinism (OA) caused by pathogenic variants in GPR143 (OA1) is inherited in an X-linked manner.
- #15 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Albinism-Causes.aspx
Albinism is a condition wherein the human body does not produce enough of the pigment melanin. In some cases, there may be absolutely no melanin produced. The lack of melanin results in a discoloration of the skin, hair and iris of the eye. […] It is caused by a genetic defect. […] There are primarily two kinds of albinism, oculocutaneous albinism or OCA and ocular albinism or OA. Both are caused by different types of genetic mutation passed from the parent to the child. […] With OCA, however, if each parent has one normal pigment gene (carrier), 25% of the children will be clinically affected but 50% of children may be carriers of the albinism gene, while 25% have a chance of being born with clinical albinism. […] Some types of OA generally affect male children. They inherit the defective gene from their mothers in what is termed as X-linked inheritance.
- #16 Information Bulletin â What is Albinism? – National Organization for Albinism and Hypopigmentationhttps://albinism.org/information-bulletin-what-is-albinism/
Albinism is an inherited genetic condition that reduces the amount of melanin pigment formed in the skin, hair and/or eyes. […] The presence of these eye problems defines the diagnosis of albinism. […] DNA tests can determine the precise type of albinism. Research on albinism genes is ongoing. To date as many as seven forms of oculocutaneous albinism are now recognized OCA1, OCA2, OCA3, OCA4, OCA5, OCA6 and OCA7. […] OCA1, or tyrosinase-related albinism, results from a genetic defect in an enzyme called tyrosinase. This enzyme helps the body to change the amino acid, tyrosine, into pigment. […] OCA2, or P gene albinism, results from a genetic defect in the P protein that helps the tyrosinase enzyme to function. […] OCA3 is rarely described and results from a genetic defect in TYRP1, a protein related to tyrosinase.
- #17 Albinism – Dermatologic Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/dermatologic-disorders/pigmentation-disorders/albinism
Oculocutaneous albinism is an inherited defect in melanin formation that causes diffuse hypopigmentation of the skin, hair, and eyes. […] Oculocutaneous albinism (OCA) is a group of rare inherited disorders in which a normal number of melanocytes are present but melanin production is absent or greatly decreased. […] Most cases of OCA are autosomal recessive; autosomal dominant inheritance is rare. […] There are 8 genetic forms of OCA, of which the first 4 are well characterized. […] Mutations in TYR gene result in absent (OCA1A) or reduced (OCA1B) tyrosinase activity. […] Tyrosinase catalyzes several steps in melanin synthesis. […] In OCA type II, the function of the P protein is not yet known but may involve regulation of organelle pH and accumulation of vacuolar glutathione. […] This gene encodes a membrane transporter protein involved in tyrosinase processing and trafficking of proteins to melanosomes.
- #18 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
Albinism, in any of its forms, is the result of heritable mutations that lead to defective melanocytes, unable to properly synthesize melanin or distribute it through dermal tissues. […] The specific gene mutations causing each form or albinism are mentioned below in the „History and Physical” section. […] To date, seven types of nonsyndromic albinism (OCA1 to OCA7) have been described. These are all due to isolated genetic mutations whose constellation of signs and symptoms do not manifest so broadly that they can be classified as syndromic. […] The genetic aberrations specific to each form of OCA, syndromic albinisms, and selected albinism-associated disorders are included below: […] OCA1: Autosomal recessive. The TYR gene product tyrosinase normally hydroxylates L-tyrosine to L-DOPA and oxidates L-DOPA to DOPAquinone. This serves as the rate-limiting/ step in melanin synthesis. Loss of this function leads to an inability to synthesize melanin.
- #19 Albinism – Dermatologic Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/dermatologic-disorders/pigmentation-disorders/albinism
Oculocutaneous albinism is an inherited defect in melanin formation that causes diffuse hypopigmentation of the skin, hair, and eyes. […] Oculocutaneous albinism (OCA) is a group of rare inherited disorders in which a normal number of melanocytes are present but melanin production is absent or greatly decreased. […] Most cases of OCA are autosomal recessive; autosomal dominant inheritance is rare. […] There are 8 genetic forms of OCA, of which the first 4 are well characterized. […] Mutations in TYR gene result in absent (OCA1A) or reduced (OCA1B) tyrosinase activity. […] Tyrosinase catalyzes several steps in melanin synthesis. […] In OCA type II, the function of the P protein is not yet known but may involve regulation of organelle pH and accumulation of vacuolar glutathione. […] This gene encodes a membrane transporter protein involved in tyrosinase processing and trafficking of proteins to melanosomes.
- #20 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA2: Autosomal recessive. The OCA2 gene product is the OCA2 melanosome transmembrane protein P, with unknown function. […] OCA3: Autosomal recessive. The TYRP1 gene product is tyrosinase-related protein 1, which is thought to stabilize and modulate the activity of tyrosinase and contribute to melanosome integrity. […] OCA4: Autosomal recessive. The SLC45A2 gene codes for a solute carrier family 45, member 2 membrane-associated transport protein (MATP) that is thought to transport substances required for melanin biosynthesis into the melanosome. […] OCA5: Autosomal recessive. Gene not yet identified. […] OCA6: Autosomal recessive. The SLC24A5 gene (solute carrier family 24, member 5) codes for a Na/K/Ca cation exchange protein with a similar structure to that seen in OCA4. Its function is also thought to be similar.
- #21 Albinism: Causes, Types, Pictures, Symptoms, and Morehttps://www.healthline.com/health/albinism
OCA2, or oculocutaneous type 2, is a more common type of albinism caused by genetic mutation. OCA2 comes from mutation in the P gene, which is also associated with other rare genetic disorders such as Prader-Willi syndrome. […] OCA3 is the result of a defect in the TYRP1 gene. […] OCA4 is caused by a defect in the SLC45A2 protein. […] Hermansky-Pudlak syndrome is a rare form of albinism that’s caused by a defect in one of 10 genes. […] Chediak-Higashi syndrome is another rare form of albinism that’s the result of a defect in the LYST gene. […] Griscelli syndrome is an extremely rare genetic disorder. It’s caused by a defect in one of three genes.
- #22 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA2: Autosomal recessive. The OCA2 gene product is the OCA2 melanosome transmembrane protein P, with unknown function. […] OCA3: Autosomal recessive. The TYRP1 gene product is tyrosinase-related protein 1, which is thought to stabilize and modulate the activity of tyrosinase and contribute to melanosome integrity. […] OCA4: Autosomal recessive. The SLC45A2 gene codes for a solute carrier family 45, member 2 membrane-associated transport protein (MATP) that is thought to transport substances required for melanin biosynthesis into the melanosome. […] OCA5: Autosomal recessive. Gene not yet identified. […] OCA6: Autosomal recessive. The SLC24A5 gene (solute carrier family 24, member 5) codes for a Na/K/Ca cation exchange protein with a similar structure to that seen in OCA4. Its function is also thought to be similar.
- #23 What causes albinism (albinos)? – Calcium Zonehttps://archive.imascientist.org.uk/calciumj11-zone/question/what-causes-albinism-albinos.html
Albinism is a disease in which a person has partial or complete loss of pigmentation (colouring) of the skin, eyes and hair. […] It involves the production of a pigment called melanin. There is a cell called the melanocyte that is responsible for giving skin, hair, and eyes pigmentation. In albinism, the melanocytes are present, but genetic mutations interfere with their pigment production or their ability to distribute it to keratinocytes. […] There are currently five known genetic types of albinism, the most common being oculocutaneous type 1 (OCA1) and type 2 (OCA2). […] Patients with OCA1 have mutations in a gene called TYR that is responsible for creating the enzyme tyrosinase, used by cells to convert the amino acid tyrosine into pigment molecules that colour the skin, hair, and eyes. OCA2, the most common form of albinism in Africa, results from a mutation in the OCA2 gene, which encodes the P protein.
- #24 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA2: Autosomal recessive. The OCA2 gene product is the OCA2 melanosome transmembrane protein P, with unknown function. […] OCA3: Autosomal recessive. The TYRP1 gene product is tyrosinase-related protein 1, which is thought to stabilize and modulate the activity of tyrosinase and contribute to melanosome integrity. […] OCA4: Autosomal recessive. The SLC45A2 gene codes for a solute carrier family 45, member 2 membrane-associated transport protein (MATP) that is thought to transport substances required for melanin biosynthesis into the melanosome. […] OCA5: Autosomal recessive. Gene not yet identified. […] OCA6: Autosomal recessive. The SLC24A5 gene (solute carrier family 24, member 5) codes for a Na/K/Ca cation exchange protein with a similar structure to that seen in OCA4. Its function is also thought to be similar.
- #25 Albinism: Causes, Types, Pictures, Symptoms, and Morehttps://www.healthline.com/health/albinism
OCA2, or oculocutaneous type 2, is a more common type of albinism caused by genetic mutation. OCA2 comes from mutation in the P gene, which is also associated with other rare genetic disorders such as Prader-Willi syndrome. […] OCA3 is the result of a defect in the TYRP1 gene. […] OCA4 is caused by a defect in the SLC45A2 protein. […] Hermansky-Pudlak syndrome is a rare form of albinism that’s caused by a defect in one of 10 genes. […] Chediak-Higashi syndrome is another rare form of albinism that’s the result of a defect in the LYST gene. […] Griscelli syndrome is an extremely rare genetic disorder. It’s caused by a defect in one of three genes.
- #26 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA2: Autosomal recessive. The OCA2 gene product is the OCA2 melanosome transmembrane protein P, with unknown function. […] OCA3: Autosomal recessive. The TYRP1 gene product is tyrosinase-related protein 1, which is thought to stabilize and modulate the activity of tyrosinase and contribute to melanosome integrity. […] OCA4: Autosomal recessive. The SLC45A2 gene codes for a solute carrier family 45, member 2 membrane-associated transport protein (MATP) that is thought to transport substances required for melanin biosynthesis into the melanosome. […] OCA5: Autosomal recessive. Gene not yet identified. […] OCA6: Autosomal recessive. The SLC24A5 gene (solute carrier family 24, member 5) codes for a Na/K/Ca cation exchange protein with a similar structure to that seen in OCA4. Its function is also thought to be similar.
- #27 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA2: Autosomal recessive. The OCA2 gene product is the OCA2 melanosome transmembrane protein P, with unknown function. […] OCA3: Autosomal recessive. The TYRP1 gene product is tyrosinase-related protein 1, which is thought to stabilize and modulate the activity of tyrosinase and contribute to melanosome integrity. […] OCA4: Autosomal recessive. The SLC45A2 gene codes for a solute carrier family 45, member 2 membrane-associated transport protein (MATP) that is thought to transport substances required for melanin biosynthesis into the melanosome. […] OCA5: Autosomal recessive. Gene not yet identified. […] OCA6: Autosomal recessive. The SLC24A5 gene (solute carrier family 24, member 5) codes for a Na/K/Ca cation exchange protein with a similar structure to that seen in OCA4. Its function is also thought to be similar.
- #28 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #29 Oculocutaneous Albinism and Ocular Albinism Overview – GeneReviews® – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK590568/
Albinism is a genetically heterogeneous hypopigmentary disorder characterized by cutaneous and ocular hypopigmentation. […] Review the genetic causes of oculocutaneous albinism and ocular albinism. […] Table 2 summarizes genes known to be associated with nonsyndromic OCA and OA. All nonsyndromic OCA is inherited in an autosomal recessive manner. OA (which is always nonsyndromic) is inherited in an X-linked manner. […] Nonsyndromic oculocutaneous albinism (OCA) caused by pathogenic variants in TYR, OCA2, TYRP1, SLC45A2, SLC24A5, LRMDA (C10orf11), or DCT (TYRP2) is inherited in an autosomal recessive manner. Ocular albinism (OA) caused by pathogenic variants in GPR143 (OA1) is inherited in an X-linked manner.
- #30 Albinism vs. Vitiligo: Whatâs the Difference? | MyVitiligoTeamhttps://www.myvitiligoteam.com/resources/albinism-vs-vitiligo-whats-the-difference
The only risk factor for albinism is having relatives who have had it, which indicates the presence of those mutated genes in the family tree. […] There are several types of albinism. Oculocutaneous albinism (OCA) is the most common type. OCA occurs when a person has inherited two mutated copies of one of seven OCA genes one from their mother and one from their father. […] Ocular albinism primarily affects the eyes, and the skin may appear similar or slightly lighter than other family members’ skin. […] Partial albinism is extremely rare. It occurs when there are mutations in one particular gene known as the KIT gene.
- #31 Albinism: Types, Symptoms & Causeshttps://my.clevelandclinic.org/health/diseases/21747-albinism
Albinism is a rare genetic condition caused by mutations, or changes, of certain genes that affect the amount of melanin your body produces. […] Variations in the genes responsible for melanin production cause albinism. Specific genes associated with oculocutaneous albinism include: TYR, OCA2, TYRP1, SLC45A2. […] Some people with albinism don’t have variations in any of these genes. In these cases, the exact genetic cause is unknown. […] Yes, albinism is passed down (inherited) through families. […] Oculocutaneous albinism (OCA) follows an autosomal recessive pattern of inheritance. […] Ocular albinism (OA) usually follows an X-linked pattern of inheritance. […] Albinism isn’t a disease. Albinism is a genetic condition that people are born with. It’s not contagious and it can’t be spread.
- #32 Albinismhttps://www.nhs.uk/conditions/albinism/
Albinism is passed on in an autosomal recessive inheritance pattern. This means a child has to get 2 copies of the gene that causes albinism (1 from each parent) to have the condition. […] Most types of OA are passed on in an X-linked inheritance pattern. This pattern affects boys and girls differently: girls who get the albinism gene usually become carriers only, while boys who get it will have albinism.
- #33 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #34 Poor Eyesight From Albinism? Our Eye Doctors Are Here to Help!https://ialvs.com/ways-we-can-help/what-is-a-low-vision-exam/low-vision-eye-diseases/albinism-and-eyesight/
Albinism is a genetic disorder that results in the bodyâs inability to produce melanin, a dark pigment that protects our tissues from ultraviolet radiation (UV) and gives the eyes, skin, and hair their color. […] Ocular albinism primarily affects the eyes, by reducing the coloring (pigmentation) in the eye, which is essential for normal vision. […] Ocular albinism causes mild to moderate central vision impairment in most patients. […] The most common form of ocular albinism is Type 1 or Nettleship-Falls. […] Women are the carriers of the gene mutations that cause the disorder. […] Ocular albinism causes a reduction in the coloring, or pigmentation, of the iris, the colored part of the eye, and the retina, the light-sensitive tissue located at the back of the eye. […] While most people with ocular albinism have light blue eyes, in some cases the blood vessels within the eyeball can become visible through the iris, leading the eyes to appear red or pink.
- #35 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #36 Albinismhttps://aapos.org/glossary/albinism
Some people with albinism can have rare medical problems that affect the rest of the body. There are two main medical problems that can be seen in people with albinism. Hermansky Pudlak Syndrome (HPS) can cause bleeding problems and bruising. Some types of HPS also have lung and bowel/gut problems. HPS is a less common form of albinism but should be checked for if a person with albinism shows unusual bruising or bleeding. Chdiak-Higashi syndrome affects parts of the body. The disease can cause higher risk of infections, anemia (low blood count), and hepatomegaly (enlarged liver). While these problems are rare, they can happen in some people with albinism and may need special testing and care.
- #37 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #38 Albinism: Symptoms, Causes, Diagnosis & Treatmenthttps://www.webmd.com/skin-problems-and-treatments/what-is-albinism
Faulty genes passed down from your parents prevent your body from making enough melanin. Different types of albinism stem from defects in different enzymes and proteins in your DNA. […] Albinism also can be linked to a few rare conditions caused by a problem with your genes: Hermansky-Pudlak syndrome. This is a rare form of albinism that also causes easy bruising and bleeding. Chediak-Higashi syndrome. Another rare form of albinism, this can cause a low red blood cell count (anemia) and an enlarged liver and can make you more likely to get infections. Griscelli syndrome type 2. Also called partial albinism and immunodeficiency syndrome, this is a rare condition that’s caused by a faulty gene. Symptoms include light skin, silver hair, and serious problems with your immune system that can eventually damage organs and tissues.
- #39 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #40 Albinism: Symptoms, Causes, Diagnosis & Treatmenthttps://www.webmd.com/skin-problems-and-treatments/what-is-albinism
Faulty genes passed down from your parents prevent your body from making enough melanin. Different types of albinism stem from defects in different enzymes and proteins in your DNA. […] Albinism also can be linked to a few rare conditions caused by a problem with your genes: Hermansky-Pudlak syndrome. This is a rare form of albinism that also causes easy bruising and bleeding. Chediak-Higashi syndrome. Another rare form of albinism, this can cause a low red blood cell count (anemia) and an enlarged liver and can make you more likely to get infections. Griscelli syndrome type 2. Also called partial albinism and immunodeficiency syndrome, this is a rare condition that’s caused by a faulty gene. Symptoms include light skin, silver hair, and serious problems with your immune system that can eventually damage organs and tissues.
- #41 Albinism: Symptoms, Causes, Diagnosis & Treatmenthttps://www.webmd.com/skin-problems-and-treatments/what-is-albinism
Faulty genes passed down from your parents prevent your body from making enough melanin. Different types of albinism stem from defects in different enzymes and proteins in your DNA. […] Albinism also can be linked to a few rare conditions caused by a problem with your genes: Hermansky-Pudlak syndrome. This is a rare form of albinism that also causes easy bruising and bleeding. Chediak-Higashi syndrome. Another rare form of albinism, this can cause a low red blood cell count (anemia) and an enlarged liver and can make you more likely to get infections. Griscelli syndrome type 2. Also called partial albinism and immunodeficiency syndrome, this is a rare condition that’s caused by a faulty gene. Symptoms include light skin, silver hair, and serious problems with your immune system that can eventually damage organs and tissues.
- #42 Albinism – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK519018/
OCA7: Autosomal recessive. The LRMDA gene (leucine-rich melanocyte differentiation associated protein) codes for a protein thought to play a role in melanocyte differentiation. […] Hermansky-Pudlak syndrome (HPS): Autosomal recessive. Ten different genotypes have been identified, thus far. […] Chediak-Higashi syndrome (CHS): Autosomal recessive. The LYST gene codes for a protein that directs delivery of material into lysosomes. […] Angelman syndrome (AS) and Prader-Willi syndrome (PWS): Both due to spontaneous (not inherited) partial deletions of chromosome 15q. Albinism occurs because the OCA2 allele located on one Chromosome 15q, making subjects haploinsufficient for OCA2 gene product, protein P. […] Ocular albinism (OA1): X-linked. The GPR143 gene product is a G-protein coupled receptor, a mutation in which yields dysfunctional melanosome biogenesis with resultant „macromelanosomes.”
- #43 Albinism: Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/1200472-overview
The melanin pathway consists of a series of reactions that converts tyrosine into 2 types of melanin: 1) black-brown eumelanin and 2) red-blond pheomelanin. Genetic variants affecting proteins/enzymes along this pathway inevitably result in reduced melanin production. […] Tyrosinase is the major enzyme (coded on chromosome 11) involved in the series of conversions to form melanin from tyrosine. It is responsible for converting tyrosine to DOPA and then to dopaquinone. Through a sequence of steps, dopaquinone subsequently is converted to either eumelanin or pheomelanin. […] The development of the ocular system is highly dependent on the presence of melanin. Absent or decreased melanin can cause abnormal crisscrossing of optic nerve fibers as a result of misdirected retinogeniculate projections. Melanin is believed to control neuronal target specificity in the brain. […] Genetic counseling is recommended for patients with albinism.
- #44 Understanding Albinism: Causes, Symptoms And Typeshttps://www.ajhospital.in/news/understanding-albinism-causes-symptoms-and-types
Albinism is primarily a genetic condition caused by inherited mutations in specific genes. These genetic mutations disrupt the production, transportation, or storage of melanin in the body. The most common types of albinism, known as oculocutaneous albinism (OCA), are caused by mutations in genes such as OCA1, OCA2, OCA3, and OCA4. Each gene mutation has a unique impact on melanin production, leading to variations in the severity of albinism’s characteristics. […] Albinism is caused by inheriting mutations in specific genes that disrupt the production, transportation, or storage of melanin in the body. […] Albinism is a condition that encompasses various types, each characterised by distinct genetic mutations and unique phenotypic presentations. The most common form is known as oculocutaneous albinism (OCA), which further branches into subtypes based on specific gene mutations.
- #45 Albinism: Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/1200472-overview
The melanin pathway consists of a series of reactions that converts tyrosine into 2 types of melanin: 1) black-brown eumelanin and 2) red-blond pheomelanin. Genetic variants affecting proteins/enzymes along this pathway inevitably result in reduced melanin production. […] Tyrosinase is the major enzyme (coded on chromosome 11) involved in the series of conversions to form melanin from tyrosine. It is responsible for converting tyrosine to DOPA and then to dopaquinone. Through a sequence of steps, dopaquinone subsequently is converted to either eumelanin or pheomelanin. […] The development of the ocular system is highly dependent on the presence of melanin. Absent or decreased melanin can cause abnormal crisscrossing of optic nerve fibers as a result of misdirected retinogeniculate projections. Melanin is believed to control neuronal target specificity in the brain. […] Genetic counseling is recommended for patients with albinism.
- #46 What causes albinism (albinos)? – Calcium Zonehttps://archive.imascientist.org.uk/calciumj11-zone/question/what-causes-albinism-albinos.html
Albinism is a disease in which a person has partial or complete loss of pigmentation (colouring) of the skin, eyes and hair. […] It involves the production of a pigment called melanin. There is a cell called the melanocyte that is responsible for giving skin, hair, and eyes pigmentation. In albinism, the melanocytes are present, but genetic mutations interfere with their pigment production or their ability to distribute it to keratinocytes. […] There are currently five known genetic types of albinism, the most common being oculocutaneous type 1 (OCA1) and type 2 (OCA2). […] Patients with OCA1 have mutations in a gene called TYR that is responsible for creating the enzyme tyrosinase, used by cells to convert the amino acid tyrosine into pigment molecules that colour the skin, hair, and eyes. OCA2, the most common form of albinism in Africa, results from a mutation in the OCA2 gene, which encodes the P protein.
- #47 Albinism | Discover causes & symptomshttps://www.fightforsight.org.uk/a-z-eye-conditions/albinism/
Albinism is caused by a fault in one of the genes involved in the production of melanin or the products used to make it. Melanin is important for healthy eye development – without it, the retina and optic nerve (which sends visual information from the retina to the brain) may not develop properly. […] The OCA genes (OCA1 to OCA8), which cause oculocutaneous albinism, mainly affect the enzymes the body uses to generate melanin or other important molecules in the melanin synthesis pathway. Some of the genes (such as OCA1 and OCA3) are related to the coding or control of these enzymes. Other genes (such as OCA2) appear to be related to changing the acidity of the environment in which the enzymes operate. […] Understanding the normal function of these genes has greatly enhanced our understanding of the complex and sophisticated way our body controls pigmentation. There are likely to be more genes and mechanisms that are yet to be discovered in the not too distant future.
- #48 A pathogenic haplotype, common in Europeans, causes autosomal recessive albinism and uncovers missing heritability in OCA1 | Scientific Reportshttps://www.nature.com/articles/s41598-018-37272-5
A considerable number of these are found to be heterozygous for a pathogenic variant in TYR, and the number is in excess of that explained by carrier frequency. […] The frequency of 28% in the gnomAD database (non-Finnish Europeans) and the identification of unaffected individuals compound heterozygous for a pathogenic variant in TYR and 402Q has excluded that this variant on its own is pathogenic. […] Thus, even though the frequencies of 402Q and 192Y are increased in individuals with a clinical diagnosis of albinism who are heterozygous for a pathogenic variant in TYR or whom have no identified mutation, the frequencies are far too high to be pathogenic. […] We present a pathogenic haplotype, in which pathogenic variant(s) are expected to be found among the shared variants, which are either rare or coding (GYGQ). The haplotypes segregate according to an autosomal recessive inheritance pattern and furthermore, have not been observed in unaffected carriers of a TYR mutation.
- #49 A pathogenic haplotype, common in Europeans, causes autosomal recessive albinism and uncovers missing heritability in OCA1 | Scientific Reportshttps://www.nature.com/articles/s41598-018-37272-5
The deep intron variant rs147546939G was investigated by minigene analysis and demonstrated to have no effect. […] Comparison of individuals with two pathogenic TYR sequence variants with individuals who are compound heterozygous for the haplotype GYGQ and a pathogenic TYR sequence variant, shows a more severe phenotype in the former group. […] Thus it seems that homozygosity for GYGQ causes a mild albinism phenotype. […] In conclusion, we report a pathogenic haplotype GYGQ in TYR, which may explain 15% of individuals with albinism in our cohort. The haplotype seems to result in a mild phenotype both when in trans to a pathogenic mutation in TYR and when homozygous.
- #50 Albinism: Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/1200472-overview
The term albinism originates from the word, albus (Latin for white), and it is an inherited disorder characterized by reduced pigmentation. Albinism is caused by pathogenic variants in genes important for melanin synthesis. […] The phenotypic heterogeneity of albinism is associated with pathogenic variants in genes affecting different parts of the melanin pathway, and in such resulting in reduction at a different level of melanin production. […] With advances in genetics, the classification of albinism has shifted emphasis by genotype as opposed to phenotype alone. Nevertheless, in the past it was known that albinism is an autosomal recessive genetically heterogeneous disorder; however, since progress has been made in the genetics/genomics era, an autosomal dominant form of albinism has been reported.
- #51 Understanding Albinism: Causes, Symptoms And Typeshttps://www.ajhospital.in/news/understanding-albinism-causes-symptoms-and-types
OCA1, resulting from mutations in the OCA1 gene, leads to a complete absence of melanin, the pigment responsible for coloration. […] OCA2, on the other hand, leads to varying degrees of pigmentation. The hair colour and skin tone of individuals with OCA2 can range from light blond to light brown, while their iris colour may appear blue, grey, or hazel. […] Additionally, rarer forms of albinism, such as OCA3 and OCA4, have their own distinct genetic causes and phenotypic variations.
- #52 Understanding Albinism: Causes, Symptoms And Typeshttps://www.ajhospital.in/news/understanding-albinism-causes-symptoms-and-types
OCA1, resulting from mutations in the OCA1 gene, leads to a complete absence of melanin, the pigment responsible for coloration. […] OCA2, on the other hand, leads to varying degrees of pigmentation. The hair colour and skin tone of individuals with OCA2 can range from light blond to light brown, while their iris colour may appear blue, grey, or hazel. […] Additionally, rarer forms of albinism, such as OCA3 and OCA4, have their own distinct genetic causes and phenotypic variations.
- #53 Albinism: Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/1200472-overview
The melanin pathway consists of a series of reactions that converts tyrosine into 2 types of melanin: 1) black-brown eumelanin and 2) red-blond pheomelanin. Genetic variants affecting proteins/enzymes along this pathway inevitably result in reduced melanin production. […] Tyrosinase is the major enzyme (coded on chromosome 11) involved in the series of conversions to form melanin from tyrosine. It is responsible for converting tyrosine to DOPA and then to dopaquinone. Through a sequence of steps, dopaquinone subsequently is converted to either eumelanin or pheomelanin. […] The development of the ocular system is highly dependent on the presence of melanin. Absent or decreased melanin can cause abnormal crisscrossing of optic nerve fibers as a result of misdirected retinogeniculate projections. Melanin is believed to control neuronal target specificity in the brain. […] Genetic counseling is recommended for patients with albinism.
- #54 Albinism and Human Eyes: How Does Albinism Affect Vision?https://www.allaboutvision.com/conditions/related/how-albinism-affects-vision/
Albinism is a rare genetic condition that blocks the body’s ability to produce or distribute melanin, the pigment that provides color to the skin, hair and eyes. Melanin is crucial to the development of the optic nerves, and mild to serious vision problems can result from a lack of this pigment. […] People with albinism are at higher risk of developing vision issues because their lack of pigment prevented their eyes from developing normally in utero and through infancy. Common eye problems include: Light sensitivity (photophobia), Refractive errors (astigmatism, myopia, hyperopia), Nystagmus Involuntary movement of the eyes (this can lead to abnormal head positioning), Strabismus Misalignment of the eyes, Foveal hypoplasia A retinal disorder that reduces visual acuity, Optic nerve misrouting Signals from the retina to the brain don’t follow the normal paths, Iris transillumination Lack of pigment allows light to enter through the iris, not just the pupil, Monocular vision Absence of stereo (or binocular) vision, the ability of the eyes to work together, Low vision Best corrected visual acuity of 20/70 or worse.
- #55 Albinism – Dermatologic Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/dermatologic-disorders/pigmentation-disorders/albinism
In OCA type VII, mutations in gene C10ORF11 may play a role in melanocyte differentiation. […] In another group of inherited diseases, a clinical phenotype of OCA occurs in conjunction with bleeding disorders. […] Diagnosis of all types of OCA and OA is based on examination of the skin and eyes. […] Because it may not always be possible to distinguish the subtypes of OCA, genetic testing may be helpful. […] There is no cure for albinism. […] Oculocutaneous albinism is a group of rare, usually autosomal recessive disorders, resulting in hypopigmentation of the skin, hair, and eyes. […] Ocular involvement causes photosensitivity and often nystagmus, strabismus, reduced visual acuity, and loss of binocular stereopsis.
- #56 Albinism – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/albinism/diagnosis-treatment/drc-20369189
Genetic testing can help determine the type of albinism and the risk of passing down the gene change to children. […] Albinism is a genetic disorder, and there is currently no cure. […] A specialist in genetics can help identify the specific type of albinism. This information can help guide care, identify possible complications and determine the risk of the condition in future children.
- #57 Information Bulletin â What is Albinism? – National Organization for Albinism and Hypopigmentationhttps://albinism.org/information-bulletin-what-is-albinism/
OCA4 results from a genetic defect in the SLC45A2 protein that helps the tyrosinase enzyme to function. […] Researchers have also identified several other genes that result in albinism with other features. […] The genes for OCA are located on autosomal chromosomes. […] For a recessive trait (like most types of albinism) to occur, both of the persons chromosomes must carry that trait. […] When both parents carry the albinism gene (and neither parent has albinism) there is a one in four chance at each pregnancy that the baby will be born with albinism. […] Ocular albinism (OA1) is caused by a change in the GPR143 gene that plays a signaling role that is especially important to pigmentation in the eye. […] For couples who have not had a child with albinism, there is no simple test to determine whether a person carries a gene for albinism. […] If parents have had a child with albinism previously, and if that affected child has had a confirmed diagnosis by DNA analysis, there is a way to test in subsequent pregnancies to see if the fetus has albinism.
- #58 Albinism: Background, Pathophysiology, Epidemiologyhttps://emedicine.medscape.com/article/1200472-overview
The melanin pathway consists of a series of reactions that converts tyrosine into 2 types of melanin: 1) black-brown eumelanin and 2) red-blond pheomelanin. Genetic variants affecting proteins/enzymes along this pathway inevitably result in reduced melanin production. […] Tyrosinase is the major enzyme (coded on chromosome 11) involved in the series of conversions to form melanin from tyrosine. It is responsible for converting tyrosine to DOPA and then to dopaquinone. Through a sequence of steps, dopaquinone subsequently is converted to either eumelanin or pheomelanin. […] The development of the ocular system is highly dependent on the presence of melanin. Absent or decreased melanin can cause abnormal crisscrossing of optic nerve fibers as a result of misdirected retinogeniculate projections. Melanin is believed to control neuronal target specificity in the brain. […] Genetic counseling is recommended for patients with albinism.
- #59 Albinism – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/albinism/diagnosis-treatment/drc-20369189
Genetic testing can help determine the type of albinism and the risk of passing down the gene change to children. […] Albinism is a genetic disorder, and there is currently no cure. […] A specialist in genetics can help identify the specific type of albinism. This information can help guide care, identify possible complications and determine the risk of the condition in future children.
- #60 Oculocutaneous albinism: MedlinePlus GeneticsLockhttps://medlineplus.gov/genetics/condition/oculocutaneous-albinism/
Oculocutaneous albinism can result from variants (also known as mutations) in several genes, including TYR, OCA2, TYRP1, and SLC45A2. Variants in the TYR gene cause type 1, variants in the OCA2 gene cause type 2, variants in the TYRP1 gene cause type 3, and variants in the SLC45A2 gene cause type 4. Variants in additional genes likely underlie the other forms of this disorder. The genes associated with oculocutaneous albinism are involved in producing a pigment called melanin, which is the substance that gives skin, hair, and eyes their color. In the retina, melanin also plays a role in normal vision. Variants in any of these genes disrupt the ability of cells to make melanin, which reduces pigmentation in the skin, hair, and eyes. A lack of melanin in the retina leads to the vision problems characteristic of oculocutaneous albinism. […] Some individuals with oculocutaneous albinism do not have variants in any of the known associated genes. In these people, the genetic cause of the condition is unknown.
- #61 Information Bulletin â What is Albinism? – National Organization for Albinism and Hypopigmentationhttps://albinism.org/information-bulletin-what-is-albinism/
Albinism is an inherited genetic condition that reduces the amount of melanin pigment formed in the skin, hair and/or eyes. […] The presence of these eye problems defines the diagnosis of albinism. […] DNA tests can determine the precise type of albinism. Research on albinism genes is ongoing. To date as many as seven forms of oculocutaneous albinism are now recognized OCA1, OCA2, OCA3, OCA4, OCA5, OCA6 and OCA7. […] OCA1, or tyrosinase-related albinism, results from a genetic defect in an enzyme called tyrosinase. This enzyme helps the body to change the amino acid, tyrosine, into pigment. […] OCA2, or P gene albinism, results from a genetic defect in the P protein that helps the tyrosinase enzyme to function. […] OCA3 is rarely described and results from a genetic defect in TYRP1, a protein related to tyrosinase.
- #62 Genetic Causes of Oculocutaneous Albinism in Pakistani Populationhttps://www.mdpi.com/2073-4425/12/4/492
Melanin pigment helps protect our body from broad wavelength solar radiation and skin cancer. Among other pigmentation disorders in humans, albinism is reported to manifest in both syndromic and nonsyndromic forms as well as with varying inheritance patterns. Oculocutaneous albinism (OCA), an autosomal recessive nonsyndromic form of albinism, presents as partial to complete loss of melanin in the skin, hair, and iris. OCA has been known to be caused by pathogenic variants in seven different genes, so far, according to all the currently published population studies. However, the detection rate of alleles causing OCA varies from 50% to 90%. One of the significant challenges of uncovering the pathological variant underlying disease etiology is inter- and intra-familial locus heterogeneity. This problem is especially pertinent in highly inbred populations.
- #63 Genetic Causes of Oculocutaneous Albinism in Pakistani Populationhttps://www.mdpi.com/2073-4425/12/4/492
Besides these cases of single-gene variants, we also found variants of both TYR and OCA2 in different zygosity combinations within family LUAB17. The obtained combination of OCA variants might interact in a novel manner to generate the observed OCA phenotypes, accentuating the significance of genetic interactions towards OCA etiology. Possible digenic inheritance of OCA variants has also previously been proposed in other populations. […] In conclusion, our study expands the genetic spectrum of OCA in the Pakistani population, aids in the complete genetic testing and counseling of families inheriting variants of OCA genes, and raises the question of whether a potential genetic interaction and digenic inheritance of variants in TYR and OCA2 genes can exist.
- #64 Albinism and Low Vision – ConnectCenterhttps://aphconnectcenter.org/visionaware/eye-conditions/eye-conditions-associated-with-blindness-a-b/albinism-6165/
This is likely the case because they have more significant foveal hypoplasia and optic nerve misrouting. […] Because foveal hypoplasia is atypical development of the fovea, the role the fovea plays in providing sharp, detailed vision is impaired. […] If this is the case, your child may benefit from increased contrast of the environment and increased contrast of print. […] There is no cure for albinism, but a variety of measures can be taken to address some effects of the disease. […] Refractive errors should be diagnosed and treated promptly to maximize visual acuity and minimize amblyopia. […] Absorptive sunlenses/sunglasses can reduce light sensitivity/photosensitivity. […] Genetic counseling can help parents and adult patients with albinism understand the cause and the risks of the condition for future children. […] Emerging therapies: Studies in animal models of the condition have shown promise for gene therapy, in which the abnormal gene is replaced with a normal copy of the gene and results in the reversal of some of the retinal abnormalities.
- #65 Albinism and Human Eyes: How Does Albinism Affect Vision?https://www.allaboutvision.com/conditions/related/how-albinism-affects-vision/
Since albinism results from genetic mutations, a DNA test can confirm which type of OCA a person has if needed. […] The ability to mimic OCA using a cell model is an important breakthrough. It will lead to a greater understanding of how albinism leads to abnormal development of the retina, optic nerve (which carries visual signals to the brain) and fovea (the area in the retina responsible for our sharpest central vision). […] An application of the knowledge gained from this research could help individuals with oculocutaneous albinism considerably. For example, if scientists confirm that foveal development is dependent on the presence of pigment in the RPE, they could, in theory, improve pigmentation in the RPE. This could lead to greatly improved visual acuity in people with OCA.
- #66 Albinism | Discover causes & symptomshttps://www.fightforsight.org.uk/a-z-eye-conditions/albinism/
Albinism is caused by a fault in one of the genes involved in the production of melanin or the products used to make it. Melanin is important for healthy eye development – without it, the retina and optic nerve (which sends visual information from the retina to the brain) may not develop properly. […] The OCA genes (OCA1 to OCA8), which cause oculocutaneous albinism, mainly affect the enzymes the body uses to generate melanin or other important molecules in the melanin synthesis pathway. Some of the genes (such as OCA1 and OCA3) are related to the coding or control of these enzymes. Other genes (such as OCA2) appear to be related to changing the acidity of the environment in which the enzymes operate. […] Understanding the normal function of these genes has greatly enhanced our understanding of the complex and sophisticated way our body controls pigmentation. There are likely to be more genes and mechanisms that are yet to be discovered in the not too distant future.