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Mpofana N, Mlambo ZP, Makgobole MU, Dlova NC, Naicker T. Association of Genetic Polymorphisms in SLC45A2, TYR, HERC2, and SLC24A in African Women with Melasma: A Pilot Study. Int J Mol Sci 2025; 26:1158. [PMID: 39940926 PMCID: PMC11818098 DOI: 10.3390/ijms26031158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2024] [Revised: 01/20/2025] [Accepted: 01/26/2025] [Indexed: 02/16/2025] Open
Abstract
Melasma is a chronic skin disorder characterized by hyperpigmentation, predominantly affecting women with darker skin types, including those of African descent. This study investigates the association between genetic variants in SLC45A2, TYR, HERC2, and SLC24A5 genes and the severity of melasma in women of reproductive age. Forty participants were divided into two groups: twenty with facial melasma and twenty without. Deoxyribonucleic acid (DNA) was extracted from blood samples and genotyped using TaqMan assays to identify allele frequencies and genotype distributions. Significant associations were observed for the TYR gene (rs1042602), HERC2 gene (rs1129038), and SLC24A5 gene (rs1426654) polymorphisms, highlighting their potential roles in melasma susceptibility. For example, the rs1042602 Single Nucleotide Polymorphisms (SNP) in the TYR gene showed a strong association with melasma, with the AA genotype conferring a markedly increased risk. Similarly, the rs1129038 SNP in the HERC2 gene and the rs1426654 SNP in the SLC24A5 gene revealed significant genetic variations between groups in women of African descent. These findings underscore the influence of genetic polymorphisms on melasma's pathogenesis, emphasizing the need for personalized approaches to its treatment, particularly for women with darker skin types.
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Affiliation(s)
- Nomakhosi Mpofana
- Dermatology Department, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban 4000, South Africa; (M.U.M.); (N.C.D.)
- Department of Somatology, Durban University of Technology, Durban 4000, South Africa
| | - Zinhle Pretty Mlambo
- Discipline of Optics and Imaging, Doris Duke Medical Research Institute, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa; (Z.P.M.); (T.N.)
| | - Mokgadi Ursula Makgobole
- Dermatology Department, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban 4000, South Africa; (M.U.M.); (N.C.D.)
| | - Ncoza Cordelia Dlova
- Dermatology Department, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban 4000, South Africa; (M.U.M.); (N.C.D.)
| | - Thajasvarie Naicker
- Discipline of Optics and Imaging, Doris Duke Medical Research Institute, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa; (Z.P.M.); (T.N.)
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Balanovska E, Lukianova E, Kagazezheva J, Maurer A, Leybova N, Agdzhoyan A, Gorin I, Petrushenko V, Zhabagin M, Pylev V, Kostryukova E, Balanovsky O. Optimizing the genetic prediction of the eye and hair color for North Eurasian populations. BMC Genomics 2020; 21:527. [PMID: 32912208 PMCID: PMC7488246 DOI: 10.1186/s12864-020-06923-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/17/2020] [Indexed: 01/05/2023] Open
Abstract
Background Predicting the eye and hair color from genotype became an established and widely used tool in forensic genetics, as well as in studies of ancient human populations. However, the accuracy of this tool has been verified on the West and Central Europeans only, while populations from border regions between Europe and Asia (like Caucasus and Ural) also carry the light pigmentation phenotypes. Results We phenotyped 286 samples collected across North Eurasia, genotyped them by the standard HIrisPlex-S markers and found that predictive power in Caucasus/Ural/West Siberian populations is reasonable but lower than that in West Europeans. As these populations have genetic ancestries different from that of West Europeans, we hypothesized they may carry a somewhat different allele spectrum. Thus, for all samples we performed the exome sequencing additionally enriched with the 53 genes and intergenic regions known to be associated with the eye/hair color. Our association analysis replicated the importance of the key previously known SNPs but also identified five new markers whose eye color prediction power for the studied populations is compatible with the two major previously well-known SNPs. Four out of these five SNPs lie within the HERС2 gene and the fifth in the intergenic region. These SNPs are found at high frequencies in most studied populations. The released dataset of exomes from Russian populations can be further used for population genetic and medical genetic studies. Conclusions This study demonstrated that precision of the established systems for eye/hair color prediction from a genotype is slightly lower for the populations from the border regions between Europe and Asia that for the West Europeans. However, this precision can be improved if some newly revealed predictive SNPs are added into the panel. We discuss that the replication of these pigmentation-associated SNPs on the independent North Eurasian sample is needed in the future studies.
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Affiliation(s)
- Elena Balanovska
- Research Centre for Medical Genetics, Moscow, Russia.,Biobank of North Eurasia, Moscow, Russia
| | | | - Janet Kagazezheva
- Research Centre for Medical Genetics, Moscow, Russia.,Vavilov Institute of General Genetics, Moscow, Russia.,Krasnodar State Medical University, Krasnodar, Russia
| | - Andrey Maurer
- Research Institute and Museum of Anthropology, Lomonosov Moscow State University, Moscow, Russia
| | - Natalia Leybova
- Institute of Ethnology and Anthropology of Russian Academy of Sciences, Moscow, Russia
| | - Anastasiya Agdzhoyan
- Research Centre for Medical Genetics, Moscow, Russia.,Vavilov Institute of General Genetics, Moscow, Russia
| | - Igor Gorin
- Vavilov Institute of General Genetics, Moscow, Russia.,Moscow Institute of Physics and Technology, Moscow, Russia
| | - Valeria Petrushenko
- Vavilov Institute of General Genetics, Moscow, Russia.,Moscow Institute of Physics and Technology, Moscow, Russia
| | - Maxat Zhabagin
- National Center for Biotechnology, Nursultan, Kazakhstan
| | | | - Elena Kostryukova
- Federal Research and Clinical Centre of Physical-Chemical Medicine, Moscow, Russia
| | - Oleg Balanovsky
- Research Centre for Medical Genetics, Moscow, Russia. .,Biobank of North Eurasia, Moscow, Russia. .,Vavilov Institute of General Genetics, Moscow, Russia.
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Dario P, Mouriño H, Oliveira AR, Lucas I, Ribeiro T, Porto MJ, Costa Santos J, Dias D, Corte Real F. Assessment of IrisPlex-based multiplex for eye and skin color prediction with application to a Portuguese population. Int J Legal Med 2015; 129:1191-200. [PMID: 26289415 DOI: 10.1007/s00414-015-1248-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Accepted: 08/12/2015] [Indexed: 11/26/2022]
Abstract
DNA phenotyping research is one of the most emergent areas of forensic genetics. Predictions of externally visible characteristics are possible through analysis of single nucleotide polymorphisms. These tools can provide police with "intelligence" in cases where there are no obvious suspects and unknown biological samples found at the crime scene do not result in any criminal DNA database hits. IrisPlex, an eye color prediction assay, revealed high prediction rates for blue and brown eye color in European populations. However, this is less predictive in some non-European populations, probably due to admixing. When compared to other European countries, Portugal has a relatively admixed population, resulting from a genetic influx derived from its proximity to and historical relations with numerous African territories. The aim of this work was to evaluate the utility of IrisPlex in the Portuguese population. Furthermore, the possibility of supplementing this multiplex with additional markers to also achieve skin color prediction within this population was evaluated. For that, IrisPlex was augmented with additional SNP loci. Eye and skin color prediction was estimated using the multinomial logistic regression and binomial logistic regression models, respectively. The results demonstrated eye color prediction accuracies of the IrisPlex system of 90 and 60% for brown and blue eye color, respectively, and 77% for intermediate eye color, after allele frequency adjustment. With regard to skin color, it was possible to achieve a prediction accuracy of 93%. In the future, phenotypic determination multiplexes must include additional loci to permit skin color prediction as presented in this study as this can be an advantageous tool for forensic investigation.
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Affiliation(s)
- Paulo Dario
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal.
- Faculty of Sciences, University of Lisbon, Campo Grande, 1749-016, Lisboa, Portugal.
- CENCIFOR - Forensic Sciences Centre, Largo da Sé Nova, 3000-213, Coimbra, Portugal.
- CESAM - Centre for Environmental and Marine Studies, Edifício C2, Campo Grande, 1749-016, Lisboa, Portugal.
| | - Helena Mouriño
- Faculty of Sciences, University of Lisbon, Campo Grande, 1749-016, Lisboa, Portugal
| | - Ana Rita Oliveira
- Faculty of Sciences, University of Lisbon, Campo Grande, 1749-016, Lisboa, Portugal
- CESAM - Centre for Environmental and Marine Studies, Edifício C2, Campo Grande, 1749-016, Lisboa, Portugal
| | - Isabel Lucas
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal
| | - Teresa Ribeiro
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- CENCIFOR - Forensic Sciences Centre, Largo da Sé Nova, 3000-213, Coimbra, Portugal
| | - Maria João Porto
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- CENCIFOR - Forensic Sciences Centre, Largo da Sé Nova, 3000-213, Coimbra, Portugal
| | - Jorge Costa Santos
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- CENCIFOR - Forensic Sciences Centre, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- Faculty of Medicine, University of Lisbon, Av. Professor Egas Moniz, 1649-028, Lisboa, Portugal
| | - Deodália Dias
- Faculty of Sciences, University of Lisbon, Campo Grande, 1749-016, Lisboa, Portugal
- CESAM - Centre for Environmental and Marine Studies, Edifício C2, Campo Grande, 1749-016, Lisboa, Portugal
| | - Francisco Corte Real
- INMLCF - National Institute of Legal Medicine and Forensic Sciences, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- CENCIFOR - Forensic Sciences Centre, Largo da Sé Nova, 3000-213, Coimbra, Portugal
- Faculty of Medicine, University of Coimbra, Rua Larga, 3004-504, Coimbra, Portugal
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Söchtig J, Phillips C, Maroñas O, Gómez-Tato A, Cruz R, Alvarez-Dios J, de Cal MÁC, Ruiz Y, Reich K, Fondevila M, Carracedo Á, Lareu MV. Exploration of SNP variants affecting hair colour prediction in Europeans. Int J Legal Med 2015; 129:963-75. [PMID: 26162598 DOI: 10.1007/s00414-015-1226-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 06/23/2015] [Indexed: 10/23/2022]
Abstract
DNA profiling is a key tool for forensic analysis; however, current methods identify a suspect either by direct comparison or from DNA database searches. In cases with unidentified suspects, prediction of visible physical traits e.g. pigmentation or hair distribution of the DNA donors can provide important probative information. This study aimed to explore single nucleotide polymorphism (SNP) variants for their effect on hair colour prediction. A discovery panel of 63 SNPs consisting of already established hair colour markers from the HIrisPlex hair colour phenotyping assay as well as additional markers for which associations to human pigmentation traits were previously identified was used to develop multiplex assays based on SNaPshot single-base extension technology. A genotyping study was performed on a range of European populations (n = 605). Hair colour phenotyping was accomplished by matching donor's hair to a graded colour category system of reference shades and photography. Since multiple SNPs in combination contribute in varying degrees to hair colour predictability in Europeans, we aimed to compile a compact marker set that could provide a reliable hair colour inference from the fewest SNPs. The predictive approach developed uses a naïve Bayes classifier to provide hair colour assignment probabilities for the SNP profiles of the key SNPs and was embedded into the Snipper online SNP classifier ( http://mathgene.usc.es/snipper/ ). Results indicate that red, blond, brown and black hair colours are predictable with informative probabilities in a high proportion of cases. Our study resulted in the identification of 12 most strongly associated SNPs to hair pigmentation variation in six genes.
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Affiliation(s)
- Jens Söchtig
- Forensic Genetics Unit, Institute of Legal Medicine, University of Santiago de Compostela, A Coruña, Spain
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SLC24A5 and ASIP as phenotypic predictors in Brazilian population for forensic purposes. Leg Med (Tokyo) 2015; 17:261-6. [PMID: 25801600 DOI: 10.1016/j.legalmed.2015.03.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Revised: 02/26/2015] [Accepted: 03/04/2015] [Indexed: 11/20/2022]
Abstract
Pigmentation is a variable and complex trait in humans and it is determined by the interaction of environmental factors, age, disease, hormones, exposure to ultraviolet radiation and genetic factors, including pigmentation genes. Many polymorphisms of these genes have been associated with phenotypic diversity of skin, eyes and hair color in homogeneous populations. Phenotype prediction from biological samples using genetic information has benefited forensic area in some countries, leading some criminal investigations. Herein, we evaluated the association between polymorphisms in the genes SLC24A5 (rs1426654) and ASIP (rs6058017) with skin, eyes and hair colors, in 483 healthy individuals from Brazilian population for attainable use in forensic practice. The volunteers answered a questionnaire where they self-reported their skin, eye and hair colors. The polymorphic homozygous genotype of rs1426654∗A and rs6058017∗A in SLC24A5 and ASIP respectively, showed strongest association with fairer skin (OR 47.8; CI 14.1-161.6 and OR 8.6; CI 2.5-29.8); SLC24A5 alone showed associations with blue eyes (OR 20.7; CI 1.2-346.3) and blond hair (OR 26.6; CI 1.5-460.9). Our data showed that polymorphic genotypes (AA), in both genes, are correlated with characteristics of light pigmentation, while the ancestral genotype (GG) is related to darker traits, corroborating with previous studies in European and African populations. These associations show that specific molecular information of an individual may be useful to access some phenotypic features in an attempt to help forensic investigations, not only on crime scene samples but also in cases of face reconstructions in unknown bodies.
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Liu F, Wen B, Kayser M. Colorful DNA polymorphisms in humans. Semin Cell Dev Biol 2013; 24:562-75. [PMID: 23587773 DOI: 10.1016/j.semcdb.2013.03.013] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Accepted: 03/26/2013] [Indexed: 10/26/2022]
Abstract
In this review article we summarize current knowledge on how variation on the DNA level influences human pigmentation including color variation of iris, hair, and skin. We review recent progress in the field of human pigmentation genetics by focusing on the genes and DNA polymorphisms discovered to be involved in determining human pigmentation traits, their association with diseases particularly skin cancers, and their power to predict human eye, hair, and skin colors with potential utilization in forensic investigations.
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Affiliation(s)
- Fan Liu
- Department of Forensic Molecular Biology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
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Raimondi S, Gandini S, Fargnoli MC, Bagnardi V, Maisonneuve P, Specchia C, Kumar R, Nagore E, Han J, Hansson J, Kanetsky PA, Ghiorzo P, Gruis NA, Dwyer T, Blizzard L, Fernandez-de-Misa R, Branicki W, Debniak T, Morling N, Landi MT, Palmieri G, Ribas G, Stratigos A, Cornelius L, Motokawa T, Anno S, Helsing P, Wong TH, Autier P, García-Borrón JC, Little J, Newton-Bishop J, Sera F, Liu F, Kayser M, Nijsten T. Melanocortin-1 receptor, skin cancer and phenotypic characteristics (M-SKIP) project: study design and methods for pooling results of genetic epidemiological studies. BMC Med Res Methodol 2012; 12:116. [PMID: 22862891 PMCID: PMC3502117 DOI: 10.1186/1471-2288-12-116] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2012] [Accepted: 07/23/2012] [Indexed: 12/04/2022] Open
Abstract
Background For complex diseases like cancer, pooled-analysis of individual data represents a powerful tool to investigate the joint contribution of genetic, phenotypic and environmental factors to the development of a disease. Pooled-analysis of epidemiological studies has many advantages over meta-analysis, and preliminary results may be obtained faster and with lower costs than with prospective consortia. Design and methods Based on our experience with the study design of the Melanocortin-1 receptor (MC1R) gene, SKin cancer and Phenotypic characteristics (M-SKIP) project, we describe the most important steps in planning and conducting a pooled-analysis of genetic epidemiological studies. We then present the statistical analysis plan that we are going to apply, giving particular attention to methods of analysis recently proposed to account for between-study heterogeneity and to explore the joint contribution of genetic, phenotypic and environmental factors in the development of a disease. Within the M-SKIP project, data on 10,959 skin cancer cases and 14,785 controls from 31 international investigators were checked for quality and recoded for standardization. We first proposed to fit the aggregated data with random-effects logistic regression models. However, for the M-SKIP project, a two-stage analysis will be preferred to overcome the problem regarding the availability of different study covariates. The joint contribution of MC1R variants and phenotypic characteristics to skin cancer development will be studied via logic regression modeling. Discussion Methodological guidelines to correctly design and conduct pooled-analyses are needed to facilitate application of such methods, thus providing a better summary of the actual findings on specific fields.
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Affiliation(s)
- Sara Raimondi
- Division of Epidemiology and Biostatistics, European Institute of Oncology, Via Ramusio 1, Milan, 20141, Italy.
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Leite TKM, Fonseca RMC, de França NM, Parra EJ, Pereira RW. Genomic ancestry, self-reported "color" and quantitative measures of skin pigmentation in Brazilian admixed siblings. PLoS One 2011; 6:e27162. [PMID: 22073278 PMCID: PMC3206941 DOI: 10.1371/journal.pone.0027162] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Accepted: 10/11/2011] [Indexed: 01/03/2023] Open
Abstract
A current concern in genetic epidemiology studies in admixed populations is that population stratification can lead to spurious results. The Brazilian census classifies individuals according to self-reported “color”, but several studies have demonstrated that stratifying according to “color” is not a useful strategy to control for population structure, due to the dissociation between self-reported “color” and genomic ancestry. We report the results of a study in a group of Brazilian siblings in which we measured skin pigmentation using a reflectometer, and estimated genomic ancestry using 21 Ancestry Informative Markers (AIMs). Self-reported “color”, according to the Brazilian census, was also available for each participant. This made it possible to evaluate the relationship between self-reported “color” and skin pigmentation, self-reported “color” and genomic ancestry, and skin pigmentation and genomic ancestry. We observed that, although there were significant differences between the three “color” groups in genomic ancestry and skin pigmentation, there was considerable dispersion within each group and substantial overlap between groups. We also saw that there was no good agreement between the “color” categories reported by each member of the sibling pair: 30 out of 86 sibling pairs reported different “color”, and in some cases, the sibling reporting the darker “color” category had lighter skin pigmentation. Socioeconomic status was significantly associated with self-reported “color” and genomic ancestry in this sample. This and other studies show that subjective classifications based on self-reported “color”, such as the one that is used in the Brazilian census, are inadequate to describe the population structure present in recently admixed populations. Finally, we observed that one of the AIMs included in the panel (rs1426654), which is located in the known pigmentation gene SLC24A5, was strongly associated with skin pigmentation in this sample.
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Affiliation(s)
- Tailce K. M. Leite
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, Distrito Federal, Brazil
| | - Rômulo M. C. Fonseca
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, Distrito Federal, Brazil
| | - Nanci M. de França
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, Distrito Federal, Brazil
| | - Esteban J. Parra
- Department of Anthropology, University of Toronto at Mississauga, Mississauga, Ontario, Canada
| | - Rinaldo W. Pereira
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, Distrito Federal, Brazil
- Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasília, Distrito Federal, Brazil
- * E-mail:
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Scherer D, Kumar R. Genetics of pigmentation in skin cancer--a review. Mutat Res 2010; 705:141-153. [PMID: 20601102 DOI: 10.1016/j.mrrev.2010.06.002] [Citation(s) in RCA: 117] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2010] [Revised: 06/07/2010] [Accepted: 06/10/2010] [Indexed: 01/05/2023]
Abstract
Skin pigmentation is one of the most overt human physical traits with consequences on susceptibility to skin cancer. The variations in skin pigmentation are dependent on geographic location and population ethnicity. Skin colouration is mainly due to the pigmentation substance melanin, produced in specialized organelles (melanosomes) within dendritic melanocytes, and transferred to neighbouring keratinocytes. The two types of melanin synthesized in well defined chemical reactions are the protective dark coloured eumelanin and the sulphur containing light red-yellow pheomelanin. The events leading to the synthesis of melanin are controlled by signalling cascades that involve a host of genes encoding ligands, receptors, transcription factors, channel transporters and many other crucial molecules. Several variants within the genes involved in pigmentation have been associated with high risk phenotypes like fair skin, brown-red hair and green-blue eyes. Many of those variants have also been implicated in the risk of various skin cancers. The variants within the key pigmentation gene, melanocortin-receptor 1 (MC1R), in particular have been ubiquitously linked with high risk traits and skin cancers involving both pigmentary and non-pigmentary functions and likely interaction with variants in other genes. Many of the variants in other genes, functional in pigmentation pathway, have also been associated with phenotypic variation and risk of skin cancers. Those genes include agouti signalling protein (ASIP), tyrosinase (TYR), tyrosinase-related protein 1 (TYRP1), oculocutaneous albinism II (OCA2), various solute carrier genes and transporters. Most of those associations have been confirmed in genome wide association studies that at the same time have also identified new loci involved in phenotypic variation and skin cancer risk. In conclusion, the genetic variants within the genes involved in skin pigmentation besides influencing phenotypic traits are important determinants of risk of several skin cancers. However, ultimate risk of skin cancer is dependent on interplay between genetic and host factors.
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Affiliation(s)
- Dominique Scherer
- Division of Molecular Genetic Epidemiology, German Cancer Research Centre (DKFZ), Im Neuenheimer Feld 580, D-69120 Heidelberg, Germany.
| | - Rajiv Kumar
- Division of Molecular Genetic Epidemiology, German Cancer Research Centre (DKFZ), Im Neuenheimer Feld 580, D-69120 Heidelberg, Germany
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Xie P, Kranzler HR, Poling J, Stein MB, Anton RF, Brady K, Weiss RD, Farrer L, Gelernter J. Interactive effect of stressful life events and the serotonin transporter 5-HTTLPR genotype on posttraumatic stress disorder diagnosis in 2 independent populations. ACTA ACUST UNITED AC 2009; 66:1201-9. [PMID: 19884608 DOI: 10.1001/archgenpsychiatry.2009.153] [Citation(s) in RCA: 190] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
CONTEXT The 5-HTTLPR polymorphism in the promoter region of the serotonin transporter gene (SLC6A4) has been found to moderate several categories of emotional response after stressful life events. Previous studies generally focused on its effect on depressive symptoms; little is known about its moderation of the development of posttraumatic stress disorder (PTSD). OBJECTIVE To examine the effects of childhood adversity, adult traumatic events, 5-HTTLPR genotypes, and gene x environment interactions on the etiology of PTSD. DESIGN A cross-sectional study in which participants in several studies investigating the genetics of substance dependence were also screened for lifetime PTSD. The triallelic system of 5-HTTLPR was genotyped. Logistic regression modeling was used in the analyses. SETTING General community. PARTICIPANTS Five hundred eighty-two European American and 670 African American individuals who reported experiences of childhood adversity, adult traumatic events, or both. Main Outcome Measure Diagnosis of PTSD, defined by DSM-IV diagnostic criteria and assessed through the Semi-Structured Assessment for Drug Dependence and Alcoholism interview. RESULTS Childhood adversity and adult traumatic events both predicted PTSD. Although the 5-HTTLPR genotype alone did not predict the onset of PTSD, it interacted with adult traumatic events and childhood adversity to increase the risk for PTSD, especially for those with high rates of both types of trauma exposure (European American: odds ratio [OR], 2.86; 95% confidence interval [CI], 1.50-5.45; P = .002; African American: OR, 1.88; 95% CI, 1.04-3.40; P = .04; pooled: OR, 2.31; 95% CI, 1.50-3.56; P < .001). CONCLUSIONS Participants who had both childhood adversity and adult traumatic events were more likely to develop lifetime PTSD compared with those who experienced either type of adverse event. The risk was increased in individuals with 1 or 2 copies of the S' (S) allele compared with the L' (L) homozygotes. Our study provides additional direct evidence that PTSD is influenced by the interactive effect of environmental and genetic factors.
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Affiliation(s)
- Pingxing Xie
- Department of Genetics, Yale University School of Medicine, New Haven, CT, USA
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