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.
OCA1, the most common type of albinism, is caused by bi-allelic mutations (missense, nonsense or frameshift) in the TYR gene on chromosome 11q14.
Type I oculocutaneous albinism is caused by mutations in the tyrosinase structural gene, TYR; however, no large TYR gene deletions have been identified previously in humans.
OCA type 1B (OCA1B), due to mutation in the tyrosinase gene (TYR) on chromosome 11q14 with reduce activity of tyrosinase (it was formerly known as a yellow variant albinism). It presents with a moderate to severe phenotype.
A Tyrosinase missense mutation causes albinism in the Wistar rat. Pigment Cell Res.
Variants in the OCA2 gene disrupt the normal production of melanin, which reduces coloring of the hair, skin, and eyes and affects vision. The region of chromosome 15 containing the OCA2 gene is often deleted in individuals with Prader-Willi syndrome.
The MC1R gene provides instructions for making a protein called the melanocortin 1 receptor. This receptor plays an important role in normal pigmentation. The receptor is primarily located on the surface of melanocytes, which are specialized cells that produce a pigment called melanin.
Cells missing a copy of the OCA2 gene make less P protein than cells with two functional copies of the gene, which affects the coloring of the hair and skin. Oculocutaneous albinism type 2 also occurs in a small number of people with Prader-Willi syndrome.
Most TYR mutations eliminate the activity of tyrosinase, preventing melanocytes from producing any melanin throughout life. These mutations cause a form of oculocutaneous albinism called type 1A (OCA1A). People with this form of albinism have white hair, light-colored eyes, and very pale skin that does not tan.
Type I (tyrosinase-deficient) oculocutaneous albinism (OCA) results from mutations of the gene encoding tyrosinase, the enzyme that catalyzes the first 2 steps of melanin pigment biosynthesis.
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