20: Pigmentation and Melanocyte Biology Flashcards
(133 cards)
What is the primary function of melanocytes in the skin?
Melanocytes synthesize melanin and transfer it to adjacent keratinocytes, playing a crucial role in pigmentation.
How do the melanin granules differ between light-skinned and darker-skinned individuals?
Light-skinned individuals have very few visible melanin granules in the basal layer, while darker skin types have melanin granules visible throughout all layers of the epidermis, including the stratum corneum.
What are the key structural features of melanosomes in melanocytes?
Melanosomes are round to oval-shaped membrane-enveloped organelles that are key ultrastructural features of melanocytes, involved in melanin synthesis and storage.
What are the stages of eumelanosome and pheomelanosome development?
The stages of eumelanosome development include:
- Round, ~0.3 μm, containing intraluminal vesicles (not melanized)
- Oval, ~0.5 μm, with deposition of parallel fibrillar matrix
- Deposition of pigment along the filaments
- Fully melanized with electron-dense melanin obscuring underlying structures
Pheomelanosomes are smaller, round at all stages, disorganized, and have a less dense filament network.
What transcription factors are important for the development and function of melanocytes?
Key transcription factors for melanocyte development and function include MITF, SOX10, PAX3, and signaling pathways involving KIT and EDNRB.
What is the significance of tyrosinase in melanocytes?
Tyrosinase is an enzyme that catalyzes the oxidation of the substrate dopa to insoluble black melanin, reflecting its activity in melanosomes and is crucial for melanin synthesis.
What are the clinical features associated with Ocular albinism (OA1)?
- Reduced pigmentation of iris and retina
- Photosensitivity
- Decreased visual acuity
- Nystagmus
- Strabismus
- Misdirection of optic nerve
What genetic mutations are associated with Waardenburg Syndrome and what are its clinical features?
Genetic Mutations:
- WS1: PAX3
- WS2: MITF
- WS3: PAX3
- WS4: SOX10, EDN3, EDNRB
Clinical Features:
- Piebaldism
- Congenital deafness
- Heterochromia irides
- Synophrys
- Broad nasal root
- Dystopia canthorum
What are the clinical features of Hermansky-Pudlak syndrome (HPS)?
- Tyrosinase-positive oculocutaneous albinism (melanosome dysfunction)
- Bleeding diathesis (platelet granule dysfunction)
- Interstitial pulmonary fibrosis (HPS 1,2,4)
- Granulomatous colitis (HPS 1,4)
- Renal failure (rare)
- Cardiomyopathy (rare)
What are the characteristics of Familial progressive hyperpigmentation (FPH)?
- Generalized patches of hyperpigmentation of skin and mucous membranes
- No systemic symptoms
What are the clinical features of Griscelli Syndrome?
- Pigmentary dilution of skin and hair (clumping of melanin within melanocytes)
- Neurologic abnormalities (GS1)
- Immunodeficiency (GS2)
What are the key clinical features of Hermansky-Pudlak syndrome (HPS) and its genetic basis?
Hermansky-Pudlak syndrome (HPS) is characterized by tyrosinase-positive oculocutaneous albinism, bleeding diathesis (platelet granule dysfunction), interstitial pulmonary fibrosis, and immunodeficiency. It is linked to mutations in various genes including HPS1 and HPS3.
What distinguishes Familial progressive hyperpigmentation (FPH) from Familial progressive hyper- and hypopigmentation (FPHP) in terms of clinical features?
Familial progressive hyperpigmentation (FPH) is characterized by generalized patches of hyperpigmentation of skin and mucous membranes without systemic symptoms, while Familial progressive hyper- and hypopigmentation (FPHP) presents with diffuse hyperpigmented and hypopigmented patches without systemic symptoms, showing variable penetrance.
What is the distribution of interfollicular melanocytes in human skin and how does it vary by location?
Interfollicular melanocytes are found in the basal layer of the epidermis, with the highest density in facial and genital skin, and lower density in the skin of the trunk and extremities. Chronic, sun-exposed skin has a 2-fold higher number of melanocytes and increased size and activity.
What is the role of melanocyte stem cells (McSCs) in the hair follicle cycle?
Melanocyte stem cells (McSCs) reside in the permanent bulge area of the hair follicle. They maintain a quiescent state during telogen, become activated during anagen, migrate to the hair bulb, and differentiate to produce melanin, which is transferred to keratinocytes, resulting in hair pigmentation.
How do acral melanocytes differ from other melanocytes in terms of location and clinical significance?
Acral melanocytes are located in the hairless surfaces of palms and soles. They are derived from the lower permanent portion of the eccrine gland and are associated with acral melanoma, which is diagnosed with high sensitivity and specificity due to their preferential pigmentation of eccrine-rich dermatoglyphs.
What are the implications of ocular melanocytes in relation to UV protection and age-related conditions?
Ocular melanocytes, derived from neuroectoderm, synthesize melanin to protect against UV radiation. Darker eye pigmentation is associated with a decreased incidence of age-related macular degeneration, highlighting their protective role.
What is the significance of melanocytes in the cochlea of the ear?
Melanocytes in the cochlea are essential for the normal development and function of the stria vascularis layer, which is required for normal hearing. Defects in this layer can lead to sensorineural deafness and pigmentation defects in conditions like Waardenburg and Tietz syndromes.
What is the primary determinant of skin pigmentation in humans?
The primary determinant of skin pigmentation is not melanocyte density but the increased ability of melanocytes from darker-skinned persons to synthesize and transfer brown-black eumelanin.
Describe the role of melanocyte stem cells (McSCs) during the hair follicle cycle and their significance in hair pigmentation.
Melanocyte stem cells (McSCs) reside in the permanent bulge/secondary hair germ (sHG) area of the hair follicle. Their roles include:
- During telogen: Maintain a quiescent state.
- During anagen: Become activated via Wnt signaling, proliferate, and differentiate into melanocytes.
- Early to mid-anagen: Migrate to the bulb of the hair follicle and undergo maturation.
- Throughout anagen: Produce and transfer melanin to surrounding keratinocytes, resulting in hair pigmentation.
- Late catagen: Undergo apoptosis, leading to a gradual loss of McSCs with age, contributing to age-dependent hair graying.
What is the significance of acral melanocytes in the context of acral melanoma, and how are they diagnosed?
Acral melanocytes exist in the hairless surfaces of palms and soles, and they are significant because:
- They provide a niche for melanocyte stem cells (McSCs) in the acral epidermis.
- Acral melanoma is derived from this McSC population.
- Diagnosis of acral melanomas is characterized by high sensitivity and specificity due to their preferential pigmentation of the eccrine-rich ridges of the dermatoglyphs.
Explain the role of ocular melanocytes and their developmental origin.
Ocular melanocytes, specifically those in the retinal pigment epithelium, synthesize melanin and form melanosomes. They are derived from neuroectoderm and are developmentally unrelated to the neural crest/melanocyte lineage. Their primary role is to protect against UV radiation.
What is the role of MITF in melanocyte development and migration?
MITF is crucial for the survival, proliferation, and differentiation of melanocytes. It is first expressed in melanoblasts shortly after they exit the neural tube and is positively regulated by transcription factors like SOX10 and PAX3.
How do mutations in SOX10 and PAX3 affect melanocyte function?
Mutations in SOX10 and PAX3 lead to pigment cell defects and non-pigmentary phenotypes. Specifically, SOX10 mutations are associated with Waardenburg syndrome type IV, while PAX3 mutations are linked to Waardenburg syndrome types 1 and 3.