ig 1.  (a) Molecular pathway of tanning. Tanning is the result of a complex signalling pathway involving keratinocytes and melanocytes. Many genes associated with pigmentation phenotypes and skin cancer susceptibility participate in this signalling. Ultraviolet (UV) radiation reaching keratinocytes leads to the production of a large number of cytokines (shown in greater detail in b). In particular, it leads to α-melanocyte stimulating hormone (α-Msh) production through a p53-dependent pathway. This pathway begins with UV-induced photoproduct formation triggering a repair response mediated by the xeroderma pigmentosum (XP) DNA repair enzymes. Genetic injury also stimulates a DNA damage response mediated in part by the ataxia-telangiectasia-related (ATR) gene product and p53. In cases of severe damage, p53 may induce apoptosis while in other cases p53 triggers cell cycle arrest and the expression of pro-opiomelanocortin (POMC) – the precursor protein for α-Msh.33α-Msh is secreted from keratinocytes and binds to Mc1r on nearby melanocytes causing the increased production of pigment (shown in greater detail in c and d). This increased pigment is transferred to nearby keratinocytes where it provides modest protection against later UV exposure. (b) UV radiation stimulates the expression of many cytokines by keratinocytes. Many of these have effects on melanocytes and are reviewed elsewhere.22 GMCSF, granulocyte-macrophage colony-stimulating factor; ET1, endothelin-1; bFGF, basic fibroblast growth factor; SCF, stem cell factor. (c) The primary gene governing pigmentation is MC1R, which encodes a 7-pass transmembrane G-protein coupled receptor expressed on melanocytes that responds to the POMC derivative α-Msh and controls the expression of red-yellow vs. brown-black melanin pigments. Mc1r activation stimulates adenylate cyclase (AC), which in turn increases cyclic adenosine monophosphate (cAMP) production, the phosphorylation of cAMP response element-binding protein (Creb) through protein kinase A (PKA), and microphthalmia transcription factor (MITF) expression.55 Mitf activity can be affected by c-kit activity through the mitogen activated protein kinase (MAPK) pathway.64 Increased Mitf activity then induces the expression of a variety of genes involved in pigment synthesis or melanosome function including tyrosinase (TYR), dopachrome tautomerase (DCT), tyrosinase-related protein 1 (TYRP1)65 and protein kinase C-beta (PKC-B).66 Other genes are able to affect this pathway directly including agouti signalling protein (ASIP) which biochemically functions to antagonize Mc1r.67 Expression of ASIP is itself regulated by the bone morphogenic protein (BMP) pathway wherein Noggin sequesters BMP, preventing its binding to cognate receptors, and decreases the expression of ASIP.68 (d) Pigmentation is a reflection of the type and quantity of two major pigments produced by melanocytes. Eumelanin is dark brown-black, while phaeomelanin is yellow-red. Signalling through Mc1r increases the production of the brown-black pigment. The production of both pigments begins with the rate-limiting oxidation of tyrosine to DOPAquinone by the enzyme tyrosinase. Additional enzymes including dopachrome tautomerase and tyrosinase-related protein 1 convert DOPAquinone into other intermediate products. Two different eumelanin pigments, which differ in colour and solubility, are formed from the further oxidation of these various compounds. Alternatively, the availability of cysteine or glutathione causes DOPAquinone to be converted into phaeomelanin.69,70 The mixed ratio of the two pigments, eumelanin and phaeomelanin, determine final hair and skin colour.71,72

A.J. Miller and H. Tsao*New insights into pigmentary pathways and skin cancer British Journal of Dermatology 2010 162, pp22–28