Germline Melanocortin-1-Receptor Genotype Is Associated with Severity of Cutaneous Phenotype in Congenital Melanocytic Nevi: A Role for MC1R in Human Fetal Development

Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and c...

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Published inJournal of investigative dermatology Vol. 132; no. 8; pp. 2026 - 2032
Main Authors Kinsler, Veronica A., Abu-Amero, Sayeda, Budd, Peter, Jackson, Ian J., Ring, Susan M., Northstone, Kate, Atherton, David J., Bulstrode, Neil W., Stanier, Philip, Hennekam, Raoul C., Sebire, Neil J., Moore, Gudrun E., Healy, Eugene
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2012
Elsevier Limited
Nature Publishing Group
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Abstract Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and considered a role for MC1R in this condition. A cohort of 166 CMN subjects underwent pigmentary phenotyping, with MC1R genotyping in 113. Results were compared with a local control group of 60 unrelated children and with 300 UK children without CMN. CMN subjects had higher prevalences of red hair and a red-haired parent than local controls and had a higher rate of compound heterozygosity and homozygosity for MC1R variants. The presence of a V92M or R allele (D84E, R151C, R160W, D294H) was associated with increasing size of the CMN, implying a growth-promoting effect of these alleles. Unexpectedly, the V92M and R151C alleles were also strongly associated with birth weight in the CMN cohort, a finding confirmed in the control group. The effect of germline MC1R genotype on development and severity of CMN led us to investigate potential broader effects on growth, revealing a role for MC1R in normal fetal development.
AbstractList Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and considered a role for MC1R in this condition. A cohort of 166 CMN subjects underwent pigmentary phenotyping, with MC1R genotyping in 113. Results were compared with a local control group of 60 unrelated children and with 300 UK children without CMN. CMN subjects had higher prevalences of red hair and a red-haired parent than local controls and had a higher rate of compound heterozygosity and homozygosity for MC1R variants. The presence of a V92M or R allele (D84E, R151C, R160W, D294H) was associated with increasing size of the CMN, implying a growth-promoting effect of these alleles. Unexpectedly, the V92M and R151C alleles were also strongly associated with birth weight in the CMN cohort, a finding confirmed in the control group. The effect of germline MC1R genotype on development and severity of CMN led us to investigate potential broader effects on growth, revealing a role for MC1R in normal fetal development.Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and considered a role for MC1R in this condition. A cohort of 166 CMN subjects underwent pigmentary phenotyping, with MC1R genotyping in 113. Results were compared with a local control group of 60 unrelated children and with 300 UK children without CMN. CMN subjects had higher prevalences of red hair and a red-haired parent than local controls and had a higher rate of compound heterozygosity and homozygosity for MC1R variants. The presence of a V92M or R allele (D84E, R151C, R160W, D294H) was associated with increasing size of the CMN, implying a growth-promoting effect of these alleles. Unexpectedly, the V92M and R151C alleles were also strongly associated with birth weight in the CMN cohort, a finding confirmed in the control group. The effect of germline MC1R genotype on development and severity of CMN led us to investigate potential broader effects on growth, revealing a role for MC1R in normal fetal development.
Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and considered a role for MC1R in this condition. A cohort of 166 CMN subjects underwent pigmentary phenotyping, with MC1R genotyping in 113. Results were compared with a local control group of 60 unrelated children and with 300 UK children without CMN. CMN subjects had higher prevalences of red hair and a red-haired parent than local controls and had a higher rate of compound heterozygosity and homozygosity for MC1R variants. The presence of a V92M or R allele (D84E, R151C, R160W, D294H) was associated with increasing size of the CMN, implying a growth-promoting effect of these alleles. Unexpectedly, the V92M and R151C alleles were also strongly associated with birth weight in the CMN cohort, a finding confirmed in the control group. The effect of germline MC1R genotype on development and severity of CMN led us to investigate potential broader effects on growth, revealing a role for MC1R in normal fetal development.
Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of severely affected individuals is suggestive of a predisposing germline genotype. We noted a high prevalence of red hair in affected families, and considered a role for MC1R in this condition. A cohort of 166 CMN subjects underwent pigmentary phenotyping, with MC1R genotyping in 113. Results were compared with a local control group of 60 unrelated children and with 300 UK children without CMN. CMN subjects had higher prevalences of red hair and a red-haired parent than local controls and had a higher rate of compound heterozygosity and homozygosity for MC1R variants. The presence of a V92M or R allele (D84E, R151C, R160W, D294H) was associated with increasing size of the CMN, implying a growth-promoting effect of these alleles. Unexpectedly, the V92M and R151C alleles were also strongly associated with birth weight in the CMN cohort, a finding confirmed in the control group. The effect of germline MC1R genotype on development and severity of CMN led us to investigate potential broader effects on growth, revealing a role for MC1R in normal fetal development.
Author Jackson, Ian J.
Abu-Amero, Sayeda
Ring, Susan M.
Healy, Eugene
Sebire, Neil J.
Moore, Gudrun E.
Bulstrode, Neil W.
Stanier, Philip
Atherton, David J.
Kinsler, Veronica A.
Hennekam, Raoul C.
Budd, Peter
Northstone, Kate
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  givenname: Sayeda
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  organization: Clinical and Medical Genetics Unit, Institute of Child Health, London, UK
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  surname: Budd
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  organization: MRC Human Genetics Unit, Western General Hospital, Edinburgh, UK
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  surname: Jackson
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  organization: MRC Human Genetics Unit, Western General Hospital, Edinburgh, UK
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  surname: Ring
  fullname: Ring, Susan M.
  organization: School of Social and Community Medicine, University of Bristol, Bristol, UK
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  surname: Atherton
  fullname: Atherton, David J.
  organization: Department of Paediatric Dermatology, Great Ormond Street Hospital for Children, London, UK
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  surname: Bulstrode
  fullname: Bulstrode, Neil W.
  organization: Department of Plastic Surgery, Great Ormond Street Hospital for Children, London, UK
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  surname: Stanier
  fullname: Stanier, Philip
  organization: Neural Development Unit, Institute of Child Health, London, UK
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  surname: Hennekam
  fullname: Hennekam, Raoul C.
  organization: Department of Paediatrics, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
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  surname: Sebire
  fullname: Sebire, Neil J.
  organization: Department of Histopathology, Great Ormond Street Hospital for Children, London, UK
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  surname: Moore
  fullname: Moore, Gudrun E.
  organization: Clinical and Medical Genetics Unit, Institute of Child Health, London, UK
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  givenname: Eugene
  surname: Healy
  fullname: Healy, Eugene
  email: e.healy@soton.ac.uk
  organization: Dermatopharmacology, University of Southampton, School of Medicine, Southampton, UK
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Snippet Congenital melanocytic nevi (CMN) are pigmented birthmarks that affect up to 80% of the skin surface area. The increased frequency of CMN in families of...
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SubjectTerms Adolescent
Adult
Alleles
Birth Weight
Child
Child, Preschool
Female
Gene Expression Regulation, Developmental
Genotype
Germ-Line Mutation
Heterozygote
Homozygote
Humans
Infant
Infant, Newborn
Male
Nevus, Pigmented - metabolism
Original
Phenotype
Prevalence
Receptor, Melanocortin, Type 1 - genetics
Title Germline Melanocortin-1-Receptor Genotype Is Associated with Severity of Cutaneous Phenotype in Congenital Melanocytic Nevi: A Role for MC1R in Human Fetal Development
URI https://dx.doi.org/10.1038/jid.2012.95
https://www.ncbi.nlm.nih.gov/pubmed/22572819
https://www.proquest.com/docview/1024954941
https://www.proquest.com/docview/1027681030
https://pubmed.ncbi.nlm.nih.gov/PMC3398254
Volume 132
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