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Oculocutaneous albinism in a patient with an OCA2 variant: molecular and clinical insights Cover

Oculocutaneous albinism in a patient with an OCA2 variant: molecular and clinical insights

Open Access
|Jun 2025

Figures & Tables

Figure 1.

(A) Pedigree of the family with albinism. Squares represent male individuals, circles represent female individuals, the black square represents the affected male patient, slashes indicate deceased individuals, and the arrow denotes the proband. Consanguineous marriage is indicated by double lines, suggesting a recessive inheritance pattern. (B) The proband with albinism shows characteristic features, including white hair, blue eyes, and right-eye deviation indicative of strabismus. Published with the patient’s written informed consent.
(A) Pedigree of the family with albinism. Squares represent male individuals, circles represent female individuals, the black square represents the affected male patient, slashes indicate deceased individuals, and the arrow denotes the proband. Consanguineous marriage is indicated by double lines, suggesting a recessive inheritance pattern. (B) The proband with albinism shows characteristic features, including white hair, blue eyes, and right-eye deviation indicative of strabismus. Published with the patient’s written informed consent.

Figure 2.

Predicted 3D structures of the OCA2 protein: (A) Wild type (Met425) and (B) mutant (Arg425) variants, modeled using the Swiss Model server. OCA2, oculocutaneous albinism type 2.
Predicted 3D structures of the OCA2 protein: (A) Wild type (Met425) and (B) mutant (Arg425) variants, modeled using the Swiss Model server. OCA2, oculocutaneous albinism type 2.

Figure 3.

(A) PPI network analysis for the OCA2 gene, illustrating interactions with genes involved in melanin synthesis and pigmentation processes. (B) Conservation analysis of the methionine residue at position 425 across 13 species, showing complete conservation, which highlights the functional importance of this amino acid in the OCA2 protein. OCA2, oculocutaneous albinism type 2; PPI, protein-protein interaction.
(A) PPI network analysis for the OCA2 gene, illustrating interactions with genes involved in melanin synthesis and pigmentation processes. (B) Conservation analysis of the methionine residue at position 425 across 13 species, showing complete conservation, which highlights the functional importance of this amino acid in the OCA2 protein. OCA2, oculocutaneous albinism type 2; PPI, protein-protein interaction.

Figure 4.

Sanger sequencing chromatograms confirm the presence of a novel homozygous variant (c.1274T>G; p.Met425Arg) in the OCA2 gene in the proband. Both parents are heterozygous carriers, consistent with autosomal recessive inheritance.
Sanger sequencing chromatograms confirm the presence of a novel homozygous variant (c.1274T>G; p.Met425Arg) in the OCA2 gene in the proband. Both parents are heterozygous carriers, consistent with autosomal recessive inheritance.

Summary of reported OCA2 variants from previous studies

No.Variant(s)Protein change(s)Type of variant(s)ACMGClinical findingsPopulationReference
1c.593C>T, c.1426A>Gp.Pro198Leu, p.Asn476AspMissense, missense (compound heterozygous)Pathogenic, likely pathogenicMilky white skin, blond hair, green irises, nystagmusChineseWang et al. [21]
2c.2458T>Cp.Ser820ProMissense (homozygous)VUSWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]
3c.408_409delAAp.Arg137Ilefs*83Frameshift (heterozygous)PathogenicWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]
4c.1762C>Tp.Arg588TrpMissense (heterozygous)BenignWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]
5c.1045-15T>GSplicing (homozygous)Likely pathogenicWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]
6c.2020C>Gp.Leu674ValMissense (homozygous)Likely pathogenicWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]; Lee et al. [22]
7c.1327G>Ap.Val443IleMissense (homozygous)Likely pathogenicWhite hair, pale skin, nystagmus, photophobia, and foveal hypoplasiaPakistaniArshad et al. [20]; Mondal et al. [23]
DOI: https://doi.org/10.2478/abm-2025-0019 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 154 - 163
Published on: Jun 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2025 Mostafa Neissi, Sahar Kareem Al-Mozani, Ayoob Radhi Al-Zaalan, Samaneh Sanavi Shiri, Motahareh Sheikh-Hosseini, Adnan Issa Al-Badran, Elaheh Nekouei, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.