OCA2

The OCA2 gene is located in a region of chromosome 15 that is often deleted in individuals with Angelman syndrome. A loss of this gene does not cause the characteristic neurologic features of Angelman syndrome; however, people with this condition who are missing one copy of the OCA2 gene tend to have unusually light-colored hair and fair skin. Cells with only one copy of the OCA2 gene make a reduced amount of P protein compared with cells with two functional copies of this gene, which affects the coloring of the hair and skin.

A small percentage of people with Angelman syndrome also have oculocutaneous albinism type 2. This condition occurs when people have two nonfunctional copies of the OCA2 gene in each cell. In addition to a deletion in chromosome 15 that removes one copy of the OCA2 gene, these individuals have a variant (also known as a mutation) in the OCA2 gene on the other copy of chromosome 15. As a result, cells make little or no functional P protein. A lack of P protein disrupts the production of melanin, leading to the characteristic features of albinism.

More than 80 variants in the OCA2 gene have been identified in people with oculocutaneous albinism type 2. People with this form of albinism often have light yellow, blond, or light brown hair; creamy white skin; light-colored eyes; and problems with vision. The most common OCA2 variant is a large deletion in the gene, which is found in many affected individuals of sub-Saharan African heritage. Other OCA2 gene variants, including changes in single DNA building blocks (base pairs) and small deletions, are more common in other populations. 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. A loss of this gene does not cause intellectual disability and the other characteristic features of Prader-Willi syndrome; however, people with this condition who are missing one copy of the OCA2 gene tend to have unusually light-colored hair and fair skin. 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. This condition occurs when people have two nonfunctional copies of the OCA2 gene in each cell. In addition to a deletion in chromosome 15 that removes one copy of the OCA2 gene, these individuals have a variant in the OCA2 gene on the other copy of chromosome 15. As a result, cells make little or no functional P protein. A lack of P protein disrupts the production of melanin, leading to the characteristic features of albinism.

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