Why do some Africans with albinism have green eyes?  And why if they make no pigment are they darker than Europeans with albinism?

-An undergraduate from the Netherlands

November 12, 2014

When many people think “albino,” they think of an animal or a person with perfectly white skin and hair and bright red eyes*. In this form of albinism, the pigments that lead to darker hair, eyes, and skin do not get made. No pigment means no pigmentation, which means no color.

If this were the only form of albinism out there, then what you describe would be very weird. But it turns out there are many other kinds, some of which can make some pigment.

People of African descent with albinism tend to have a type (OCA2) in which they make some pigments, so their skin and eyes can still be colored. However, they still make much less pigment than they would if they didn’t have the condition. The person you’re describing probably has this type of albinism.

That’s the short answer. But there is also a long answer, of course.

Let’s delve into the long answer and compare these forms of albinism. As you’ll see, one form is able to make a bit of pigment while the other cannot. This is because different genes with different roles are affected in the different types of albinism.

*Unlike in animals, red eyes are pretty rare in people. Most people with this form of albinism have blue eyes.

Albinism is Less Pigment

As I said, albinism is a genetic condition that causes cells to make less pigment. This leads to lighter skin, hair, and eye colors. It’s fairly rare.

Some types of albinism are limited to effects in the eyes, whereas some are also seen in skin and hair. If it just affects your eyes, it’s called Ocular Albinism (OA). If it also affects your skin and hair, it’s called Oculocutaneous Albinism (OCA). Let’s focus on OCA.

The main pigment that causes colors in skin, hair, and eyes is called melanin. You can think of it as a “paint” that your body uses to give it color (and protection from the sun).

Making melanin is not easy. It takes a lot of genes all working together.

Some of these genes work one after the other to build melanin up from the amino acid tyrosine. Still other genes work to create the right environment in the melanosome, the special place inside cells where melanin is made.

You can think of making melanin like making something in a factory. Say, donuts.

Some of the genes are like the assembly line; cutting, cooking, and glazing the donuts. Others provide the lights, air conditioning, power, and so on, so the conditions are right for the assembly line to work well and make lots of donuts.

The classic form of albinism, OCA1, happens when one of the genes on the assembly line is completely broken. In OCA1A, this broken tyrosinase (TYR) gene causes the whole process to stop so no pigment gets made. This is why people with OCA1A albinism have so little coloring.

Sometimes the TYR gene is mostly broken, but can still work a little. It’s as if the donut glazing machine on the assembly line is broken, but a bit of glaze still dribbles out, so you can still make some donuts. In albinism terms, this means that a small amount of pigment manages to get past the broken gene. People with this form of albinism, OCA1B, have a bit of color, but are still pretty light.

There are also other forms of albinism in which a bit of melanin gets made. This can happen when genes that affect the conditions on the factory floor are broken. In this case, the whole process doesn’t stop; it is just less efficient.

This would be like if the air conditioning in the factory breaks and the machines keep stopping because they’re overheating. You can turn them back on after they cool off, but you aren’t going to get as many donuts as you would if the air conditioning were on.

The most common type of albinism like this is called OCA2. The broken “air conditioning” here is the broken OCA2 gene, which causes problems with the acidity inside the melanosome. This makes the melanin making process slow way down, meaning less pigment in the end.

Still, people with OCA2 can make some pigment, and the amount they make can vary a lot. They can look very light, or they can look almost like they don’t have albinism at all. However, they will still look lighter than their siblings or family.

People with OCA2 can also get darker as they get older. Africans with OCA2 can actually get fairly dark skin, and they can have blue or hazel eyes. This could be the type of albinism that the person you’re talking about has.

There are also other types of albinism. In OCA3 and OCA4, other genes are affected. People with OCA3 may look reddish. People with OCA4 look similar to those with OCA2. In OA, only the pigment in eyes is affected, but skin looks basically normal.

Other disorders can cause OCA along with many other effects on the body. These are caused by different mutations than those described above. One example is Hermansky-Pudlak syndrome. It causes albinism as well as bleeding, bruising, and lung problems. Scientists think that there may be other types of albinism as well.

Albinism is Rare

People from all over the world can have albinism. Overall, about 1 in 17,000 people have one type or another.

About 1 in 40,000 people have OCA1. However, people of African descent are less likely to have this form.

OCA2 is the most common type of albinism. About 1 in 36,000 Americans have OCA2. It’s much more prevalent in African Americans: about 1 in 10,000. In some parts of Africa it can be as high as 1 in 3,900 people.

The Person You Describe Probably has OCA2

The person you’re describing is African, has green eyes, and is darker than Europeans with albinism. Since this person produces some pigment, he or she probably doesn’t have OCA1A.

They most likely have OCA2, which can cause exactly what you described, and is the most common. They could have OCA1B, but it’s a lot less likely, because it is much less common in people of African descent.

Although we do know a lot about albinism, it is still being studied today, and we have more to learn. For instance, scientists are still discovering more ways these genes can be broken. From this, they can also learn more about pigment formation in all people, not just albinos.

By Liz Freeman, Stanford University

These albino animals don’t have pigment in their skin, hair, or eyes. But not everyone with albinism looks like this.

Mmmm, donuts. Oh, I mean, you can think of melanin production in your body like this donut factory.







The guinea pig on the left has OCA2.

African boy with albinism.