Health & Longevity Series · Medical education

Skin pigmentation and the sun

Melanin biology, UV exposure and hyperpigmentation

3 min read

01Overview

How skin makes pigment

Key takeaway for patientsPigment is the skin’s own sun protection, and dark patches are that system working unevenly. Sun protection is the foundation of every approach, and a mark that changes needs a medical look.

Skin color comes from melanin, made by melanocytes at the base of the epidermis. The enzyme tyrosinase drives its production inside small packages called melanosomes, which are passed to the surrounding skin cells and sit over their nuclei like a cap, shielding DNA from ultraviolet light.

UV exposure increases the production of melanin; this is tanning. Uneven or excessive production causes hyperpigmentation: sun spots, melasma, which is influenced by hormones, and the dark marks left after inflammation.

02Key steps

Key steps in pigmentation

UV exposure
DNA damage in skin cells triggers a signal.
Melanocyte activation
Signals from the surrounding skin cells switch melanocytes on.
Melanin synthesis
Tyrosinase converts the amino acid tyrosine into melanin.
Transfer
Melanosomes move into the surrounding cells and shield their nuclei.
03Factors in decline

Factors that drive hyperpigmentation

Pigment becomes uneven for several reasons:

Ultraviolet and visible light
The main driver, and it adds up over the years.
Hormones
Pregnancy and hormonal contraception are linked with melasma.
Inflammation
Acne, eczema or injury can leave dark marks.
Skin type and genetics
Set how readily the skin makes pigment.
04Clinical management

Clinical management and physician guidance

Assessment establishes what kind of pigmentation it is, and that nothing more serious is present.

Skin assessment
The pattern and depth of pigment, with dermoscopy where needed.
Physician-guided care
Sun protection first; other care as your physician decides, with dermatology referral where indicated.
Monitoring and follow-up
Any mole or patch that changes is reviewed promptly.
05Research focus

Research focus in pigment biology

Core focus area Biological target Clinical relevance
Melanin synthesis TyrosinaseProduction of pigment
Melanocyte signaling The MC1R receptorSkin type and the response to UV
Pigment transfer Melanosomes and keratinocytesDistribution of pigment
Photoprotection DNA damage and repairProtection against UV injury
06Questions

Frequently asked questions

Why do dark patches appear?
Melanocytes make more pigment, or distribute it unevenly, after sun exposure, hormonal change or inflammation.
Does sunscreen matter if my skin is dark?
Yes. All skin types are affected by UV, and visible light can also deepen pigmentation.
When should a mark be checked?
When a mole or patch changes in size, shape or color, bleeds, or looks different from the others.
07References

Academic references and literature

  1. Lin JY, Fisher DE (2007). Melanocyte biology and skin pigmentation. Nature, 445(7130), 843-50. PMID 17314970.
  2. Brenner M, Hearing VJ (2008). The protective role of melanin against UV damage in human skin. Photochem Photobiol, 84(3), 539-49. PMID 18435612.
  3. Handel AC, Miot LD, Miot HA (2014). Melasma: a clinical and epidemiological review. An Bras Dermatol, 89(5), 771-82. PMID 25184917.

This guide belongs to the Skin Health program