rs12203592
badMag 4.5This is a intron variant variant in the IRF4 gene.
Key Literature Trait Associations
Skin cancer
The rs12203592 T allele is associated with increased risk of non-melanoma skin cancer (NMSC), particularly basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Han et al. (2011) reported per-allele ORs of 1.32 for BCC and 1.61 for SCC in nested case-control studies. A meta-analysis of 19 case-control studies (7,992 cases, 8,849 controls) found significant association with overall skin cancer in homozygote comparisons (OR=1.566). A second meta-analysis of 9 studies confirmed the TT genotype confers approximately 1.99-fold increased risk versus CC. The association is strongest in individuals of European ancestry and is thought to be mediated through the variant's effects on sun sensitivity and UV-damage repair.
Melanoma
rs12203592 shows a complex, pathway-dependent association with melanoma. The T allele increases risk for solar elastosis-associated melanoma (sun-damage pathway, OR=1.47) but is inversely associated with nevus-derived melanoma (OR=0.65), reflecting IRF4's dual role in melanocyte aging and nevus formation. Across undifferentiated melanoma cohorts, the T allele confers a modest overall risk increase (OR~1.15–1.49). The variant also influences melanoma prognosis: the T allele has been associated with altered melanoma-specific survival in some cohorts. These divergent effects underscore the importance of melanoma subtype when interpreting the clinical significance of this variant.
Actinic keratosis
The rs12203592 T allele in IRF4 is a validated susceptibility locus for actinic keratosis (AK), a UV-induced pre-malignant skin lesion. A large GWAS of 92,240 participants (63,110 discovery, 29,130 validation) identified IRF4 among 11 genome-wide significant loci for AK, implicating pigmentation pathways in disease susceptibility. AK risk at this locus is biologically consistent with IRF4's effects on sun sensitivity — individuals with poorer tanning ability and greater photosensitivity (traits also associated with the T allele) are at higher risk of UV-induced keratinocyte damage and actinic change.
Hair color
The C allele at rs12203592 is associated with lighter hair color, while the T allele associates with darker (brown/black) hair. This locus reached p=7.46×10⁻¹²⁷ for hair color in the foundational Han et al. GWAS, one of the most significant pigmentation associations in the genome. The effect has been replicated in multiple large studies including a 290,000+ participant GWAS (p=7×10⁻¹²⁷) and a 23andMe cohort. Notably, the T allele's effect on hair color is independent of its effect on skin pigmentation, demonstrating that IRF4 regulates distinct pigmentation pathways in hair follicle versus skin melanocytes.
Skin Pigmentation / Tanning Ability
The IRF4 rs12203592 T allele is one of the strongest common genetic determinants of human pigmentation. It disrupts a TFAP2A binding site in a melanocyte enhancer, reducing IRF4 expression and downstream tyrosinase activity. Carriers have lighter skin, reduced tanning ability, lighter hair, and increased susceptibility to UV damage and skin cancer. The variant is essentially absent in African and East Asian populations and reaches ~17% frequency in Europeans.
Freckles
The rs12203592 T allele is robustly associated with increased freckling and facial pigmented spots. A GWAS in 2,844 Dutch Europeans identified rs12203592 as the strongest signal for facial pigmented spots (p=1.8×10⁻²⁷), with the association remaining significant after conditioning on overall skin color, suggesting an effect independent of baseline melanin levels. The T allele is also associated with higher freckling scores in both adolescents and adults across Australian, UK, Swedish, and Polish cohorts. The variant has been incorporated into validated forensic DNA phenotyping models for freckle prediction.
Skin aging
rs12203592 in IRF4 is associated with UV-related skin aging patterns. A GWAS of 5,087 participants across three twin cohorts found rs12203592 significantly associated with skin aging phenotypes (p=8.8×10⁻¹³), alongside SLC45A2 and MC1R. The T allele's link to reduced tanning ability and greater sun sensitivity provides the biological mechanism: individuals with impaired melanin photoprotection accumulate more UV-induced dermal damage over time. A separate large UK Biobank GWAS (n=423,992) identified pigmentation loci including IRF4 as associated with perceived age / youthful appearance.
▶GWAS Catalog Trait Associations (67)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
GWAS Catalog Trait Associations (67)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
▶ClinVar annotation
▶Research that mentions this SNP (9)
▶IRF4 rs12203592 functional variant and melanoma survivalMeta-analysisN=140,000Miriam Potrony et al.(2017)· International Journal of Cancer
Genome-wide association meta-analysis of cutaneous melanoma combining pathologically confirmed cases with 23andMe self-reported cases identified 54 genome-wide significant loci. The study confirmed 19 of 21 previously reported loci, revealed complex LD structure at the AHR/AGR3 region (rs117132860, p=3.8×10−21), and identified novel associations including those near MFSD12/FZR1. Key variants included rs12215602 (IRF4), rs16953002 and rs62034121 (FTO), and variants associated with pigmentation phenotypes (hair color, nevus count, sunburn susceptibility).
▶Intrinsic and Extrinsic Risk Factors for Sagging EyelidsAssociationN=6,631Jacobs LC et al.(2014)· JAMA Dermatology
Genome-wide association study of sagging eyelids (dermatochalasis) in 5,578 Rotterdam Study participants and 1,053 TwinsUK twins identified a genome-wide significant protective effect for the C allele of rs11876749 (P=1.7×10⁻⁸) in a recessive model. Risk factors included age, male sex, lighter skin color, and higher BMI. Heritability of sagging eyelids was estimated at 61% in the twin cohort.
▶Variants at chromosome 20 (ASIP locus) and melanoma riskAssociationN=1,033Maccioni L. et al.(2013)· International Journal of Cancer
This study examined associations between sun-sensitive pigmentary gene variants and serum PSA levels in 1033 older Australian men. Variants in SLC45A2 (rs28777: -19.6%, rs16891982: -17.3%) were associated with lower PSA levels in all men. Variants in MC1R (rs1805007) and ASIP (rs4911414) showed significant interactions with birth region, with higher PSA levels in ANZ-born men carrying the variants. Post-hoc analysis found increased testosterone in MC1R rs1805007 carriers and elevated dihydrotestosterone in ASIP rs1015362 carriers.
▶Technical note: Quantitative measures of iris color using high resolution photographsAssociationN=402Melissa Edwards et al.(2012)· American Journal of Physical Anthropology
This genome-wide association study (GWAS) of pigmentary traits in East Asian populations (N=305 skin, N=342 iris) identifies a genome-wide significant signal for iris color in the OCA2 region, with rs1800414 (His615Arg) explaining 11.9%, 10.4%, and 6% of variation in b*, a*, and L* coordinates respectively. While no genome-wide significant signals were detected for skin pigmentation, rs2373391 in ZNF804B was replicated in independent Chinese samples (p=0.003).
▶Association of TGFβ1 and clinical factors with scar outcome following melanoma excisionAssociationN=202Ward SV et al.(2012)· Archives of Dermatological Research
Genetic association study of 202 melanoma patients examining SNPs in 24 candidate genes related to pigmentation and wound healing in relation to scar outcome. SNP rs8110090 in TGFβ1 was significantly associated with poorer scar outcomes (p=0.0002). Clinical factors including younger age, shorter time since surgery, and presence of infection or eczema were also associated with worse scarring.
▶Model-based prediction of human hair color using DNA variantsAssociationN=385Wojciech Branicki et al.(2011)· Human Genetics
This study demonstrates that human hair color can be predicted from DNA variants with high accuracy using a multinomial logistic regression model. A subset of 13 genetic markers from 11 genes (MC1R, HERC2, IRF4, TYR, EXOC2, SLC45A2, TYRP1, OCA2, SLC24A4, KITLG, ASIP) predicted hair color categories in Polish Europeans with AUC values of 0.93 for red hair, 0.87 for black hair, 0.82 for brown hair, and 0.81 for blond hair. MC1R variants showed the strongest association with red hair (OR=12.64 for R variants, P=2.5×10⁻¹⁷), while rs12913832 in HERC2 was significantly associated with darker hair colors (OR=3.33 for black, P=4.3×10⁻⁶).
▶The R402Q tyrosinase variant does not cause autosomal recessive ocular albinismReviewOetting WS et al.(2009)· American Journal of Medical Genetics Part A
Genome-wide association studies and comparative genomics have identified major pigmentation loci (SLC24A5, SLC45A2, TYR, OCA2, MC1R, IRF4, TPCN2) showing evidence of strong natural selection in human populations. Light skin variants in Europeans and Asians underwent complete or near-complete selective sweeps, with SLC24A5 rs1426654 and SLC45A2 variants representing independent evolutionary mechanisms. Critical skin-lightening variants arose 11,000-30,000 years ago during human demographic expansion, driven by UV radiation exposure, vitamin D synthesis requirements, and possibly sexual selection.
▶Variants of theMATP/SLC45A2gene are protective for melanoma in the French populationAssociationN=362Mickaël Guedj et al.(2008)· Human Mutation
A cross-sectional genetic association study examining 362 Danish individuals investigating relationships between pigmentation genes and quantitative skin color, nevus counts, and familial atypical multiple-mole and melanoma (FAMMM) syndrome. MC1R variants were significantly associated with lighter arm pigmentation (p < 0.001), indicating effects on tanning response rather than constitutive skin color. No significant associations with FAMMM or nevus counts remained significant after Bonferroni correction for multiple testing.
▶MC1R common variants, CDKN2A and their association with melanoma and breast cancer riskAssociationN=362Tadeusz Dȩbniak et al.(2006)· International Journal of Cancer
This Danish study of 246 healthy individuals and 116 at-risk melanoma patients investigated associations between 32 pigmentary SNPs and quantitative skin color, nevi count, and familial atypical multiple-mole and melanoma (FAMMM) syndrome. Individuals carrying two or more MC1R variants (including missense mutations p.TYR152* and frameshift p.Asn29Glnfs*14) had significantly lighter skin on the upper-inner arm (p<0.001) reflecting impaired tanning ability, but no associations were found with FAMMM syndrome, suggesting FAMMM genetics are distinct from pigmentation pathways.
Gene information from NCBI Gene. Variant classifications from ClinVar.
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