Melanosome Transport and Processing in Skin Pigmentation: Mechanisms and Emerging Biomarkers

1. Introduction

The pursuit of an even skin tone and effective pigmentation control is a major focus within the dermocosmetics industry, driving ongoing research into the complex mechanisms of melanogenesis and melanin regulation. This focus is especially important given the widespread impact of pigmentation disorders, such as melasma, post-inflammatory hyperpigmentation, and age spots (solar lentigines), which can significantly affect individuals’ quality of life [1,2]. Recent advances in understanding melanin dynamics have paved the way for innovative treatments targeting different stages of pigment formation and transfer.

Melanogenesis is a complex biochemical process that occurs within melanosomes in melanocytes [3,4]. As melanosomes mature, they are transported from the perinuclear region of melanocytes to the dendritic periphery and are captured and anchored at dendritic tips [5]. Once positioned at the dendritic tips, melanin is transferred to keratinocytes by mechanisms that are still under investigation, potentially involving cytophagocytosis, vesicle shedding, exocytosis-phagocytosis or direct melanocyte-keratinocyte membrane fusion [5,6].

In keratinocytes, melanin forms supranuclear caps that protect DNA from UV-induced damage [7,8]. Within these cells, melanin is contained in “melanokerasomes”, specialized terminal compartments characterized by a single membrane, a weakly acidic lumen, and low hydrolase activity, which enable melanin to persist for weeks without significant degradation [9,10]. However, this stability is not permanent. Over time, melanin-containing compartments can be degraded via autophagy (melanophagy) and lysosomal protease when specific pathways (Rab7B/42, cathepsins) are activated [11,12,13,14]. This degradation is more prevalent in light skin or under pharmacological induction [11,14,15,16,17].

While the role of active compounds in melanin synthesis is well established, and some studies have addressed aspects of melanosome transfer, the complete pathway - including intracellular transport, intercellular transfer, and post-transfer processing - remains less explored despite its critical importance for visible skin pigmentation [6,18,19]. Dysregulation of the transport and processing pathways can lead to uneven pigmentation, highlighting its relevance in both physiological and pathological conditions such as melasma, post-inflammatory hyperpigmentation, and pigmentary aging [20]. This review focuses on the often-overlooked transport and processing processes. Understanding these processes is vital for addressing pigmentation disorders and offers unique, underutilized targets for therapeutic interventions and cosmetic applications.

2. Pre-Transport Phase: A Brief Overview of Melanogenesis

2.1. Melanin Synthesis

Melanin synthesis is a tightly regulated, multi-step biochemical process involving a network of enzymes, transcription factors, and signaling pathways (Figure 1). The process is initiated by the oxidation of L-tyrosine to dopaquinone, catalyzed by tyrosinase (TYR), which is the rate-limiting enzyme in melanin production. Subsequent steps involve tyrosinase-related protein 1 (TYRP1) and dopachrome tautomerase (DCT/TYRP2), which further modulate the type and amount of melanin produced - eumelanin (brown-black) or pheomelanin (yellow-red) [3,4,18]. Recent studies highlight their cooperative roles in melanosome maturation. For example, TYRP1 stabilizes TYR and enhances its melanosomal localization, a process critical for efficient melanin synthesis [21].

At the molecular level, the microphthalmia-associated transcription factor (MITF) is the master regulator of melanogenesis. MITF controls the transcription of TYR, TYRP1, and TYRP2, integrating signals from multiple upstream pathways, including the melanocortin-1 receptor (MC1R) pathway activated by α-melanocyte-stimulating hormone (α-MSH) [4,22,23]. Activation of MC1R by α-MSH leads to increased intracellular cyclic adenosine monophosphate (cAMP), which activates protein kinase A (PKA) and the cAMP response element-binding protein (CREB), ultimately upregulating MITF and promoting melanin synthesis [4,22]. Other critical pathways influencing MITF activity include the MAPK/ERK, WNT/β-catenin, and PKC signaling cascades [4,24,25].

Recent research has expanded the list of molecular regulators and biomarkers associated with melanogenesis. Proteins such as p53, hepatocyte nuclear factor 1α (HNF-1α), Sry-related HMg-Box gene 10 (SOX10), and paired box gene 3 (PAX3) modulate MITF expression, often in response to environmental cues like UV radiation [18,26,27]. Additionally, Nuclear factor erythroid 2-related factor 3 (NRF3), a recently identified transcription factor, coordinates melanogenesis by regulating cellular processes such as the macropinocytotic uptake of melanin precursors (L-Tyr and L-DOPA) and autophagosome-related genes for melanosome formation and degradation, linking metabolic state to pigment production [28].

2.2. Melanosome Maturation

Melanosomes undergo distinct stages of maturation during melanin synthesis (Figure 1). The early stage melanosomes (stages I and II) are unpigmented and characterized by the presence of structural protein such as premelanosome protein (PMEL, also known as GP100 or SILV), which forms the fibrillar matrix essential for subsequent melanin deposition [29,30]. Melanoma antigen recognized by T-cells 1 (MART1, also called Melan-A) is another critical biomarker for early-stage melanosomes. Its primary function is to form a complex with PMEL, thereby regulating PMEL’s expression, stability, trafficking, and proteolytic processing [31,32]. In addition to PMEL and MART1, other proteins such as ocular albinism type 1 (OA1 or GPR143) and the tetraspanin CD63 are involved in early melanosome biogenesis [33,34,35]. OCA1 can interact with both MART1 and PMEL, and its distribution between melanosomes and lysosomes is regulated by ubiquitylation and ESCRT (endosomal sorting complex responsible for transport)-dependent sorting [33,36]. CD63 is required for the sorting of PMEL to intraluminal vesicles (ILVs) within early melanosomes, which is a prerequisite for the formation of the amyloid matrix that provides the scaffold necessary for melanin deposition [30,34].

During the late stages of melanosome maturation-specifically stages III and IV - melanosomes undergo a serious of biochemical and structural changes that lead to the synthesis and deposition of melanin. This maturation process is orchestrated by the delivery and activity of key melanogenic enzymes, including TYR, TYRP1, and DCT/TYRP2 [37]. These enzymes are translocated from early endosomal compartments to maturing melanosomes, where they catalyze the sequential reactions required for melanin biosynthesis.

The OCA2 gene encodes the P protein, a melanosomal membrane protein that plays a crucial role in melanosome maturation. Its primary function is to regulate the ionic environment within melanosomes, particularly by contributing to a chloride ion current that helps maintain optimal melanosomal pH [38]. This pH regulation is essential for the optimal activity of TYR, thereby enabling effective melanin production and melanosome maturation [39]. Another player, solute carrier family 45 member 2 (SLC45A2), is a transmembrane transporter that plays a crucial role in the late stages of melanosome maturation. It localizes predominantly to mature melanosomes and functions to increase melanosomal pH by exporting protons, and possibly glucose, thus creating a more neutral environment ideal for melanin synthesis. SLC45A2 acts after OCA2 during melanosome maturation, maintaining the neutral pH initially established by OCA2 and supporting continued pigmentation in fully matured melanosomes [40].

Recent genome-wide screens have identified a host of additional genes implicated in melanosome maturation. Notably, the transcription factor KLF6 has emerged as a critical regulator of late-stage melanosome maturation, with its loss resulting in a significant reduction in mature (stage IV) pigmented melanosomes. KLF6 appears to regulate the expression of several melanogenic genes, including TYR, as well as genes involved in melanosome structure and function [41]. Additionally, COMMD3 (an endosomal trafficking protein) has been shown to regulate melanosomal pH during maturation. Loss of COMMD3 leads to abnormally acidic melanosomes, disrupting the transition from early (stage I/II) to mature (stage III/IV) stages. This impairment negatively affects melanin synthesis and overall melanosome development [41].

ATPase copper transporting α (ATP7A) is a copper transporter that plays a vital role in melanosome maturation by delivering copper directly to melanosomes, where it is essential for the enzymatic activity of TYR [42]. While TYR can acquire some copper in the trans-Golgi network, efficient and sustained activation of TYR within melanosomes requires direct copper supply by ATP7A [42]. The trafficking of ATP7A to melanosomes depends on the biogenesis of lysosome-related organelles complex-1 (BLOC-1), and defects in this pathway lead to mislocalization of ATP7A, impaired tyrosinase activity, and hypopigmentation, as observed in certain forms of Hermansky-Pudlak syndrome [42]. Thus, ATP7A is crucial for proper melanosome maturation and pigmentation by ensuring tyrosinase is adequately metalated within the melanosome.

3. The Transport Phase

Once melanosomes reach maturity, their transport journey begins. They are transported from the perinuclear region of melanocytes to the distal tips of dendritic extensions through a coordinated process involving both microtubule-based long-range transport and actin filament-mediated short-range movement [5] (Figure 2). Upon reaching the dendritic tips, mature melanosomes are transferred to adjacent keratinocytes, the primary cell type in the epidermis [5,6]. Within keratinocytes, melanosomes are internalized and processed in endolysosomal compartments, where melanin is ultimately stored in specialized structures [9].

3.1. Intracellular Transport of Melanosomes

3.1.1. Microtubule-Based Long-Range Anterograde Transport

The microtubule-based long-range anterograde transport of melanosomes is fundamental to the proper distribution of pigment granules within melanocytes [43]. This process ensures that melanosomes are efficiently delivered from the perinuclear region to the cell periphery. Such distribution is vital for functions including photoprotection and the transfer of melanin to surrounding keratinocytes [5,44]. The transport mechanism is primarily mediated by microtubule-associated motor proteins, particularly members of the kinesin superfamily. Kinesin-1, composed of kinesin family member 5B (KIF5B) and kinesin light chain 2 (KLC2) subunits, has been identified as a principal driver of plus-end-directed, long-range melanosome movement along microtubules [45,46]. Key molecular biomarkers have been elucidated as essential components of this transport pathway. Rab1A, a small GTPase localized to mature melanosomes, plays a pivotal role in facilitating anterograde transport [43,45]. Rab1A recruits the adaptor protein SKIP (SifA and kinesin-interacting protein), which serves as a molecular bridge linking melanosomes to the kinesin-1 motor complex [45]. This interaction is critical for the selective and efficient attachment of melanosomes to kinesin-1, enabling their directed movement toward the cell periphery [45].

3.1.2. The Switch of Melanosome from Microtubule to Actin Filament Networks

Melanosomes are subsequently handed over from the microtubule network to the actin cytoskeleton [47,48]. Following this handover, melanosomes undergo short-range anterograde transport along actin filaments toward the dendrite tips [49].

The transition of melanosomes involves a precisely coordinated switch from microtubule-based movement to actin filament-dependent positioning. Central to this process is the Rab27A-Melanophilin-Myo5A (Myosin-Va) tripartite complex, which acts as a molecular bridge between microtubule motors and the actin cytoskeleton [50,51]. Specifically, Rab27A, a Rab GTPase localized to melanosome membranes, recruits the adaptor protein Melanophilin (Mlph), which in turn binds the actin motor Myo5A [51]. The phosphorylation state of Melanophilin can enforce track selection, biasing the Rab27A-Mlph-Myo5A complex toward either the actin or microtubule network, thus coordinating the switch between cytoskeletal systems [50].

The autophagy proteins LC3B (microtubule-associated protein 1A/1B-light chain 3 beta) and ATG4B (autophagy-related protein 4 homolog B) are directly involved in the switch of melanosomes from microtubule-based to actin-based transport [52]. LC3B facilitates the movement of melanosomes along microtubule tracks by enabling the assembly of the microtubule translocon complex on the melanosome membrane. At the microtubule-actin crossover junction, ATG4B enzymatically detaches LC3B from the melanosome membrane through delipidation, a step required for the transition of melanosomes onto actin filaments for short-range transport and subsequent transfer to keratinocytes [52].

The handoff between microtubule and actin networks could be facilitated by cytoskeletal crosslinkers. Spectraplakins, such as microtubule actin crosslinking factor 1 (MACF1), physically bridge microtubule and actin filament networks [53,54,55]. Similarly, scaffolding proteins like KANK1 have emerged as critical mediators of cytoskeletal crosstalk [56]. These findings suggest a potential role for such proteins in regulating melanosome transfer from microtubules to the actin cytoskeleton.

3.1.3. Actin-Based Short-Range Transport

Actin-based short-range transport of melanosomes in melanocytes relies on a coordinated system of molecular motors, adaptor proteins, and cytoskeletal dynamics. Central to this process is still the tripartite complex comprising Rab27A, Melanophilin and Myo5A, which facilitates melanosome movement along actin filaments [57,58,59,60].

Prohibitin (PHB) provides an additional mechanism for regulating this system. PHB stabilizes the interaction between Rab27A and Mlph independently of Myo5A, and its knockdown mimics the melanosome transport defects observed in RAB27A- or MLPH-deficient cells [61]. This underscores the complexity of actin-based transport, which integrates motor activity, adaptor protein scaffolding, and cytoskeletal remodeling.

3.1.4. Microtubule-Based Long-Range Retrograde Transport

Retrograde transport of melanosomes in melanocytes refers to the movement of these pigment-containing organelles from the cell periphery back toward the perinuclear region along microtubules. This process is primarily mediated by the cytoplasmic dynein–dynactin motor complex, which moves cargo toward the minus ends of microtubules, typically oriented toward the cell center [62,63]. Melanosome attachment to this motor complex is facilitated by cargo receptors on the melanosome membrane, notably melanoregulin (Mreg), Rab36, and Rab44 [62,64,65]. Specifically, Mreg interacts with the dynein–dynactin complex through Rab-interacting lysosomal protein (RILP) and the dynactin subunit p150 “Glued” (also known as DCTN1), facilitating the attachment of melanosomes to the motor machinery for centripetal movement [62]. Rab44 binds dynein-dynactin via its coiled-coil domain and localizes to mature melanosomes [64], and Rab36 functions partially redundantly with Mreg and Rab44 [65]. Notably, simultaneous depletion of Mreg, Rab36, and Rab44 nearly abolishes retrograde melanosome transport [64] .

The retrograde transport of melanosomes plays a critical role in maintaining melanocyte function and skin pigmentation by balancing organelle distribution [63]. This process may also indirectly enhance melanosome transfer to keratinocytes by retrieving melanosomes from the cell periphery, thereby enabling repeated cycles of dendritic extension and delivery. For example, Rab27A-deficient melanocytes show perinuclear melanosome aggregation, which is reversed by disrupting retrograde components like Mreg [62]. Additionally, knockdown of Dynlt3-a light chain subunit of cytoplasmic dynein-leads to peripheral accumulation of melanosomes, increased acidity of mature melanosomes, and reduced efficiency of their transfer to keratinocytes [63].

3.2. Intercellular Transfer of Melanocores or Melanosomes

Melanin transfer from melanocytes to keratinocytes has been proposed by four main models. These models differ in whether they require direct physical contact between melanocytes and keratinocytes [5,6] (Figure 3).

Two of the models-cytophagocytosis and membrane fusion-require direct cell-cell interaction. In the cytophagocytosis model, the dendritic tips of melanocytes, which contain melanosomes, come into contact with the plasma membrane of keratinocytes. The keratinocytes then engulf these dendrite tips, forming a vesicle that contains the melanosomes [66]. This vesicle fuses with lysosomes inside the keratinocyte, leading to the degradation of the surrounding membranes and the dispersion of melanin granules within the cytoplasm of the keratinocyte [67]. The membrane fusion model, on the other hand, involves the direct fusion of the plasma membranes of melanocytes and keratinocytes. This fusion creates conduits, such as filopodia or nanotubes, through which melanosomes are directly transferred from melanocytes to keratinocytes [68]. Caveolae are crucial for melanin transfer between melanocytes and keratinocytes by regulating cell-cell interactions. In co-culture models, caveolae concentrate at the melanocyte-keratinocyte interface, supporting the formation of dendrite-like protrusions needed for direct melanin transfer. Disruption of caveolae formation, such as through caveolin-1 (Cav1) depletion, impairs dendrite outgrowth and reduces cell–cell contacts in melanocytes, leading to significantly decreased melanin transfer to keratinocytes, despite an increase in melanin synthesis driven by upregulated cAMP signaling [69].

The other two models-exocytosis and phagocytosis/macropinocytosis and shedding vesicles-do not require direct physical contact between the two cell types. In the exocytosis and phagocytosis model, melanocytes release the melanin core (melanocore) into the extracellular space via exocytosis, a process dependent on the small GTPase Rab11B [70,71]. Keratinocytes then internalize these melanocores through phagocytosis, a process heavily dependent on actin cytoskeleton remodeling and regulated by Rho family GTPases such as Rac1, Cdc42, and RhoA [72]. Similarly, in the shedding vesicles model, melanocytes release vesicles loaded with melanosomes into the extracellular environment. These vesicles are then taken up by keratinocytes through macropinocytosis pathways, again without the need for direct cell-cell contact [73].

4. Melanin Post-Transfer Processing in Keratinocytes

After melanin is transferred from melanocytes to keratinocytes, it undergoes a series of processing steps within the recipient cell. Once internalized-primarily through phagocytosis or macropinocytosis-melanin becomes enclosed in phagosomes that mature by fusing with lysosomes, forming specialized compartments known as melanokerasomes. These compartments are weakly degradative, allowing melanin to be retained rather than broken down. The melanokerasomes then transport and position themselves above the keratinocyte nucleus, forming supranuclear caps that shield the nuclear DNA from ultraviolet radiation and contribute to the skin’s photoprotective barrier [5,9]. This post-transfer processing is essential for both the persistence of skin pigmentation and the protection of epidermal cells from UV-induced damage.

Melanin in keratinocytes is relatively long-lived and its levels diminish primarily due to the natural process of superficial keratinocyte sloughing as the epidermis renews itself approximately 40-56 days [10,74]. Most of the melanin transferred from melanocytes to keratinocytes is eventually lost from the skin surface as pigmented corneocytes are shed during this renewal cycle. Although some intracellular melanin degradation can occur, particularly more efficiently in lighter skin types, a significant portion remains intact until it is removed via epidermal turnover [11,15,75]. Nonetheless, understanding the mechanisms underlying melanin degradation within keratinocytes may offer valuable insights for developing effective skin-lightening strategies (Figure 4).

4.1. Melanin Uptake

Melanocore and melanosome uptake by keratinocytes is a highly regulated process involving distinct cellular pathways and specific receptors. Current literature shows that melanocores - the pigment-rich cores released from melanocytes - are primarily internalized by keratinocytes through phagocytosis, a process that depends on actin dynamics and is mainly regulated by small GTPases such as Rac1 and Cdc42 [72]. In contrast, whole melanosomes are mainly internalized by macropinocytosis, an actin-dependent process that predominantly involves CtBP1/BARS (C-terminal binding protein 1/brefeldin A ADP-ribosylated substrate) and small GTPase RhoA, indicating separate regulatory pathways for the two forms of melanin transfer [72].

A key receptor involved in melanocore uptake is protease-activated receptor-2 (PAR-2) [72,76]. Studies have demonstrated that melanocore internalization induces a stronger PAR-2 internalization response in keratinocytes compared to whole melanosomes, suggesting a receptor-mediated preference for melanocore uptake [72]. PAR-2 activation has also been linked to increased skin pigmentation, reinforcing its functional importance in this process [72]. Additionally, keratinocyte growth factor (KGF/FGF7) and its receptor FGFR2b have been implicated in promoting melanosome uptake, particularly by enhancing the phagocytic capacity of keratinocytes, especially in lighter skin types [66,77,78]. Toll-like receptor 3 (TLR3) has also been reported to play a role in melanin uptake by keratinocytes. Upon stimulation-such as by the viral mimic poly(I:C), TLR3 activation in keratinocytes markedly enhances the internalization of melanosomes through endocytic mechanisms. This effect is mediated by the upregulation and activation of the small GTPases RhoA and Cdc42, which drive actin cytoskeleton remodeling necessary for efficient endocytosis. This highlights TLR3’s function as a molecular link between innate immune signaling and pigment transfer in the epidermis [79].

4.2. Melanin Retention and degradation

Once within keratinocytes, melanin is typically surrounded by a membrane derived from the keratinocyte plasma membrane, especially in the case of melanocores, or by multiple membranes if internalized as part of a melanosome globule. Following internalization, melanin-containing compartments undergo intracellular trafficking, moving toward the juxtanuclear region of the keratinocyte. Here, the granules aggregate to form perinuclear caps - structures that function as protective “parasols” shielding the nuclear DNA from UV radiation [5,9].

The maturation of these melanin-containing vesicles is marked by a transition from early endosomal markers such as EEA-1 and Rab5 to late endosomal, such as Rab7, and lysosomal markers including CD63 and LAMP1, indicating their progression along the endolysosomal pathway [9,10,80]. Despite this fusion, melanin remains within a terminal lysosomal compartment - melanokerasome - that resists degradation, likely due to its weak acidity and low hydrolase activity [9].

Ultimately, the fate of melanin within keratinocytes involves a balance between storage for photoprotection and gradual degradation. Within keratinocytes, the degradation of melanin granules is orchestrated through the autophagic pathway [11,14]. Once internalized, melanin-containing organelles in keratinocytes are targeted for selective degradation by the autophagy adaptor protein p62 [11,81]. The p62-labeled structures are then engulfed by autophagosomes marked by the presence of autophagy proteins like ATG7 and LC3 [11,81]. Rab7 has been reported to be involved in protein degradation within melanin-containing compartments, while having only a minor effect on melanin itself in keratinocytes [13]. This is likely because Rab7B/42 is required for the fusion of autophagosomes with lysosomes, a process that forms autolysosomes where partial degradation of melanin occurs [11,82]. Recent studies have identified cathepsin V (also known as cathepsin L2. Gene name: CTSV) as a key lysosomal protease involved in melanosome and melanocore degradation in keratinocytes [12]. Immunohistochemical studies have shown that cathepsin V is highly expressed across the epidermis in normal skin. Notably, cathepsin V expression levels were lower in the basal layer compared to the stratum corneum side in hyperpigmented regions. Furthermore, melanosome degradation was suppressed in cathepsin V knockdown cells, indicating its role in melanosome degradation [12].

5. Relevance to Cosmetic Dermatology and Therapeutics: Future Perspectives

From both therapeutic and cosmetic perspectives, a comprehensive understanding of the regulatory mechanisms underlying melanogenesis, melanosome maturation/transport, and degradation pathways is critical for developing targeted interventions in pigmentary disorders. To facilitate this, we have compiled a systematic list of key biomarkers associated with skin pigmentation (Table 1a and Table 1b).

While most current skin-lightening agents focus on inhibiting melanin synthesis, relatively few target the full pathway of melanosome transport, and even fewer influence the degradation of melanin within keratinocytes [75,83,84]. Among the widely used skin-whitening actives, kojic acid, arbutin (beta-arbutin), azelaic acid, and vitamin C (ascorbic acid) primarily function by targeting tyrosinase, the rate-limiting enzyme in melanogenesis [83,85]. Kojic acid, a fungal metabolite, inhibits tyrosinase by chelating copper ions at its active site, thereby blocking the conversion of tyrosine to melanin and reducing pigmentation [86]. Arbutin, also known as β-arbutin, is a plant-derived β-D-glucopyranoside of hydroquinone that reversibly inhibits tyrosinase activity, leading to decreased melanin synthesis [87]. In contrast, α-arbutin, typically produced synthetically through enzymatic synthesis or microbial fermentation, is more stable and more effective than β-arbutin in skin-whitening applications [88]. Azelaic acid, a naturally occurring dicarboxylic acid, suppresses melanogenesis by inhibiting both tyrosinase and mitochondrial oxidoreductases, resulting in a lightening effect on hyperpigmented skin [89,90]. Vitamin C acts as an antioxidant and skin-brightening agent by directly inhibiting tyrosinase and reducing oxidized dopaquinone back to DOPA, thereby interfering with melanin production [91]. In contrast, niacinamide (vitamin B3) does not inhibit tyrosinase directly but reduces hyperpigmentation by blocking the transfer of melanosomes from melanocytes to keratinocytes, promoting a more uniform skin tone [92]. Collectively, these agents are commonly formulated in topical products to address hyperpigmentation, melasma, and uneven skin tone, predominantly by disrupting melanogenesis [89,92,93,94,95].

Targeting melanosome transport offers a novel and promising approach to modulating skin pigmentation. Unlike traditional skin-lightening agents that primarily inhibit melanin synthesis, such as tyrosinase inhibitors, this strategy directly influences the distribution of pigment across the skin without necessarily altering total melanin levels. Emerging evidence supports the potential of targeting melanosome transport (e.g., MNQO) as a viable strategy for pigmentation control. This process relies on specific proteins and signaling pathway, such as Rab27a, Myo5A, and melanophilin (Mlph), that regulate melanosome movement and can be selectively modulated to influence pigment transfer without altering melanin production [96]. Compounds such as centaureidin and pyruvate have been shown to alter cytoskeletal dynamics and inhibit dendrite formation in melanocytes, thereby reducing melanosome transfer and providing proof-of-concept for this mechanism [97,98]. Additionally, serine protease inhibitors that block PAR-2 activation have been found to induce depigmentation by disrupting melanosome distribution rather than melanin production [99]. Notably, wogonin, a flavonoid derived from Scutellaria baicalensis Georgi, and Metformin, have been shown to regulate both melanin synthesis and melanosome transport, further highlighting the potential for dual-action interventions in treating pigmentation disorders [19,100].

By regulating how melanosomes are transferred or moved, this opens up new therapeutic strategies that may be effective where traditional approaches fail, or that can be combined with existing treatments for enhanced results [99,101]. Modulating melanosome transport may also allow for more precise correction of pigmentation issues, possibly reducing the risk of hypopigmentation or irritation associated with more aggressive treatments that destroy pigment or skin cells [99,102]. Furthermore, some interventions have been shown to reversibly inhibit melanosome transfer without causing cytotoxicity, enabling adjustable and controlled pigmentation correction rather than permanent alteration [103].

In conclusion, exploring melanosome transport as a therapeutic target offers a promising new avenue for treating uneven skin pigmentation. By focusing on how pigment is distributed, rather than just how much is made, this approach could provide more precise, effective, and potentially safer solutions for a wide range of pigmentary disorders.