Cutaneous melanin plays an important role in human health and disease; therefore, accurate detection of melanin in skin is essential for reliable investigations on the mechanisms underlying physiological and aberrant pigmentation in skin. Histological visualisation of melanin has most commonly been performed using the Fontana-Masson procedure, originally developed over 100 years ago. By contrast, the Warthin-Starry stain, developed in 1920 for the identification of spirochaetes, was reported in 1980 to be more sensitive and specific for detecting cutaneous melanin than the Fontana-Masson proce- ). The role of melanin pigmentation in protection against ultraviolet radiation (UVR) through its photoabsorptive, antioxidant and free radical scavenger properties is obvious from varying skin cancer incidence across pigmentary phenotypes. Moreover, as most fair-skinned individuals will agree (possibly with envy), the role of melanin in protection against sunburn is valuable, especially in regions with high ambient UVR. Melanins are also present in non-cutaneous organs such as the eyes, heart and brain, and also play a role in the biology of many organisms through protection against thermal/chemical stresses and as part of innate immunity in insects, birds and mammals. 7 Melanins can also produce a wide spectrum of colours through their high refractive indices, which may be beneficial for camouflage and sexual selection.
8In humans, the protective role against UVR-induced carcinogenesis and the cosmetic effects of cutaneous pigmentation have become more relevant in modern times. As skin cancer is the most common type of neoplasia worldwide, understanding the role of melanin and other mechanisms of cutaneous photoprotection is highly relevant.
Skin pigmentary phenotypes as well as polymorphisms relating topigmentary genes such as MC1R are known to influence skin cancer susceptibility.