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Article
Nature Genetics  20, 344 - 351 (1998)
doi:10.1038/3813

Rpe65 is necessary for production of 11-cis-vitamin A in the retinal visual cycle

T. Michael Redmond.1, Shirley Yu1, Eric Lee2, Dean Bok3, Duco Hamasaki4, Ning Chen5, Patrice Goletz5, Jian-Xing Ma5, Rosalie K. Crouch5 & Karl Pfeifer2

1 Laboratory of Retinal Cell and Molecular Biology, National Eye Institute, Bethesda, Maryland 20892, USA.

2 Laboratory of Mammalian Genes and Development, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20892, USA.

3 Jules Stein Eye Institute, Brain Research Institute and Department of Neurobiology, UCLA School of Medicine, Los Angeles, California 90095, USA.

4 Bascom-Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida 33101, USA.

5 Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

Correspondence should be addressed to T. Michael Redmond. redmond@helix.nih.gov
Mutation of RPE65 can cause severe blindness from birth or early childhood, and RPE65 protein is associated with retinal pigment epithelium (RPE) vitamin A metabolism. Here, we show that Rpe65-deficient mice exhibit changes in retinal physiology and biochemistry. Outer segment discs of rod photoreceptors in Rpe65−/− mice are disorganized compared with those of Rpe65+/+ and Rpe65+/− mice. Rod function, as measured by electroretinography, is abolished in Rpe65−/− mice, although cone function remains. Rpe65−/− mice lack rhodopsin, but not opsin apoprotein. Furthermore, all-trans-retinyl esters over-accumulate in the RPE of Rpe65−/− mice, whereas 11-cis-retinyl esters are absent. Disruption of the RPE-based metabolism of all-trans-retinyl esters to 11-cis-retinal thus appears to underlie the Rpe65-/- phenotype, although cone pigment regeneration may be dependent on a separate pathway.
Introduction
RPE65, a protein preferentially and abundantly expressed in the RPE (1), is essential for the maintenance of normal vision. Mutations in RPE65 result in severe forms of early-onset retinal dystrophy, including Leber congenital amaurosis (LCA; OMIM 180069 and 204100; http://www.ncbi.nlm.nih.gov/Omim) and autosomal recessive, childhood-onset severe retinal dystrophy2, 3, 4, 5 (arCSRD). Mutations in this gene may account for 15% of cases of LCA, a genetically heterogeneous disorder, in North America5. RPE65 has been localized to human chromosome 1p31 (Refs 6,7) and its mouse homologue (Rpe65) to distal mouse chromosome 3 (6). By linkage analysis, certain arCSRDs were localized to the interval occupied by RPE65 and were shown to be associated with mutations in RPE65 (3). In addition, candidate gene analysis of RPE65 identified mutations in patients with LCA (4,5). Common features of these patients include loss of vision from birth or early childhood associated with complete night-blindness, extinguished rod electroretinography and severely compromised cone responses, all suggestive of a role for RPE65 in retinal function.

Although the precise function of RPE65 is not known, a role in vitamin A metabolism is suspected2, 8, 9. Evidence for this is provided by its biochemical association with retinol-binding protein9 (RBP) and 11-cis-retinol dehydrogenase10. RPE65, also known as p63 (9), has been proposed to be the RPE RBP receptor9. Association with 11-cis-retinol dehydrogenase suggests that RPE65 is part of the visual cycle pathway, the process by which the 11-cis-retinal chromophore of visual pigments is photo-isomerized to the all-trans-isomer, which is then regenerated in the dark11, 12. The chromophore of mammalian opsins, 11- cis-retinal, is restricted to the eye. In the vertebrate eye, the major site of production of 11-cis-retinoids is the RPE (Refs 13,14). The molecular identity of the retinoid isomerase or isomerohydrolase, despite years of study, is still unknown15.

In view of the potentially important role of RPE65 in the physiology of vision and perhaps the visual cycle, we generated a targeted disruption of mouse Rpe65, as a natural mouse mutation is not known. In parallel with the human diseases described above, mutant mice showed severe changes in visual function. This may be related to supply of the 11-cis-retinal chromophore, as rhodopsin was absent from Rpe65-deficient mice, although opsin was present. These changes were restricted to the rod photoreceptors, leaving cones relatively unaffected.

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Results
Disruption of mouse Rpe65
We designed a gene targeting protocol for the disruption of mouse Rpe65 that replaced a 5´ region containing 1.1 kb of 5´ flanking region, exons 1, 2 and 3, intervening introns and 0.5 kb of intron c with the PGK-neo gene (Fig. 1a), along with loss of a HindIII site. Rpe65+/+ mice showed only the 4.9-kb HindIII fragment on Southern-blot analysis and Rpe65−/− only the mutant 5.9-kb HindIII fragment, whereas Rpe65+/− progeny had a single copy of each (Fig. 1b ). A normal mendelian distribution of genotypes was observed, indicating no effect of the mutation on viability. To confirm that transcription of Rpe65 was disrupted in Rpe65−/− mice, RT-PCR was performed on total RNA isolated from whole mouse eyes. No Rpe65 RT-PCR product was seen in Rpe65−/− mice, although the Gapd control transcript was amplified ( Fig. 1c). As the Rpe65 transcript region amplified was downstream of the disruption (exons 4-6), supernumerary transcription of a 5´-truncated mutant mRNA could be discounted.

Figure 1. Targeted disruption of the Rpe65 locus.
Figure 1 thumbnail

a, Strategy: (i), 5' end of wild-type Rpe65; (ii), targeting vector; (iii), targeted locus; (iv), sizes of HindIII fragments from wild-type and mutant loci, respectively, hybridized to probe indicated in (iii). H, HindIII sites; E, EcoRI restriction sites. b, Southern-blot analysis of genomic DNA from progeny of a heterozygous cross digested with HindIII, using a flanking probe showing wild-type (4.9 kb) and/or mutant (5.9 kb) HindIII restriction fragments (a, iv). c, RT-PCR analysis of Rpe65 mRNA expression in progeny of a heterozygous cross. The left set of lanes are results of Rpe65-specific RT-PCR on cDNA reverse transcribed from total RNA of whole eyes from Rpe65 +/-, Rpe65−/− and Rpe65 +/+ mice, whereas the right set are results of Gapd-specific RT-PCR on the same cDNA. The Rpe65 mRNA-specific, 366-bp band is absent from Rpe65−/−, whereas the Gapd-specific 452-bp band is present; S, 100-bp ReadyLoad DNA Ladder.



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Subtle photoreceptor changes in Rpe65−/− mice
By light microscopy, changes in the RPE of 7-week-old and 15-week-old Rpe65−/− mice were minimal compared with Rpe65+/+ or Rpe65+/− littermates (Fig. 2), although in Rpe65−/− animals there were subtle and slowly progressing changes in the photoreceptor cells. No differences were seen between Rpe65+/+ and Rpe65+/− littermates. At seven weeks of age, the outer segment (OS) region of Rpe65−/− photoreceptors stained less densely with toluidine blue than did those of Rpe65+/+ or Rpe65+/− littermates (Fig. 2a-c). This could be interpreted as loss of, or less dense packing of, OS discs. This was more evident by 15 weeks (Fig. 2d,e), by which time the length of the outer segments was significantly decreased in Rpe65−/− mice and more voids were seen, consistent with loss of OS material. A slow degeneration was also seen with loss of photoreceptor nuclei. In 7-week-old and 15-week-old Rpe65+/+ and Rpe65+/− mouse retinae, there were 10-11 layers of nuclei ( Fig. 2a,b,d), comparable with retina from 7-week-old Rpe65−/− retina (Fig. 2c ). By 15 weeks of age, the number of nuclear layers had decreased to 8-9 (Fig. 2e) in Rpe65−/− retina, and by 28 weeks to 7 (data not shown).

Figure 2. Light micrographs of Rpe65+/+, Rpe65 +/− and Rpe65−/− mice.
Figure 2 thumbnail

Seven-week-old Rpe65+/+ (a), 7-week-old Rpe65+/− (b), 7-week-old Rpe65 -/− (c), 15-week-old Rpe65+/− (d) and 15-week-old Rpe65−/− ( e) mice are shown. Retinal pigment epithelium, RPE; rod outer segments, OS; rod inner segments, IS; photoreceptor outer nuclear layer, ONL; inner nuclear layer, INL.



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By electron microscopy (EM), the OS of rod photoreceptors appear to be slightly altered at seven weeks of age compared with those of wild type (Fig. 3a,b). Rod photoreceptor OS discs in Rpe65−/− mice are not as tightly packed as in Rpe65+/+ and Rpe65+/− littermates, resulting in more apparent voids in the sections. This feature contributes to the more disorganized appearance of these Rpe65−/− OS (Fig. 3a,b). The Rpe65 −/− OS were also shorter in length than those of wild type. At 15 weeks of age, the OS of Rpe65−/− mice were more disorganized than at 7 weeks (Fig. 2e, and data not shown). OS morphogenesis thus appears to be subtly affected initially by Rpe65-deficiency in the RPE; OS discs are elaborated and deployed, as in wild type, although they are not as regularly packed. In older animals the level of disorganization increases. Alterations in OS phagocytosis by the RPE were not evident. In the RPE of 15-week-old Rpe65−/− mice, numerous lipid inclusions were also present ( Fig. 8d).

Figure 3. Electron microscopy of outer retina of Rpe65-deficient and normal mice.
Figure 3 thumbnail

Seven-week-old Rpe65+/+ (a) and 7-week-old Rpe65-/- (b) mice are shown. Retinal pigment epithelium, RPE; rod outer segments, OS; rod inner segments, IS.



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Figure 4. Dark-adapted ERG responses in Rpe65-deficient mice.
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Intensity response curves for 6 Rpe65+/+, 6 Rpe65 +/− and 6 Rpe65−/− mice derived from ERGs recorded from 10-week-old Rpe65+/+, Rpe65+/− and Rpe65−/− mice. Stimulus intensities are designated by the neutral density filters used to attenuate the full intensity (0) stimulus. At ND=0, luminance=1.59times10 3 cd/m2. ERGs were recorded with DC-coupling. Stimulus duration=4.0 s. Mean and s.e.m. are shown.



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Figure 5. Light-adapted ERG responses in Rpe65-deficient mouse.
Figure 5 thumbnail

a, Intensity-response curves obtained from a 14-week-old Rpe65 +/+ mouse. ERGs were recorded in the dark (No Bkgd) and with different background illumination. The intensity of the background illumination is designated by the neutral density (ND) filter used to attenuate the full intensity background. At ND=2.0, the background luminance was 5.52 cd/m2. b, Intensity-response curves obtained from a 14-week-old Rpe65−/− mouse. ERGs recorded as in (a). Inset shows the ERGs elicited by the full intensity stimulus from an Rpe65−/− mouse with no background illumination (top), and an Rpe65+/+ mouse with an ND=2.0 background (bottom).



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Figure 6. Absence of holoprotein rhodopsin in Rpe65-deficient mouse retina.
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a, Difference spectra of unregenerated rhodopsin extracted from 20-week-old Rpe65+/+ (A), Rpe65+/− (B) and Rpe65−/− (C) littermates. Lack of absorption maximum at 500 nm in Rpe65−/− (C) trace indicates lack of endogenous rhodopsin. b, Difference spectra of rhodopsin regenerated with exogenous 11-cis-retinal chromophore from 20-week-old Rpe65+/+ (A), Rpe65+/− (B) and Rpe65−/− (C) littermates. Presence of absorption maximum at 500 nm in Rpe65−/− (C) trace indicates partial regenerability of residual opsin apoprotein in Rpe65-deficient retina.



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Figure 7. Presence of apoprotein opsin in Rpe65-deficient mouse retina.
Figure 7 thumbnail

a, Top, immunoblot of retina protein extract from Rpe65 +/+, Rpe65+/− and Rpe65 −/− mice compared with purified bovine rhodopsin (RHO; 5 ng) and COS-1 cell extract (50 ng). Primary antibody used was anti-rhodopsin monoclonal antibody 1D4 (ref. 48), which recognizes opsin apoprotein. The presence of monomeric, dimeric and trimeric rhodopsin is characteristic. Bottom, a control blot reacted with anti-transducin alpha-subunit (Galphat ) to confirm integrity of photoreceptor cells and equivalent loading. Immunoelectron microscopy of rod photoreceptor cells shows appropriate localization of opsin in rod outer segments (OS) in both Rpe65+/− (b) and Rpe65−/− (c) 15-week-old mice, and no evidence of abnormal accumulation in rod inner segments (IS). The apparent background staining to the left of the OS is due to displacement of opsin from these fragile structures during sectioning. Primary antibody used was anti-rhodopsin polyclonal antibody.



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Figure 8. Retinyl esters accumulate in Rpe65-deficient mouse RPE.
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HPLC of total retinyl ester isolated from RPE of 17-week-old Rpe65 +/+ (a) and Rpe65−/− mice (b). Note difference in absorbance scale. Inset in (a) and (b), HPLC of retinol isomers from saponification of the respective collected retinyl ester peak, showing presence of all-trans-retinol (peak 2) and lack of detection of 11-cis-retinol (mobility of authentic 11-cis-retinol standard is denoted by filled arrow on x-axis); detected 13-cis-retinol (peak 1) in (b) is due to isomerization of all- trans-retinol during sample handling. c, Comparison of HPLC peak height of total retinyl esters extracted from dissected individual entire RPE samples of 15-week-old Rpe65+/+ and Rpe65 −/− mice (mean and s.e.m.; n=4). d, RPE/OS interface in a 15-week-old Rpe65−/− retina. Lipid droplets (L), possibly containing all-trans-retinyl esters have accumulated in the RPE as have more electron-dense structures with translucent centers (small arrows). Larger, lamellar inclusion bodies (large arrows) are ingested outer segment fragments, indicative of normal phagocytic activity by the Rpe65−/− RPE.



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No gross changes were seen in tissues or organs outside the eye. To address the possibility that a generalized systemic effect on vitamin A-requiring organs occurred, other organs containing retinol-dependent cells, including kidney and testis, were analysed for histological changes. No differences were observed in Rpe65−/− mice when compared with Rpe65+/+ or Rpe65+/− littermates (data not shown).

Rod photoreceptor ERG is abolished in Rpe65−/− mice
The electroretinograms (ERGs) recorded from dark-adapted Rpe65+/+ and Rpe65+/− mice were typical of ERG responses recorded from other strains of normal mice with normal a-, b- and c-waves. The dark-adapted ERG responses of the Rpe65 −/− mice on the other hand were very different; the a-wave was very small, the c-wave was not evident and the b-wave was small and had fast rising and falling limbs. The mean and standard error of the mean of the b-wave amplitude for Rpe65+/+, Rpe65 +/− and Rpe65+/− mice are shown (Fig. 4). The full intensity stimulus was reduced by use of neutral density (ND) filters. For both Rpe65+/+ and Rpe65+/− mice, a small (20-30 muV) b-wave was elicited by a stimulus of ND=6.0 (1.59times10-3 cd/m 2). Further increases in the stimulus intensity increased the b-wave amplitude until it saturated at a stimulus intensity of ND=3.0 (1.59 cd/m 2). Additional increases in the stimulus intensity did not change the amplitude until the stimulus intensity was ND=2.0 (1.59times10 cd/m 2) when the photopic segment of the b-wave was evoked. The mean of the maximum b-wave amplitude was 960.0 muV for Rpe65+/+ and 937.6 muV for Rpe65+/− mice. The mean intensity:response curves for these mice did not differ significantly and resembled the curves reported previously for mice and other animals. The mean intensity:response curve for Rpe65−/− mice was very different; the curve was displaced to higher intensities by approximately 4.5 log units, and the maximum b-wave amplitude was 256.0 muV. Thus, there is a very reduced dark-adapted ERG response in Rpe65-deficient mice; although there is a response to high intensity light. In the mouse, as in other animals, the ERG response in the dark-adapted state is mostly due to rod activity, however, under bright light conditions, rod activity is suppressed and only the cone pathway contributes to the ERG (16).

Next, ERG responses were recorded under light-adapted or photopic conditions by increasing stimulus intensities in the dark, and then with increasing levels of steady background illumination (Fig. 5a). In 14-week-old Rpe65+/+ mice in the dark (No Bkgd), the amplitude of the b-wave increased (Fig. 4). With an ND=6.0 steady background illumination, the intensity:response curve was shifted to the right (higher intensities) by approximately 0.8 log units, and the b-wave amplitude increased. Further increases in the background intensity shifted the curve further to the right. Similar data were obtained from heterozygous mice (data not shown). In 14-week-old Rpe65−/− animals, however, the intensity:response curves for the eye in the dark, and with background intensities of ND=4.0, 3.0 and 2.0, were approximately the same. These findings suggest that the ERG responses of Rpe65−/− mice are cone-driven; a plot of the mean intensity:response curve for the Rpe65+/+ mouse with a ND=2.0 background intensity was not significantly different from that of the Rpe65−/− mouse obtained in the dark (data not shown). Further demonstration that the ERGs from Rpe65−/− mice are cone-driven comes from the shapes of the ERGs. The shape of the ERG responses of the Rpe65−/− mouse elicited by the full intensity stimulus in the dark closely resembles the photopic ERG responses of the Rpe65+/+ mouse with a -2.0 background ( Fig. 5b, inset) and photopic ERGs previously reported for mice. Additional evidence that the ERG responses of the Rpe65-deficient mouse were cone-driven came from flicker testing. Two Rpe65−/− mice responded only to high frequency flicker (in the cone response range) and only at higher stimulus intensities, whereas Rpe65+/+ and Rpe65+/− mice responded to low frequency flicker (rod range) only at low stimulus intensity and to all frequencies at high stimulus intensity, as expected.

Rhodopsin is absent from Rpe65−/− mouse retina
To better understand the total abrogation of rod ERG response, we analysed the rhodopsin status of dark-adapted Rpe65 −/− mice compared with Rpe65+/+ or Rpe65+/− littermates (Fig. 6 a). Total dark-adapted retina rhodopsin was detergent extracted and the unregenerated difference spectrum measured to assess endogenous rhodopsin. A typical rhodopsin absorption maximum was observed at 500 nm. Normal amounts of total rhodopsin were detergent extracted from Rpe65+/+ mouse retina of different ages (Fig. 6a, trace A for a representative spectrum). Less rhodopsin was extractable from Rpe65+/− littermates (Fig. 6a, trace B for a representative spectrum), however, no rhodopsin was extractable from dark-adapted Rpe65−/− mice retina of different ages, as shown by the flat difference spectrum ( Fig. 6a, trace C for a representative spectrum). When exogenous 11-cis-retinal chromophore was added to rhodopsin extracts, some regeneration of rhodopsin was seen in Rpe65−/− mouse extracts, as shown by the slight increase in the difference spectrum (Fig. 6b, trace C), indicating that at least a fraction of the opsin was structurally intact. Conversely, the limited increase suggests that much of the opsin is not able to be regenerated. Considering its relatively normal appearance in 7-week-old animals, morphogenesis of the Rpe65 −/− OS does not appear to be affected by lack of rhodopsin.

As a further measure of photoreceptor function, apoprotein opsin was measured in Rpe65−/−, Rpe65+/+ and Rpe65+/− littermates. Opsin was detected by immunoblot in all three genotypes (Fig. 7a, top; Rpe65+/+>Rpe65+/−>Rpe65 −/−). The integrity of the photoreceptors was shown by immunoblot using an antibody to the alpha-subunit of transducin, G alphat (Fig. 7a, bottom). Opsin was located in the outer segments of the rod photoreceptors, the physiologically appropriate compartment, in Rpe65+/− (Fig. 7b) and in Rpe65−/− (Fig. 7c) mice, as shown by opsin immunoelectron microscopy.

All-trans-retinyl esters over-accumulate in Rpe65 −/− RPE
To determine whether the evident lack of 11-cis-retinal in the rod photoreceptors was due to lack of uptake of vitamin A by the RPE, uptake of vitamin A but lack of transport from the RPE of 11-cis-retinal (resulting in accumulation of 11- cis-retinyl esters), or uptake of vitamin A but lack of synthesis of 11- cis-retinoids, we performed HPLC analysis of RPE retinoids extracted from Rpe65+/+ (Fig. 8a) and Rpe65−/− (Fig. 8b) mice. There was an over-accumulation of total retinyl esters in 15-week-old Rpe65−/− mice. Accumulated esters in the Rpe65−/− RPE were found to be all-trans -retinyl ester by ester saponification (Fig. 8b, inset). No peak was detected at the mobility of authentic 11-cis-retinol standard (Fig. 8b, denoted by solid arrow). As expected, a much smaller all-trans-retinol peak was seen in Rpe65 +/+ samples (Fig. 8a, inset), but no 11-cis-retinol peak was detectable under the conditions used. As 11-cis-retinyl ester has been previously found to comprise only 5% of total retinyl ester in normal 13-week-old mouse RPE (17), lack of detection of 11-cis-retinol in saponified Rpe65+/+ samples was expected given the small amount of retinyl ester present. Similarly, given the increased amount of retinyl ester in the Rpe65−/− RPE (Fig. 8c), if 11-cis-retinyl ester were present in the same relative 5% abundance, it should be detectable. On the basis of these data, however, we cannot exclude the possibility that very low levels of 11- cis-retinoids are present in the RPE of Rpe65-deficient mice. A minor amount of the 13-cis-isomer (Fig. 8b, peak 1), derived from sample handling, was detected. This selective over-accumulation of all-trans-retinyl esters may be associated with morphological changes evident in the RPE of Rpe65−/− mice. A feature of the Rpe65−/− RPE at later ages, such as 15 weeks, is the presence of numerous inclusions visible at the electron microscope level (Fig. 8d) that appear to be lipid droplets. They range in form from electron-lucent to somewhat electron-opaque. This suggests that they contain lipid which has been partially or completely extracted by histological processing. In addition, 15-week-old Rpe65 −/− RPE contained other unidentified structures with electron-translucent centers (Fig. 8d).

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Discussion
The results presented here confirm the role of RPE65 in the vitamin A metabolism of the retina with the finding that the Rpe65-deficient mouse lacks rhodopsin, although it appropriately expresses the opsin apoprotein in the rod OS. This evident lack of 11-cis-retinal chromophore occurs alongside the over-accumulation of all-trans-retinyl esters in the RPE and implicates a block in the RPE visual cycle. At the same time, it appears that no 11- cis-retinyl ester accumulates. Although isomerohydrolase activity can be somewhat inhibited by 11-cis-retinol14, storage of 11-cis-retinyl ester does occur in mouse RPE (17), given an active isomerization step. This concurrent lack of rhodopsin and over-accumulation of all-trans-retinyl ester (but apparently not of 11-cis-retinyl ester) in the Rpe65-deficient mouse RPE argues for a block in isomerization. Either one of these situations alone, unaccompanied by the other, would implicate a block in transport of retinoids, either into or out of the RPE into the photoreceptors. On the other hand, 11-cis-retinoids are, apparently, not completely absent from Rpe65 -deficient mouse retina, as cone photoreceptors are still functional, although the availability of this chromophore pool appears to be restricted to cones.

At the same time, our data argue against the hypothesis that RPE65 (9) is the RPE RBP receptor, because its absence does not prevent uptake of vitamin A by the RPE, although an RBP receptor has been identified in a variety of tissues, including the RPE, by binding studies18, 19, 20. Alternatively, cellular uptake of retinol by the RPE may be governed by the level of intracellular binding proteins (high in the RPE; 21) and the rate of metabolism of vitamin A in target cells22. In the RPE of Rpe65-deficient mice, all- trans-retinol uptake is unimpaired, whereas over-accumulation of all -trans-retinyl esters may result in the RPE lipid inclusions in 15-week-old Rpe65-deficient mice, similar to those seen in the RPE of mice injected with all-trans-retinyl esters23. Retinyl esters also accumulate in the lipid droplets of frog RPE (24).

Although many components of the mammalian visual cycle have been characterized at the molecular level, including rhodopsin25, interphotoreceptor retinoid-binding protein26 (IRBP), ROS all-trans-retinol dehydrogenase27, lecithin:retinol acyltransferase28 (LRAT; which has been cloned; D.B., unpublished data), 11-cis-retinol dehydrogenase10 and 11-cis specific cellular retinaldehyde-binding protein29, 30 (CRALBP), the all-trans: 11-cis-retinol isomerase or isomerohydrolase13, 14, 15 remains incompletely characterized. Association of RPE65 with the putative 11-cis-retinoid-generating enzyme complex of the RPE is evident from its association with 11-cis-retinol dehydrogenase9. In addition, the first appearance of RPE65 (1) coincides with the first appearance of 11-cis -retinoids and retinol isomerase activity in the developing mouse and rat retina17, 31. Our data indicate that metabolism of all- trans-retinyl ester to 11-cis-retinoid is blocked in the RPE in the absence of RPE65.

Rpe65-deficient mice are, in effect, functionally rhodopsin deficient. Although both Rpe65−/− and Rho −/− mice32 lack rhodopsin, the morphological phenotypes expressed are distinct. In Rpe65−/− mice, rhodopsin holoprotein is not required for OS morphogenesis, whereas in Rho−/− mice, synthesis of opsin apoprotein is essential. Despite the presence of appropriately localized opsin in Rpe65−/− mouse retina, our results suggest that it may not be capable of regeneration. Although it may not be necessary for the initial synthesis of opsin, 11-cis-retinal may be required for its continued stability. Thus, chronic lack of chromophore may affect the ability of opsin to be regenerated in the OS. Further study of this possibility is required. Additionally, whereas both mutant mouse rod photoreceptors are non-functional, the OS-lacking Rho−/−photoreceptors degenerate far faster than OS-bearing Rpe65−/− photoreceptors32.

A central feature of the Rpe65-deficient phenotype is the abolition of rod ERG responses. The OS of Rpe65−/− are well-preserved compared with the OS of Rbp3−/− mice, which have a rod ERG response, implying movement of retinoids despite lack of the transport protein33. Thus even when transport is impaired, some chromophore can still reach the photoreceptors. Although lowered levels of rhodopsin (and opsin) are seen in Rpe65+/− animals compared with Rpe65+/+ animals, their OS morphology is identical and their ERG responses are normal, suggesting that rod photoreceptor cells have a wide range of tolerance for rhodopsin level. This is in agreement with similar findings in Rho+/− mice32. In contrast, cone ERG function in the Rpe65-deficient mice is preserved. This finding corroborates the conclusion that cone and rod pathways of regeneration may be different or separate34 . These results suggest that two separate visual cycles may operate in the mammalian retina: one centred in the RPE supplying the rod photoreceptors and another supplying the cones. Cultured chicken Muller retinal glial cells have been shown to secrete 11- cis-retinol into media35 and may play a role. Furthermore, mammalian cones, unlike rods, can resensitize with added 11-cis-retinol36, and amphibian cones34, 37 and cone-like pigments38 separated from the RPE can be regenerated. The recent identification of RPE65-like mRNA expression in cone, but not rod, photoreceptors of salamander is supportive of this39.

The Rpe65-deficient mouse is the first in vivo evidence that a distinct mammalian cone-associated visual cycle, or mechanism of regeneration, may exist. This raises differences between the Rpe65−/− mouse and the human LCA phenotypes, as in the latter, both rod and cone function are abolished or severely compromised3, 4, 5. This may be due to the relative age at which ERGs are measured in mice and human patients, or from species-specific differences in retinal anatomy and cone distribution. Mice have two types of cone cells scattered throughout the retina, one a middle-wave (510 nm) cone and the other a short-wave (370 nm)-sensitive cone that may be homologous to the human blue cone40. In the human retina, red- and green-sensitive cone cells are concentrated in the central area of high cone density known as the fovea, whereas blue-sensitive cones are scattered throughout the retina41. Perhaps this very dense concentration of highly active cones is not amenable to supply by the associated Muller cells and is therefore dependent on the RPE for regeneration.

These Rpe65-deficient mice provide a model system to study potential therapies for human diseases caused by RPE65 defects. RPE cells take up both adenovirus42, 43 and adeno-associated virus44, allowing the possibility of rescue experiments. As a therapeutic strategy, RPE transplantation is easier than that of photoreceptors, and in addition, the ultimate biochemical outcome of Rpe65 deficiency, lack of 11- cis retinoids, may be amenable to pharmacological intervention.

Blockage of the metabolism of all-trans-retinyl ester to 11- cis-retinol underlies the Rpe65-/- phenotype, indicating that RPE65 may be the effector enzyme in the isomerization step yielding 11- cis-retinol. Alternatively, RPE65 may be involved in a previously unknown step required for isomerization. RPE65 is an obligate component of the isomerization reaction, essential to both vision and the visual cycle. Continued function of cones in the Rpe65-deficient mouse, however, provides new insight into cone pigment regeneration.

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Methods
Generation of Rpe65-disrupted mice and genotype analysis.
A P1 clone containing the entire mouse Rpe65 was isolated from a 129SV mouse genomic library (Genome Systems). From this, a 7.7-kb EcoRI fragment containing exons 1, 2 and 3, and 2.8 kb of 5´ flanking region, was subcloned into Bluescript II SK (-) (T.M.R., unpublished data). A 1.7-kb EcoRI/AflII fragment from the 5´ flanking region was subcloned into pLPG9 and linearized as an EcoRI/BamHI fragment. A downstream 2.2-kb Ecl136II/EcoRI fragment from intron c was inserted into pLPG9 and linearized as an XhoI/NotI fragment. These linearized segments were inserted into X-pPNT to generate pPNT-Rpe65. pPNT-Rpe65 was linearized with NotI and electroporated into R1 ES cells45. Two ES clones with a targeted disruption were identified out of 31 clones isolated by the positive-negative G418/gancyclovir selection method. Targeted clones were identified by Southern-blot analysis after HindIII digestion of genomic DNA, using a flanking probe 3´ to the replacement. The wild-type allele was 4.9 kb, the targeted allele 5.9 kb. Clone ES-29 was microinjected into C57Bl/6 blastocysts and five chimaeric mice were produced. These chimaeras were bred with C57Bl/6 mice to generate progeny heterozygous for the mutation. Heterozygous mice were crossed to produce Rpe65 +/+, Rpe65+/− and Rpe65 −/− mice. Germline transmission of the mutation was determined by Southern-blot analysis of tail DNA, as described above. All animal experiments were carried out under protocols approved by institutional Animal Care and Use Committees and followed the NIH "Using Animals in Intramural Research" guidelines.

Rpe65 mRNA Assay.
Total RNA was isolated from whole mouse eyes using an RNeasy kit (Qiagen) and reverse transcribed using Moloney mouse leukaemia virus reverse transcriptase (Retroscript, Ambion). cDNA was PCR-amplified using mouse Rpe65 exon 4 forward primer (5´-ATGATCGAGAAGAGGATTGTC-3´) and exon 6 reverse primer (5´-CTGCTTTCAGTGGAGGGATC-3´. Primers specific for mouse Gapd mRNA were: forward (starting at nt 586), 5´-ACCACAGTCCATGCCATCAC-3´ and reverse (starting at nt 1037), 5´-TCCACCACCCTGTTGCTGTA-3´. Cycle conditions used were: hot start at 94 °C, followed by 35 cycles (94 °C, 30 s; 55 °C, 30 s; 72 °C, 30 s). Product sizes were 366 and 452 bp for Rpe65 and Gapd, respectively.

Light and electron microscopy.
Tissues for light and electron microscopy were processed as described46. Thin (0.5 mum) sections were cut with glass knives and stained with toluidine blue for light microscopy. Ultrathin sections were cut with a diamond knife and stained with uranium and lead salts for electron microscopy. For immunocytochemistry, mouse eyes were processed as previously described46. Ultrathin sections were incubated for 1 h on affinity-purified anti-bovine opsin polyclonal antibodies diluted in 0.1 M sodium phosphate buffer (pH 7.2), containing 1% bovine serum albumin (BSA-phosphate buffer). The grids with their sections were washed in buffer and floated for 1 h on 1 part 18 nm colloidal gold adsorbed to affinity-purified goat antirabbit IgG (Jackson ImmunoResearch) and 15 parts BSA-phosphate buffer. Tissue contrast was enhanced by floating the specimens on 5% aqueous uranyl acetate for 10 min and Sato's lead stain for 3 min.

Electroretinography.
Before measuring, ERG mice were anaesthetized with a mixture of ketamine:xylazine:urethane, and pupils were dilated with phenylephrine and atropine. ERGs were recorded with a wick-Ag:AgCl electrode placed on the cornea, a subcutaneous hypodermic needle (30 gauge) on the head as reference electrode and a ground placed subcutaneously in the neck region, all fed to a Tektronix A39 preamplifier with the half-amplitude bandpass set at DC to 3 kHz and displayed on an oscilloscope, and also fed to a computer running a Biopac M100 signal averaging program. The stimulus light source was either a quartz halogen lamp bulb (maximum stimulus intensity=1.59times10 3 cd/m2) or a PS22 Grass stroboscopic flash unit (maximum stimulus intensity=5.52times102 cd/m2 set at 8 and 40 Hz). The filament of the halogen lamp bulb was focused in the plane of a Uniblitz shutter (Vincent Assoc.), and another lens focused the filament on the tip of one arm of a bifurcated, randomized fiber optic bundle. The Grass stroboscopic bulb was focused on the tip of the other arm. The common arm of the bundle was brought into the Faraday cage and the tip was placed 1-2 mm from the cornea. The stimulus intensity was measured with a photometer (UDT Instruments) with the detector placed at the position of the cornea. Neutral density (ND) filters were used to reduce the full-intensity stimulus. The stimulus intensity was increased in 0.5 log unit steps, and two responses were averaged at the lower stimulus intensities (ND=6.0-3.5). Only one response was recorded at the higher stimulus intensities (ND=3.0-0). For flicker testing, responses were recorded to 2.5, 5, 7.5,10, 15 and 20 flashes/s at increasing stimulus intensities.

Rhodopsin assay.
All procedures were carried out under red lights. Mice were killed, their eyes removed and retinae dissected and stored at -70 °C until required. Retinae were homogenized in 0.5 ml of Tris-HCl (10 mM), EDTA buffer (1.0 mM, pH 7.5) containing PMSF (1.0 mM) and DNase (10 mug) by a series of syringe triturations using progressively smaller needle sizes. (18G, 20G, then 26G). Syringes and tubes were rinsed with an additional buffer (0.5 ml) and pooled with the homogenate. This was centrifuged at 88,200timesg at r max for 15 min. For regeneration experiments, the pellet is first resuspended in PBS and a fivefold excess of 11-cis -retinal added (~4 nM), incubated for 1 h at 4 °C on a rotator, centrifuged as above and the recovered pellet resuspended in 5% BSA in PBS and incubated for 30 min on a rotator at 4 °C. The regenerated sample was centrifuged as above to recover the pellet. Otherwise, after a PBS wash, the pellet was resuspended in 100 mul of 1% dodecyl maltoside in PBS and solubilized overnight at 4 °C on a rotator. Unsolubilized material was then removed by centrifugation at 109,000timesg at r max for 15 min. Supernatant was analysed by spectroscopy on the WPI SpectroPette microspectrophotometer (World Precision Instruments). A total of five spectra were summed for each sample (both dark and bleached). For the bleached spectrum, light exposure was limited to 30 s due to extremely small sample volume (60 nanoliters per mm light path length). Data were exported into Kaleidagraph for difference spectra calculations.

Western
-blot analysis. The membrane fractions of single retinae were dissolved in 100 mul PBS/1% dodecyl maltoside. For anti-opsin immunoblot analysis, these extracts were diluted 1:40 and 1 mul aliquots were resolved with SDS-PAGE (8-16% acrylamide gel) along with COS-1 cell membrane extract (50 ng) and purified bovine rhodopsin (5 ng) and electrotransferred onto Hybond-ECL nitrocellulose membrane (Amersham; 25 V, 2 h). For anti-transducin alpha-subunit immunoblot analysis, aliquots (10 mul) of undiluted retina membrane fraction extracts were used. The membranes were blocked by incubation with 5% (w/v) BLOTTO/TBST (20 mM Tris-Cl, pH 7.6, 137 mM NaCl, 0.1% Tween 20) for 2 h, and incubated with anti-rhodopsin monoclonal antibody 1D4 (22.5 mug/ml in BLOTTO/TBST; 47) or anti-transducin alpha-subunit (Calbiochem; 1:200 in BLOTTO/TBST) overnight at 4 °C. Membranes were washed three times (15 min each at 25 °C) with BLOTTO/TBST and incubated in secondary antibody (horseradish peroxidase-conjugated rabbit anti-mouse IgG (Amersham) diluted (1:10,000) in BLOTTO/TBST for anti-opsin, or horseradish peroxidase-conjugated goat anti-rabbit IgG (Amersham) diluted (1:2,000) in BLOTTO/TBST for anti-transducin alpha subunit) for 3 h at 25 °C. The membranes were washed four times in TBST followed by 1 min incubation in the ECL (Amersham) developer substrate. The membranes were drained, covered with SaranWrap and exposed to a Kodak X-Omat film.

Retinoid and retinyl ester HPLC.
Retinyl esters were extracted with methanol/hexane from dark-adapted whole mouse eyes or dissected mouse eye tissue homogenized in phosphate buffer17 (0.1 M, pH 7.0). Retinyl esters were separated on a Lichrosorb SI-60 normal phase HPLC column (Alltech) in an Applied Biosystems or Waters HPLC system, using hexane/dioxane48 or hexane/methyl t-butyl ether17 mobile phase elution with detection at 320 nm. Experimental data were compared with 11-cis-retinal and 11-cis-retinol (synthesized by RKC), all-trans-retinol and all-trans-retinyl palmitate (Sigma) standards run on the same column. Saponification was done by incubating the dried ester HPLC fractions with 0.06 N ethanolic KOH (1 ml) at 55 °C for 30 min in the dark (J.C. Saari, pers. comm.). A minor amount of isomerization (<3%) occurs with this method. Hexane extracts were analysed by HPLC as above using 11.2% ethyl acetate/2% dioxane/1.4% 1-octanol in hexane as mobile phase49.

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Received 27 July 1998; Accepted 30 October 1998

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