Retinitis pigmentosa (RP) is the most common hereditary blinding disease, affecting 1 in 4000 people worldwide. The defining feature of RP is a progressive retinal degeneration that causes patients to experience night blindness early in the course of the disease, suggesting dysfunction of rod photoreceptor cells, followed by loss of peripheral vision and, ultimately, complete blindness. Although mutations in more than 45 genes have been linked to RP, defects in the rhodopsin gene account for approximately 10% of cases.
1,2 Within the human population, more than 150 different mutations in the rhodopsin gene have been linked to RP, with all but a few causing a dominant form of the disease
2 (
http://www.sph.uth.tmc.edu/retnet/;
http://www.hgmd.org/). Disease-causing dominant mutations are distributed throughout the rhodopsin protein-coding region, with the most frequent in North America being a C to A transversion that encodes a proline-to-histidine change at codon 23 (P23H). P23H was the first RP mutation identified in human patients.
3 The pathogenic mechanism of this common mutation remains obscure and effective treatments for the resulting disease are not currently available.
When expressed in mammalian cells, P23H-rhodopsin folds poorly and is transported inefficiently to the plasma membrane, with most being retained in the endoplasmic reticulum (ER), degraded, or incorporated into cytoplasmic aggregates.
4–8 These observations are largely reproduced in a
Xenopus laevis model of RP, in which P23H-rhodopsin is mainly confined to the ER in the inner segments of the frog rod cells, but does not form aggregates.
9 Retention of P23H-rhodopsin in the ER is also supported indirectly by analysis of a transgenic rat model of RP, which shows that the unfolded protein response—an indicator of ER stress—is induced in degenerating retinas.
10 Studies in mouse models of P23H-rhodopsin–induced RP do not paint such a consistent picture. Three mouse models for P23H-rhodopsin have been used to investigate P23H-rhodopsin localization—one with a human transgene,
11 one with a mouse transgene,
12 and one with a knockin at the mouse rhodopsin locus.
13 Studies with these lines agree that expression of P23H-rhodopsin causes retinal degeneration, with features in common with the human disease, and that the severity of retinal degeneration correlates with the level of P23H expression. They differ significantly, however, in their conclusions about the localization of P23H-rhodopsin.
The first study of P23H-rhodopsin–induced RP in mice established three lines carrying genomic human transgenes for the mutant rhodopsin.
11 These lines expressed the human transgene mRNA at different levels, equivalent to 6, 2, or ⅓ the expression from a single endogenous copy of the mouse rhodopsin gene. In the two high expression lines, degeneration was rapid, limiting studies of morphologically normal retinas to postnatal day 10 (P10), at which time most of the human rhodopsin—detected by an antibody specific for human rhodopsin—was found in the region of the developing inner and outer segments, with significant levels in the outer nuclear layer and in the outer plexiform layer.
11,14 In the lower expressing, slower degenerating line, however, most of the human P23H-rhodopsin was found in the rod outer segment, although a small fraction was initially misrouted to the outer plexiform layer and later in the course of degeneration to the outer nuclear layer, as well.
11,14 Parallel studies with lines carrying normal human rhodopsin transgenes demonstrated that human rhodopsin itself is not toxic in mice unless substantially overexpressed,
11 a finding confirmed in subsequent studies that showed human rhodopsin is fully functional in mice.
15Extensive studies have been carried out with a more slowly degenerating mouse line that contains two to five copies of a genomic mouse transgene, which was modified to include five mutations that led to three closely linked amino acid changes: V20G, P23H, and P27L, which we will refer to as GHL.
12,16–20 The nucleotide changes provide a means to detect GHL mRNA specifically, which in this line is expressed at a level equal to about one copy of an endogenous mouse gene.
12 The flanking amino acid changes were introduced to provide a potential epitope tag specific for GHL opsin. A GHL-specific antibody was used in one study to show that GHL opsin localizes mostly to the rod outer segment, but with some mislocalization to the outer plexiform layer.
19 The majority of localization studies in GHL mice, however, have been carried out using antibodies that do not distinguish between GHL and wild type mouse rhodopsin. In one study the GHL transgene was bred onto a homozygous rhodopsin null background, so that GHL opsin could be specifically tracked.
20 In these mice, which do not develop rod outer segments, the GHL rhodopsin was present at much less than its expected levels, suggesting extensive degradation, and it was localized entirely in the ER around the rod cell nuclei in the outer nuclear layer.
20 The different conclusions in these two studies could be due to the presence of normal mouse rhodopsin, which may influence the localization of the GHL rhodopsin. Indeed, it has been shown that increasing the amount of normal rhodopsin up to a limit where it is toxic on its own, improves the retinal health of mice that express a P23H transgene.
20,21Recently, a P23H-rhodopsin knockin mouse model was generated, in which the endogenous mouse rhodopsin locus was modified to carry the P23H mutation.
13 These mice express roughly equal amounts of P23H and normal mouse rhodopsin mRNAs, as expected for a knockin. In mice heterozygous for the P23H knockin and a knockin of a human rhodopsin-GFP fusion gene,
22 which makes a longer protein, 90% or more of P23H-rhodopsin was shown to be degraded relative to rhodopsin-GFP.
13 In mice heterozygous for P23H and normal mouse rhodopsin, all the rhodopsin detected by an antibody that does not distinguish between P23H and normal mouse rhodopsin was found in the rod outer segment.
13 Given the extensive degradation of P23H-rhodopsin, it is unclear whether mislocalized P23H-rhodopsin could have been detected in these studies.
Collectively, these studies demonstrate that P23H-rhodopsin in mice causes retinal degeneration that exhibits many features in common with the human disease.
11–13 In the absence of wild type rhodopsin, P23H-rhodopsin appears to be degraded,
13,20 but there is no information on its fate in the presence of normal rhodopsin. Similarly, there is disagreement as to whether the majority of P23H-rhodopsin is localized correctly
11,13,19 or mislocalized to other rod cell compartments.
14,20 Because these questions are fundamental to the mechanism of P23H-rhodopsin induced RP in humans, we sought to establish a P23H-rhodopsin mouse model that could address P23H-rhodopsin degradation and localization. To do so, we generated a mouse knockin that carries a human P23H-rhodopsin-GFP fusion gene at one of the endogenous mouse rhodopsin loci. We designed the fusion gene to be expressed at a low enough level so that in a heterozygous mouse it triggered no significant retinal dysfunction, thus allowing us to examine degradation and localization in the presence of normal mouse rhodopsin, but in the absence of retinal degeneration. By comparing this mouse line with a previously generated line with a knockin of a human rhodopsin-GFP fusion gene,
22 we show that P23H-rhodopsin-GFP is substantially degraded and is mostly mislocalized to the outer nuclear layer and the rod inner segment.