\set{final}

\def\Author{Redmond}
\def\author{redmond}
\def\vol{13}
\def\year{2007}
\def\anum{202}
\def\pages{1813-1821}
\def\txt_title{Effect of Leu/Met variation at residue 450 on isomerase activity and protein expression of RPE65 and its modulation by variation at other residues}
\def\txt_authors{T. Michael Redmond, Charles H. Weber, Eugenia Poliakov, Shirley Yu, Susan Gentleman}

\def\rcvd{19 June 2007}
\def\accept{23 September 2007}
\def\publ{28 September 2007}
\def\pdfsize{}
\def\PMID{}


\include{mvstyle.hsm}

\| External links

\| Internal defs

\article{

\title{Effect of Leu/Met variation at residue 450 on isomerase activity
and protein expression of RPE65 and its modulation by variation at other
residues}

\authors{\mailto{redmond@helix.nih.gov}{T. Michael Redmond},
\mailto{charles.weber@gmail.com}{Charles H. Weber},
\mailto{poliakove@nei.nih.gov}{Eugenia Poliakov},
\mailto{yus@nei.nih.gov}{Shirley Yu}, \mailto{sgman@helix.nih.gov}{Susan
Gentleman}}

\institutions{Laboratory of Retinal Cell and Molecular Biology, National
Eye Institute, NIH, Bethesda, MD}

\correspondence{T. Michael Redmond, NEI-LRCMB, NIH, Bldg 7, Rm 303, 7
Memorial Drive MSC 0706, Bethesda, MD 20892-0706; Phone: (301) 496-0439;
FAX: (301) 402-0750; email: redmond@helix.nih.gov}

\abstract

\abs_purpose{RPE65 is the visual cycle retinol isomerase and missense
mutations in its gene cause severe retinal dystrophies in man, due to
lack of chromophore. While the rate of opsin regeneration in mouse is
slower than in man, the methionine (M) variant of mouse RPE65 residue
450 (normally L) is associated with additionally lowered light
sensitivity and with resistance to light damage in C57Bl/6 mice,
consistent with lowered total activity. We wished to determine how this
variant affects RPE65 and if it is modulated by other rodent-specific
variations.}

\abs_methods{Site-directed mutagenesis was used to make variant
constructs in mouse and dog RPE65, which were tested for isomerase
activity by transient transfection in 293-F cells.}

\abs_results{The isomerase activity of dog RPE65 is slightly higher than
mouse. Replacing L at aa450 with M reduces total activity of dog to
approximately 70% and mouse to approximately 45% of respective wild type
RPE65, and also reduces protein levels of both variants. Replacing K at
aa446 in mouse with R, as in other species, reduces total activity in
mouse RPE65, whereas the converse case, changing dog aa446 from R to K,
increases activity. Exchanges of residues at aa457 and 459 had little
overall effect. Human variants at two of these positions, L450R and
T457N, had disparate effects, abolishing and augmenting activity,
respectively.}

\abs_conclusions{Wildtype dog RPE65 is more active than wildtype mouse
RPE65, perhaps partially explaining the slower regeneration rate in the
mouse. The effect of Met at aa450 is more severe in mouse RPE65 than in
dog. The effects of variation at residues 446 (K or R) modulate
variation at aa450. The sensitivity of aa450 to change is underscored by
the abolition of activity in the pathogenic human L450R mutation. These
results suggest that subtle species-specific residue changes may be
involved in "tuning" of RPE65 activity to required evolutionary
criteria.}

\introduction

\p{Regeneration of visual pigment opsin is ineluctably dependent upon
supply of the chromophore 11-\i{cis} retinal by the retinoid visual
cycle [1]. In brief, 11-\i{cis} retinal bound, for example, to
photoreceptor rhodopsin is photo-isomerized to all-\i{trans} retinal,
activating rhodopsin. To regenerate rhodopsin, all-\i{trans} retinal is
released from opsin, reduced to all-\i{trans}-retinol that is in turn
transported to the retinal pigment epithelium (RPE) where it is
esterified to all-\i{trans} retinyl esters. As the substrate for the
retinol isomerase [2], the all-\i{trans} retinyl esters are
enzymatically isomerized and hydrolyzed to yield 11-\i{cis} retinol
which is oxidized to 11-\i{cis} retinal and returned to the
photoreceptors. It has been found that the rate of pigment regeneration
shows species-specific variations, with rodents showing slower kinetics
of regeneration than humans, other primates and cats [3].}

\p{Recently, the highly preferentially expressed RPE protein RPE65 has
been established as the isomerase central to this cycle [4-6]. Prior to
this, the importance of RPE65 in chromophore regeneration had been well
established. Mice carrying a targeted deletion in the gene for \i{Rpe65}
display a biochemical phenotype consisting of extreme chromophore
starvation (no rhodopsin) in the photoreceptors concurrent with
overaccumulation of all-\i{trans} retinyl esters in the RPE [7]. As a
result of this, \i{Rpe65} knockout mice are extremely insensitive to
light. This insensitivity to light protects \i{Rpe65\sup{-/-}} mice from
light damage and establishes rhodopsin as the mediator of light-induced
retinal damage [8]. Human mutations in RPE65 are associated with a
spectrum of retinal dystrophies ranging from Leber congenital
amaurosis/autosomal dominant childhood-onset severe retinal dystrophy
(LCA/arCSRD) to later onset conditions described as autosomal dominant
retinitis pigmentosa (arRP) [9-12]. Additionally, a mutation identified
in the Briard dog gene for RPE65 also causes a severe retinal dystrophy
in affected animals [13,14]. A naturally occurring mutation, \i{rd12},
in mouse \i{Rpe65} has also been described [15].}

\p{In addition to these null mutants, a hypomorphic variant of mouse
\i{Rpe65} has contributed greatly to our understanding of the role of
RPE65 in retinal physiology and retinal sensitivity to light-induced
retinal damage. This variant was first detected by a quantitative trait
locus analysis which linked light-damage resistance in C57Bl/6 albino
B6(Cg)-Tyrc-2J/J substrain mice with the Chromosome 3 locus for
\i{Rpe65}, identifying the M450 variant in light resistant mice,
compared to L450 in light-sensitive albino Balb/c mice [16].
Subsequently, resistance to light damage in C57Bl/6 mice was directly
associated with the M450 variant and correlated with lowered expression
of RPE65 protein in all mice of the C57Bl/6 strain [17]. It was also
shown that mice expressing M450 variant accumulate less A2E than L450
mice [18]. Earlier, it was shown that the targeted disruption
\i{Rpe65\sup{-/-}} mice accumulated only 10% of the lipofuscin
fluorophore, a surrogate for A2E, as control animals expressing the M450
variant [19]. Together these findings confirmed the origin of A2E as a
byproduct of the visual cycle [20]. In comparing mice of 5 genotypes
(L/L, L/M, M/M, L/-, M/-), it was found that the rhodopsin regeneration
rate of these mice is proportional to RPE65 mole quantity, implying that
M450 is as "active" as L450, just less of it [21]. The M450 variant of
RPE65 was also found to act as a modifier gene for other mouse retinal
degenerations which were slowed on the M450 background [22].}

\p{In the present study we examine the effect of variation at aa450 on
the expression, activity and predicted structure of RPE65 expressed in
the in vitro minimal visual cycle cell culture system. We examine how
variation at this residue affects and is affected by variation at
neighboring residues in which rodent RPE65 differs from human, dog and
cow RPE65s. We show that there are significant changes in predicted
secondary structure and folding that are reflected in the observed
activity and stability of the variant RPE65/isomerase proteins.}

\methods

\subsection{Transient transfection and cell culture}

\p{Cell culture methods and transient transfection protocols are as
previously published [5]. For any given experiment, 3x10\sup{7} 293-F
cells were transfected with 30 mg of pVitro2 plasmid (containing dog
RPE65 and bovine cellular retinaldehyde binding protein (CRALBP) open
reading frame (ORF)) and 30 mg of pVitro3 plasmid (containing bovine
LRAT and bovine RDH5 ORFs) in the presence of 40 ml of 293fectin
transfection reagent (Invitrogen, Carlsbad, CA), all in a total volume
of 30 ml.}

\subsection{Site-directed mutagenesis of RPE65}

\p{Site-directed mutagenesis of RPE65 ORF cloned in pVitro2 [5] was done
using QuikChange XL site-directed mutagenesis kits (Stratagene, La
Jolla, CA). Oligonucleotide primer pairs used are listed in \tabref{1}.
Mutants were verified by sequence analysis (Northwoods DNA, Solway, MN)
of DNA minipreps. Validated mutant and wildtype plasmids were purified
using Qiagen purification kits (Maxi or Mega format, as appropriate;
Qiagen, Valencia, CA).}

\subsection{Retinoid extractions and High performance liquid
chromatography}

\p{Culture fractions of 19 ml volumes of transfected 293-F cells were
centrifuged and cells were harvested and retinoids extracted and
saponified by the methods previously described [5]. Isomeric retinols
were analyzed on 5 mm Lichrospher normal phase columns (2x250 mm) on an
isocratic High performance liquid chromatography (HPLC) system (Agilent
1100 series) following the method of Landers and Olson [23] as modified
by us [5]. Data was analyzed on ChemStation software (Agilent, New
Castle, DE).}

\subsection{Immunoblot analysis}

\p{Cell pellets (about 2x10\sup{6} cells) from 1 ml culture aliquots
were lysed in 200 ml CytoBuster detergent (Novagen, Madison, WI),
incubated on ice for 10 min, centrifuged at 13,000 xg for 10 min, and
the supernatant harvested for SDS-PAGE analysis. Denatured samples were
separated on 12% BisTris NuPage (Invitrogen) gels and electrotransferred
to nitrocellulose membranes. Blots were probed with antibodies by
standard procedures and developed in color substrate. Primary antibodies
used were: rabbit anti-bovine RPE65 antibody (1:4000) and rabbit
anti-CRALBP antibody (1:20,000; gift of Dr. John Saari). Secondary
antibody used was alkaline phosphatase-conjugated goat anti-rabbit IgG
(1:10,000; Novagen). Densitometry of RPE65 and CRALBP bands on
immunoblots was performed using Scion Image (release alpha 4.0.3.2)
software. RPE65 expression was normalized to CRALBP expression level.}

\subsection{Secondary structure prediction and molecular modeling}

\p{Secondary structure modeling was done using the SSpro 4.0 software,
based on an ensemble of 11 bidirectional recurrent neural networks [24]
maintained on the SCRATCH server [25] at University of California at
Irvine.}

\p{Tertiary structure modeling was done using SWISS-MODEL (version
36.0003). This is a protein structure homology-modeling server and was
accessed via the ExPASy web server and/or locally from the program
DeepView-Swiss-PdbViewer. The template for modeling RPE65 was the
structure of apocarotenal oxygenase (ACO) from \i{Synechocystis} [26].}

\results

\subsection{Sequence analysis of RPE65 and comparison with predicted
structure of apocarotenoid oxygenase}

\p{RPE65 is a member of the carotenoid oxygenase family, one of which,
\i{Synechocystis} ACO, has been crystallized. The main feature of the
predicted structure of ACO is a seven-bladed propeller arrangement of
anti-parallel \beta-sheets [24], which is proposed to hold for the other
members of this family. Alignment of the RPE65 sequence with ACO, based
on this structure, reveals moderate homology in the region (RPE65
aa412-463, ACO aa365-420) containing the presumptive \beta-sheets 24-27
of ACO [24], associated with blade 6 (\figref{1}{A}). Independent
analysis of this segment of RPE65 by the secondary structure prediction
program SSpro predicts the presence of paralogous extended \beta-sheets
in RPE65 at the expected regions and places RPE65 aa450 on presumptive
\beta-sheet 26 in Blade 6 (\figref{1}{B}). Blade 6 also contains three
additional rodent-specific variations, K446 in \beta-sheet 26 and I457
and M459 in \beta-sheet 27 which are, respectively R446, V457, and T459
in other species (\figref{1}{C}). These rodent variations in Blade 6
were thus chosen for further analysis to investigate their possible
effect on the activity of both L450 and M450 RPE65 of mouse and dog.}

\subsection{Effect of mutation of residue 450 on RPE65 activity and
expression}

\p{For all experiments, the activities are a combined phenotypic effect
of each mutation on enzymatic activity and stability as if each were
expressed as a homologous allele in vivo. We mutated residue 450 from
leucine to methionine in both mouse and dog RPE65 and transiently
transfected 293 cells as described. Activities and protein levels are
given as precentage of wildtype in any given experiment. We noted that
dog RPE65 wildtype L450 was somewhat more active than that of the mouse
RPE65 wildtype L450 (1.22\pom 0.18, n=14) for equivalent transfection.
Isomerase activity was reduced in the L450M mutants of both species
(\figref{2} and \tabref{2}), although more severely in the mouse (44% of
wt) than in the dog (71% of wt). Protein levels were likewise reduced to
55-60% of wildtype in both the L450M mutants. However, in the mouse
L450M there may have also been change in the intrinsic activity of
RPE65, as the reduction in protein level was not as great as the
reduction in activity.}

\p{Molecular modeling was used to examine the effect of exchanging Met
for Leu at residue 450. The leucine side-chain is not predicted to
interact with any other residue (\figref{3}{A}). However, there is
predicted supernumerary hydrogen-bonding between the Met sidechain and
two residues, T454 and E456 (\figref{3}{B}). It is possible that the
extra rigidity implied by this bonding affects both stability and
activity of RPE65. Secondary structure analysis of strand 26 predicts
that the substitution of Met for Leu would result in the conversion of
the \beta-sheet into an \alpha-helix (\figref{3}{C}), supporting the
destabilizing effect of this change on RPE65 structure.}

\subsection{Effect of Arg/Lys interchange at residue 446 on RPE65
activity and expression}

\p{Residue 446 of RPE65 is Arg in most species but is Lys in mouse and
rat. To determine the effect of this conservative substitution on RPE65,
we exchanged Arg for Lys in the mouse wildtype and L450M mutant and
likewise, Lys for Arg in the dog wildtype and L450M mutant (\tabref{3}).
In general, constructs with K446 had enhanced isomerase activity
compared with those with R446; the mouse L450M mutant was the only
deviation from this pattern in that R446 activity was not changed
compared with the K446 activity in this construct. In the L450M variant
of the dog RPE65, the R446K substitution almost completely augments the
loss due to the aa450 mutation.}

\p{Molecular modeling of mutants with the R446 and K446 substitutions
predicted hydrogen bond formation of the R446 side-chain with the
side-chain of Q414 at the beginning of Blade 6 and with the backbone of
L447 (\figref{4}{A,B}). In contrast, the side-chain of K446 is predicted
to extend out toward the surface of RPE65 and form no hydrogen bonds
with other residues (\figref{4}{C,D}). Of additional interest is the
prediction that the sidechains of Q414 and E456 (a residue interacting
with M450) appear to be hydrogen-bonded, which suggests that the
rigidity imparted by both R446 and M450 acts as a "brake" on RPE65
activity and stability. Variation at aa446 had little or no additional
effect on predicted secondary structure (not shown).}

\subsection{Effect of interchanges of residues 457 and 459 on RPE65
activity and expression}

\p{Rodent RPE65 also differs from other species/taxa in the replacement
of Ile for Thr at residue 457 and Met for Val at residue 459. We made
the appropriate changes in the mouse and dog RPE65, both wildtype and
L450M mutants, for testing in the 293 cell transient transfection system
(\tabref{4}). Although modest changes in isomerase activity were seen
for both Ile/Thr interchanges and Met/Val interchanges, they were not
significant and no pattern was observed. The slight variations in
protein content in these mutants only reflected the activity changes
(data not shown). Thus, these taxon-specific variations do not appear to
impact either isomerase activity or stability of RPE65.}

\p{Molecular modelling of these residues in Blade 6 predicted that the
sidechains of all these residues would project to the surface of RPE65
(data not shown). Thus, the small variations in activity seen may
reflect more intermolecular interactions with other cellular components
than internal structure/activity effects.}

\subsection{Effect of human mutations/variations at residues 450 and 457
on RPE65 activity and expression}

\p{Analysis of human RPE65 from retinal dystrophy patients reveals the
presence of variants at two of the residues under consideration in this
study, 450 and 457. The L450R alteration is associated with severe
retinal dystrophy [27], whereas the T457N alteration was predicted to be
a rare neutral variant [28]. These variants were tested for changes in
isomerase activity and expression in the dog construct in our transient
transfection system (\figref{4}). The L450R mutant severely reduced the
activity and expression of RPE65, whereas the T457N mutant somewhat
enhanced isomerase activity similarly to that of the T457I mutant
(\figref{5}{A}). The L450R mutant showed significantly lower level of
RPE65 protein, whereas the T457N mutant was comparable in RPE65 protein
content (\figref{5}{B}).}

\p{Molecular modelling based on the ACO crystal structure was used to
predict the effect of the L450R mutation on the local folding of RPE65.
The plot predicts steric hindrance of the Arg sidechain with L383 on
Blade 5 as well as a supernumerary hydrogen bond with Y431
(\figref{6}{A}). This is in strong contrast to the lack of hydrogen
bonding of the L450 wildtype and significantly more extensive than the
bonding predicted in the M450 mutant. In contrast, T457N change is
predicted to have little effect. When the effect on secondary structure
is calculated, it was predicted that L450R would result in the
conversion of the \beta-sheet 26 into an \alpha-helix (\figref{6}{C}).
T457N was not predicted to change \beta-sheet 27 (\figref{6}{C}).}

\discussion

\p{The initiating rationale for this study was to examine the effect of
the mouse L450M variant in RPE65, correlated with resistance to light
damage [14], using site-directed mutagenesis of both mouse and dog RPE65
constructs. Though C57B1/6 mice harbor this hypomorphic mutation, they
are clearly far from being blind/light-insensitive. The question can be
posed: Is RPE65 as active as it can be? Is it instead more reasonable
that RPE65 is "tuned" to match the particular regeneration requirement
of a given species [1]? The advantage of faster regeneration has to be
weighed against the disadvantage of a higher susceptibility to light
damage [8] and greater A2E accumulation [18,19], both of which are
linked to retinal degeneration [20,29].}

\p{We have shown that the M450 variant shows both lower protein
expression and lower overall activity in transfections with our in vitro
293 cell culture system of the visual cycle. The effect was more
pronounced in the mouse RPE65 (about 2/3 reduction) than in the dog
RPE65 (about 1/3 reduction) and may also involve lower intrinsic
activity. When we compared dog with mouse, the M450 protein levels
decreased approximately the same amount but the isomerase activity
decreased more in the mouse. Thus, our data suggest that it is both a
decrease in isomerase activity and a decrease in the level of protein
that is responsible for lower isomerase activity in M450 variant RPE65,
especially in mouse. The M450 side-chain is predicted to hydrogen bond
with other residues in Blade 6, whereas the L450 does not. Secondary
structure analysis predicts disruption or loss of the extended beta
strand number 26. Thus this mutation could affect secondary structure of
the \beta-strand and/or the flexibility of the blade and, consequently,
the stability and activity of the protein. On the other hand, it is not
clear whether increasing rigidity is necessarily an adverse effect in
\beta-propeller proteins (such as ACO and RPE65 are predicted to be)
that are already known to have high structural rigidity [30].}

\p{Although the effect of the M450 variant on RPE65 is proposed to be
one of reduction in stability of the RPE65 proteins, we have not
directly measured this, though we plan to address this issue in future
work. An alternative possibility is that the presence of the codon for
methionine at aa450 affects translation of the mRNA species containing
it, perhaps by some manifestation of leaky scanning with or without
reinitiation [31].}

\p{Why is the effect of methionine more severe in the mouse than in the
dog? One possibility is that the three other variations in predicted
\beta-strand 26 and 27 between rodent RPE65 and dog and human RPE65s (at
aa 446, 457 and 459) modify the effect of methionine at 450 in the
mouse. The rationale for this is that \beta-strands 25, 26 and 27 are
predicted to sequentially interact in anti-parallel hairpin conformation
and subtle variation in one may affect interaction with the others. The
residue with the most significant effect was aa446, Arg in most species
but Lys in rat and mouse. The mutant R446K in dog increased RPE65
activity in both wildtype and L450M forms, whereas the comparable mutant
K446R in mouse reduced wildtype activity but had little effect on the
L450M mutant. Although Arg/Lys is a conservative change, the predicted
effect on structure is that the Arg side-chain will bond with other
residues in Blade 6, including Q414 at the N-terminal portion of the
blade, whereas Lys is not predicted to form any side-chain bonds. The
prediction that R446 will constrain Blade 6 in the dog wildtype (L450)
could be the explanation for the lack of as great effect on the dog M450
mutant, since the blade would be expected to be already more constrained
than in the mouse wildtype RPE65 (K446). It is possible that the R to K
change in rodents evolved as a 'fine-tuning' alteration to compensate
for other activity-reducing variations outside of Blade 6.}

\p{Overall, all \beta-strand 26 mutants studied (except the extreme
mutation L450R) had moderate changes in transfected cells compared to
wildtype. These changes could be attributed to changes in the secondary
and/or tertiary structure of the blade, contributing to effects on
stability as well as isomerase activity. Proper folding of this, and
other blades, is crucial for orientation of the catalytic histidines and
glutamates of RPE65.}

\p{The other two variants in Blade 6 on \beta-strand 27, Ile/Thr at 457
and Met/Val at 459 had no significant effect on activity of either mouse
or dog RPE65s. As all their side-chains are predicted to project outward
to the surface, they are more likely to be involved in interactions with
other proteins/components than in the structural integrity and isomerase
activity of RPE65.}

\p{Further support for this model of RPE65 is given by the results of
the human mutations tested. The pathogenic L450R mutation [27]
essentially abolishes isomerase activity in transfected cells and
greatly reduces protein expression. This is a more extreme effect on a
sensitive residue than changing it to methionine. The effect of L450R
may be due to secondary structure changes converting a predicted
\beta-sheet to an \alpha-helix and/or to steric hindrance between L450R
and other residues. In contrast, the mutation T457N [28], a predicted
neutral variant found in \i{cis} with a presumed null mutation
(1060delA, originally 1114delA) [28], does not have a negative effect
and indeed gives rise to an increase in isomerase activity, compared to
wildtype, in cells transfected with it. In the human, no phenotypic
change is evident as any possible effect of T457N is negated by the null
effect of its partner mutation in \i{cis}.}

\p{These findings may have some implications for gene replacement
therapy. Is delivery of the most active form necessary, or is simply
'good enough' sufficient? Should a higher activity variant be used for
rescue? In this regard, treatment of C57Bl/6 mice carrying the \i{rd12}
mutation [15] with an AAV construct carrying a normal human RPE65 gave
restoration of visual function comparable to normal C57Bl/6 mice [32].
As noted earlier, C57B1/6 mice harbor the hypomorphic M450 allele,
making them less sensitive to light though far from being blind. The
treated \i{rd12} mice received a much more active RPE65 gene (human;
L450) than what was lost by mutation (mouse; M450), perhaps explaining
the excellent level of rescue [32]. In contrast, even considering
difference of species, therapy of affected Briard dogs with a canine
wildtype RPE65 vector was less effective [14]. Perhaps use of a
"hypermorphic" replacement is the standard for rescue of individuals
with a pair of null mutant alleles. This would have to be balanced
against the risk of localized light damage and greater A2E accumulation,
for example, at the locus of expression as discussed above [8,18-20,29].
The dynamic range of visual pigment regeneration, as governed by RPE65
activity, will become clearer as less severe, but still damaging late
onset forms of human RPE65-related retinal dystrophy disease are
described. In the case of human disease due to such hypomorphic missense
mutations, it may be possible to forestall progression of disease by use
of alternate strategies to enhance residual RPE65 activity.
Understanding how these mutations affect RPE65 structure and stability
will be invaluable in this regard.}

\acknowledgements

\p{We wish to thank Dr. John Saari for the generous gift of the rabbit
anti-CRALBP antibody. This research was supported by the NEI Intramural
Program.}

\references

\p{1. Lamb TD, Pugh EN Jr. Phototransduction, dark adaptation, and
rhodopsin regeneration the proctor lecture. Invest Ophthalmol Vis Sci
2006; 47:5137-52. \pubmed{17122096}}

\p{2. Moiseyev G, Crouch RK, Goletz P, Oatis J Jr, Redmond TM, Ma JX.
Retinyl esters are the substrate for isomerohydrolase. Biochemistry
2003; 42:2229-38. \pubmed{12590612}}

\p{3. Lamb TD, Pugh EN Jr. Dark adaptation and the retinoid cycle of
vision. Prog Retin Eye Res 2004; 23:307-80. \pubmed{15177205}}

\p{4. Jin M, Li S, Moghrabi WN, Sun H, Travis GH. Rpe65 is the retinoid
isomerase in bovine retinal pigment epithelium. Cell 2005; 122:449-59.
\pubmed{16096063}}

\p{5. Redmond TM, Poliakov E, Yu S, Tsai JY, Lu Z, Gentleman S. Mutation
of key residues of RPE65 abolishes its enzymatic role as
isomerohydrolase in the visual cycle. Proc Natl Acad Sci U S A 2005;
102:13658-63. \pubmed{16150724}}

\p{6. Moiseyev G, Chen Y, Takahashi Y, Wu BX, Ma JX. RPE65 is the
isomerohydrolase in the retinoid visual cycle. Proc Natl Acad Sci U S A
2005; 102:12413-8. \pubmed{16116091}}

\p{7. Liu SY, Redmond TM. Role of the 3'-untranslated region of RPE65
mRNA in the translational regulation of the RPE65 gene: identification
of a specific translation inhibitory element. Arch Biochem Biophys 1998;
357:37-44. \pubmed{9721181}}

\p{8. Grimm C, Wenzel A, Hafezi F, Yu S, Redmond TM, Reme CE. Protection
of Rpe65-deficient mice identifies rhodopsin as a mediator of
light-induced retinal degeneration. Nat Genet 2000; 25:63-6.
\pubmed{10802658}}

\p{9. Thompson DA, Gyurus P, Fleischer LL, Bingham EL, McHenry CL,
Apfelstedt-Sylla E, Zrenner E, Lorenz B, Richards JE, Jacobson SG,
Sieving PA, Gal A. Genetics and phenotypes of RPE65 mutations in
inherited retinal degeneration. Invest Ophthalmol Vis Sci 2000;
41:4293-9. \pubmed{11095629}}

\p{10. Marlhens F, Bareil C, Griffoin JM, Zrenner E, Amalric P, Eliaou
C, Liu SY, Harris E, Redmond TM, Arnaud B, Claustres M, Hamel CP.
Mutations in RPE65 cause Leber's congenital amaurosis. Nat Genet 1997;
17:139-41. \pubmed{9326927}}

\p{11. Gu SM, Thompson DA, Srikumari CR, Lorenz B, Finckh U, Nicoletti
A, Murthy KR, Rathmann M, Kumaramanickavel G, Denton MJ, Gal A.
Mutations in RPE65 cause autosomal recessive childhood-onset severe
retinal dystrophy. Nat Genet 1997; 17:194-7. \pubmed{9326941}}

\p{12. Morimura H, Fishman GA, Grover SA, Fulton AB, Berson EL, Dryja
TP. Mutations in the RPE65 gene in patients with autosomal recessive
retinitis pigmentosa or leber congenital amaurosis. Proc Natl Acad Sci U
S A 1998; 95:3088-93. \pubmed{9501220}}

\p{13. Veske A, Nilsson SE, Narfstrom K, Gal A. Retinal dystrophy of
Swedish briard/briard-beagle dogs is due to a 4-bp deletion in RPE65.
Genomics 1999; 57:57-61. \pubmed{10191083}}

\p{14. Acland GM, Aguirre GD, Ray J, Zhang Q, Aleman TS, Cideciyan AV,
Pearce-Kelling SE, Anand V, Zeng Y, Maguire AM, Jacobson SG, Hauswirth
WW, Bennett J. Gene therapy restores vision in a canine model of
childhood blindness. Nat Genet 2001; 28:92-5. \pubmed{11326284}}

\p{15. Pang JJ, Chang B, Hawes NL, Hurd RE, Davisson MT, Li J, Noorwez
SM, Malhotra R, McDowell JH, Kaushal S, Hauswirth WW, Nusinowitz S,
Thompson DA, Heckenlively JR. Retinal degeneration 12 (rd12): a new,
spontaneously arising mouse model for human Leber congenital amaurosis
(LCA). Mol Vis 2005; 11:152-62 \mvref{11}{17}. \pubmed{15765048}}

\p{16. Danciger M, Matthes MT, Yasamura D, Akhmedov NB, Rickabaugh T,
Gentleman S, Redmond TM, La Vail MM, Farber DB. A QTL on distal
chromosome 3 that influences the severity of light-induced damage to
mouse photoreceptors. Mamm Genome 2000; 11:422-7. \pubmed{10818205}}

\p{17. Wenzel A, Reme CE, Williams TP, Hafezi F, Grimm C. The Rpe65
Leu450Met variation increases retinal resistance against light-induced
degeneration by slowing rhodopsin regeneration. J Neurosci 2001;
21:53-8. \pubmed{11150319}}

\p{18. Kim SR, Fishkin N, Kong J, Nakanishi K, Allikmets R, Sparrow JR.
Rpe65 Leu450Met variant is associated with reduced levels of the retinal
pigment epithelium lipofuscin fluorophores A2E and iso-A2E. Proc Natl
Acad Sci U S A 2004; 101:11668-72. \pubmed{15277666}}

\p{19. Katz ML, Redmond TM. Effect of Rpe65 knockout on accumulation of
lipofuscin fluorophores in the retinal pigment epithelium. Invest
Ophthalmol Vis Sci 2001; 42:3023-30. \pubmed{11687551}}

\p{20. Sparrow JR, Fishkin N, Zhou J, Cai B, Jang YP, Krane S, Itagaki
Y, Nakanishi K. A2E, a byproduct of the visual cycle. Vision Res 2003;
43:2983-90. \pubmed{14611934}}

\p{21. Lyubarsky AL, Savchenko AB, Morocco SB, Daniele LL, Redmond TM,
Pugh EN Jr. Mole quantity of RPE65 and its productivity in the
generation of 11-cis-retinal from retinyl esters in the living mouse
eye. Biochemistry 2005; 44:9880-8. \pubmed{16026160}}

\p{22. Samardzija M, Wenzel A, Naash M, Reme CE, Grimm C. Rpe65 as a
modifier gene for inherited retinal degeneration. Eur J Neurosci 2006;
23:1028-34. \pubmed{16519667}}

\p{23. Landers GM, Olson JA. Rapid, simultaneous determination of
isomers of retinal, retinal oxime and retinol by high-performance liquid
chromatography. J Chromatogr 1988; 438:383-92. \pubmed{3384888}}

\p{24. Pollastri G, Przybylski D, Rost B, Baldi P. Improving the
prediction of protein secondary structure in three and eight classes
using recurrent neural networks and profiles. Proteins 2002; 47:228-35.
\pubmed{11933069}}

\p{25. Cheng J, Randall AZ, Sweredoski MJ, Baldi P. SCRATCH: a protein
structure and structural feature prediction server. Nucleic Acids Res
2005; 33:W72-6. \pubmed{15980571}}

\p{26. Kloer DP, Ruch S, Al-Babili S, Beyer P, Schulz GE. The structure
of a retinal-forming carotenoid oxygenase. Science 2005; 308:267-9.
\pubmed{15821095}}

\p{27. Wada Y, Nakazawa M, Abe T, Fuse N, Tamai M. Clinical variability
of patients associated with gene mutations of visual cycle protein;
Arrestin, RPE65 and RDH5 genes. ARVO abstract. Invest Ophthalmol Vis Sci
2000;41:S617. Abstract number 3277.}

\p{28. Lorenz B, Gyurus P, Preising M, Bremser D, Gu S, Andrassi M,
Gerth C, Gal A. Early-onset severe rod-cone dystrophy in young children
with RPE65 mutations. Invest Ophthalmol Vis Sci 2000; 41:2735-42.
\pubmed{10937591}}

\p{29. Reme CE. The dark side of light: rhodopsin and the silent death
of vision the proctor lecture. Invest Ophthalmol Vis Sci 2005;
46:2671-82. \pubmed{16043837}}

\p{30. Fulop V, Jones DT. Beta propellers: structural rigidity and
functional diversity. Curr Opin Struct Biol 1999; 9:715-21.
\pubmed{10607670}}

\p{31. Kozak M. Pushing the limits of the scanning mechanism for
initiation of translation. Gene 2002; 299:1-34. \pubmed{12459250}}

\p{32. Pang JJ, Chang B, Kumar A, Nusinowitz S, Noorwez SM, Li J, Rani
A, Foster TC, Chiodo VA, Doyle T, Li H, Malhotra R, Teusner JT, McDowell
JH, Min SH, Li Q, Kaushal S, Hauswirth WW. Gene therapy restores
vision-dependent behavior as well as retinal structure and function in a
mouse model of RPE65 Leber congenital amaurosis. Mol Ther 2006;
13:565-72. \pubmed{16223604}}

\endreferences

}

\beginfigures

\figfile{1}{
\figtitle{1}{Sequence analysis of Blade 6 of RPE65}

\p{\panel{A}: Alignment of the aa412-aa463 region of RPE65 with Blade 6
region of ACO (aa365-aa420); Asterisk indicates identity and dot
indicates similarity. \panel{B}: SSpro secondary structure prediction of
the aa412-aa463 region of RPE65; numbers above sequence indicate
corresponding \beta-strand number from apocarotenoid oxygenase predicted
structure; E indicates predicted extended \beta-strand, H indicates
\alpha-helix, and C indicates other structure. \panel{C}: Alignment of
the aa412-aa463 region of dog, human, rat, mouse, chicken, and
salamander RPE65 showing position of residue 450 (red L), and of variant
residues of rodent RPE65 in \beta-strand number 26 and number 27.}

\ctr{\gifimage{1}{850}{447}{46}}

}

\figfile{2}{
\figtitle{2}{Effect of methionine at aa450 on activity and expression of
RPE65}

\p{\panel{A}: 11-\i{cis} retinol production in 293-F cells transfected
with constructs expressing wildtype and L450M mutants of dog and mouse
RPE65. L450M mutant activities are expressed as percentage of wildtype
RPE65 activity (n=4). \panel{B}: Immunoblot analysis of 293-F cells
expressing wildtype and L450M mutants of dog and mouse RPE65 (top panel)
and of CRALBP (bottom panel). WT represents wildtype; d represents dog;
m represents mouse.}

\ctr{\gifimage{2a}{600}{486}{23}}

\ctr{\jpgimage{2b}{550}{306}{24}}

}

\figfile{3}{
\figtitle{3}{Effect of changing leucine at aa450 to methionine on predicted
tertiary structure of RPE65, modeled on ACO, and on secondary structure
prediction of RPE65}

\p{\panel{A} and \panel{B}: Mouse RPE65 residues are plotted onto the
ACO backbone [26] using DeepView. \panel{A}: L450 (wildtype) showing
lack of interaction of L450 with other residues; \panel{B}: M450 showing
interaction of M450 with T454 and E456. Arrowheads indicate extra
side-chain H-bonding due to M450. \panel{C}: Effect of M450 mutation on
predicted secondary structure of RPE65. M450 abolishes predicted
\beta-strand number 26 in both dog and mouse RPE65. E indicates
predicted extended \beta-strand, H indicates \alpha-helix, and C
indicates other structure.}

\ctr{\jpgimage{3a}{900}{286}{70}}

\ctr{\gifimage{3b}{600}{206}{17}}

}

\figfile{4}{
\figtitle{4}{Effect of variation at aa446 on predicted tertiary structure of
RPE65, modeled on apocarotenoid oxygenase, and on secondary structure prediction of RPE65}

\p{\panel{A}: R446/L450 (dog wildtype). \panel{B}: R446/M450. \panel{C}:
K446/L450 (mouse wildtype). \panel{D}: K446/M450. Note the interactions
of R446 and M450 with the predicted hydrogen-bonded Q414 and E456 pair.
RPE65 residues are plotted onto the ACO backbone [26] using DeepView.}

\ctr{\jpgimage{4}{900}{1044}{197}}

}

\figfile{5}{
\figtitle{5}{Effect of human mutations at aa450 and aa457 on activity and
expression of RPE65}

\p{\panel{A}: 11-\i{cis} retinol production in 293-F cells transfected
with constructs expressing wildtype and L450R and T457N mutants of dog
RPE65. L450M and T457N mutant activities are expressed as percentage of
wildtype RPE65 activity (n=3). \panel{B}: Immunoblot analysis of 293-F
cells expressing wildtype and L450M mutants of dog and mouse RPE65 (top
panel) and of CRALBP (bottom panel). WT represents wildtype.}

\ctr{\gifimage{5a}{500}{434}{15}}

\ctr{\jpgimage{5b}{400}{212}{16}}

}

\figfile{6}{
\figtitle{6}{Effect of human pathogenic mutation L450R at aa450 on predicted
tertiary structure of RPE65, modeled on ACO, and on secondary structure
prediction of RPE65}

\p{\panel{A} and \panel{B}: Dog RPE65 residues are plotted onto the ACO
backbone [26] using DeepView. \panel{A}: L450 (wildtype) showing lack of
interaction of L450 with other residues; \panel{B}: R450 showing
interaction of R450 with L383 and Y431. Arrow indicates predicted steric
hindrance of R450 with L383 and arrowhead indicate extra side-chain
H-bonding with Y431. \panel{C}: Effect of L450R and T457N mutations on
predicted secondary structure of RPE65. R450 abolishes the predicted
\beta-strand number 26 in both dog and mouse RPE65 converting it to
predicted \alpha-helix, while N457 shortens but does not eliminate the
predicted extended \beta-sheet E indicates predicted extended
\beta-strand, H indicates \alpha-helix, and C indicates other
structure.}

\ctr{\jpgimage{6a}{900}{445}{74}}

\ctr{\gifimage{6b}{750}{177}{21}}

}

\begintables

\tabfile{1}{
\tabtitle{1}{Oligonucleotide primers used for site-directed mutagenesis of RPE65}

\p{Prefixes D and M refer to oligonucleotides synthesized for dog and
mouse sequences, respectively; suffixes F and R refer to forward and
reverse primers, respectively.}

\box{\pre{
     Name                         Primer
--------------   ----------------------------------------
D-L450M-F        5'-GACAGGCTCTGCAAGATGAACGTCAAGACTAAAG-3'
D-L450M-R        5'-CTTTAGTCTTGACGTTCATCTTGCAGAGCCTGTC-3'
M-L450M-F        5'-GACAAGCTCTGTAAGATGAACGTCAAAACT-3'
M-L450M-R        5'-AGTTTTGACGTTCATCTTACAGAGCTTGTC-3'
D-V459M-F        5'-ACTAAAGAAACGTGGATGTGGCAAGAGCCCGAC-3'
D-V459M-R        5'-GTCGGGCTCTTGCCACATCCACGTTTCTTTAGT-3'
M-M459V-F        5'-ACTAAAGAAATCTGGGTGTGGCAAGAGCCA-3'
M-M459V-R        5'-TGGCTCTTGCCACACCCAGATTTCTTTAGT-3'
D-T457I-F        5'-GTCAAGACTAAAGAAATCTGGGTATGGCAAGAG-3'
D-T457I-R        5'-CTCTTGCCATACCCAGATTTCTTTAGTCTTGAC-3'
M-I457T-F        5'-GTCAAAACTAAAGAAACGTGGATGTGGCAAGAG-3'
M-I457T-R        5'-CTCTTGCCACATCCACGTTTCTTTAGTTTTGAC-3'
D-R446K/L450-F   5'-CACTTCGTTCCGGACAAGCTCTGCAAGCTGAAC-3'
D-R446K/L450-R   5'-GTTCAGCTTGCAGAGCTTGTCCGGAACGAAGTG-3'
M-R446K/L450-F   5'-CACTTTGTTCCTGACAGGCTCTGTAAGCTGAAC-3'
M-R446K/L450-R   5'-GTTCAGCTTACAGAGCCTGTCAGGAACAAAGTG-3'
D-R446K/M450-F   5'-CACTTCGTTCCGGACAAGCTCTGCAAGATGAAC-3'
D-R446K/M450-R   5'-GTTCATCTTGCAGAGCTTGTCCGGAACGAAGTG-3'
M-R446K/M450-F   5'-CACTTTGTTCCTGACAGGCTCTGTAAGATGAAC-3'
M-R446K/M450-R   5'-GTTCATCTTACAGAGCCTGTCAGGAACAAAGTG-3'
D-T457N-F        5'-GTCAAGACTAAAGAAAACTGGGTATGGCAAGAG-3'
D-T457N-R        3'-CTTTAGTCTTGACGTTCCGCTTGCAGAGCCTGTC-3'
D-L450R-F        5'-GACAGGCTCTGCAAGCGGAACGTCAAGACTAAAG-3'
D-L450R-R        5'-CTTTAGTCTTGACGTTCCGCTTGCAGAGCCTGTC-3'

}}

}


\tabfile{2}{
\tabtitle{2}{Effect of L450M mutation on RPE65 activity and expression}

\p{Mutation of aa450 from leucine to methionine reduced activity of dog
RPE65 (dL450M) less than that of mouse (mL450M), while protein
expression of each was reduced by a similar level. \sup{1}Production of
11-cis retinol. \sup{2}RPE65 immunoreactive protein. \sup{3}Calculated
as percentage of wildtype value.}

\box{\pre{
         Isomerase\sup{1}           RPE65\sup{2}
 Name    activity\sup{3}   S.D.   Protein3   S.D.   N
------   ----------   ----   --------   ----   -
dL450M      71.2      7.3      55.9     11.6   4

ml450M      44.4      7.5      59.5     15.9   4
}}

}


\tabfile{3}{
\tabtitle{3}{Effect of R/K substitution at aa446 of RPE65}

\p{Interchange of lysine for arginine at aa446 of dog RPE65 increases
isomerase activity, while interchanging arginine for lysine at aa446 of
mouse RPE65 reduces isomerase activity. \sup{1}Production of 11-cis
retinol. \sup{2}RPE65 immunoreactive protein. \sup{3}Calculated as
percentage of wildtype value.}

\box{\pre{
               Isomerase\sup{1}           RPE65\sup{2}
    Name       activity\sup{3}    S.D.   Protein3   S.D.   N
------------   ----------   ----   --------   ----   -
dWT/R446K        119.9      3.6     131.4     12.5   3
dL450M            73.9      4.9      85.4     12.4   3
dL450M/R446K      93.9      8.7      90.1     18.2   3

mWT/K446R         81.3      5.7     102.6     23.3   3
ml450M            40.4      3.8      71.1      8.5   3
ml450M/K446R      37.7      8.3      91.4     14.1   3
}}

}


\tabfile{4}{
\tabtitle{4}{Effect of variation at residue 457 and 459 on RPE65
isomerase activity of transfected 293-F cells}

\p{Interchange of isoleucine and threonine at aa457, and methionine and
valine at aa459 has no differential effect on isomerase activity of
RPE65. \sup{1}Production of 11-cis retinol \sup{2}Calculated as
percentage of wildtype value.}

\box{\pre{
               Isomerase\sup{1}
   Name        activity\sup{2}    S.D.   N
------------   ----------   ----   -
dWT/T457I        116.6      15.4   4
dL450M            62.7       2.6   4
dL450M/T457I      74.8       9.4   4

mWT/I457T        119.8      10.1   4
ml450M            44.8       1.8   4
ml450M/I457T      44.0       5.1   4


dWT/V459M         93.0       3.5   4
dL450M            66.5       5.7   4
dL450M/V459M      66.8       6.8   4

mWT/M459V         94.3       3.0   4
ml450M            38.3       7.2   4
ml450M/M459V      41.4       8.2   4
}}

}
