Mice homozygous for the retinal degeneration slow (rds) mutation completely lack photoreceptor outer segments. The rds gene encodes rds/peripherin (rds), a membrane glycoprotein in the rims of rod and cone outer segment discs. rds is present as a complex with the related protein, rom1. Here, we generated transgenic mice that express a chimeric protein (rom/D2) containing the intradiscal D2 loop of rds in the context of rom1. rom/D2 was N-glycosylated, formed covalent homodimers, and interacted non-covalently with itself, rds, and rom1. The rds⅐rom/D2 interaction was significantly more stable than the non-covalent interaction between rds and rom1 by detergent/urea titration. Analysis of mice expressing rom/D2 revealed that rds is 2.5-fold more abundant than rom1, interacts non-covalently with itself and rom1 via the D2 loop, and forms a high order complex that may extend the entire circumference of the disc. Expression of rom/D2 fully rescued the ultrastructural phenotype in rds؉/؊ mutant mice, but it had no effect on the phenotype in rds؊/؊ mutants. Together, these observations explain the striking differences in null phenotypes and frequencies of diseasecausing mutations between the RDS and ROM1 genes.Rod and cone photoreceptors contain a structure, called the outer segment, comprising a stack of flattened membranous discs. These discs are the sites of photon capture and reactions of visual transduction. rds is a 36-kDa glycoprotein with four transmembrane segments located in the rims of rod and cone outer segment discs (1, 2). Although the function of rds is not known, the phenotype resulting from a null mutation in its gene has been described. Photoreceptors in retinal degeneration slow (rdsϪ/Ϫ) 1 mice completely fail to develop outer segments (3-5). Instead, rhodopsin-containing vesicles are present in the subretinal space between the photoreceptor cell bodies and retinal pigment epithelium (6 -8). Disc addition at the base of the outer segment is an ongoing process in mature photoreceptors, to compensate for the diurnal shedding of distal outer segments (9). The rdsϪ/Ϫ phenotype suggests that outer segment membranes are synthesized in these mutants but cannot fold into discs without rds. rdsϩ/Ϫ heterozygotes have a partial phenotype of short and grossly disorganized outer segments, which results from haploinsufficiency (10, 11).More than 50 mutations in the human RDS gene are responsible for several dominantly inherited retinal degenerations including retinitis pigmentosa (RP) (reviewed in Refs. 12 and 13). Most RDS mutations cause single-residue substitutions within the large intradiscal D2 loop of rds between transmembrane segments three and four (Fig. 1A). An unusual form of RP with digenic inheritance has been described (14). Affected individuals in three pedigrees were heterozygous for both a mutation in RDS, causing an L185P substitution in the D2 loop, and an early frameshift mutation in the unlinked gene for rom1 (14). Neither mutation alone caused disease.rom1 is a protein homologous to rds with an...