Eye photoreceptor membrane discs in outer rod segments are highly enriched in the visual pigment rhodopsin and the -3 fatty acid docosahexaenoic acid (DHA). The eye acquires DHA from blood, but transporters for DHA uptake across the bloodretinal barrier or retinal pigment epithelium have not been identified. Mfsd2a is a newly described sodium-dependent lysophosphatidylcholine (LPC) symporter expressed at the bloodbrain barrier that transports LPCs containing DHA and other long-chain fatty acids. LPC transport via Mfsd2a has been shown to be necessary for human brain growth. Here we demonstrate that Mfsd2a is highly expressed in retinal pigment epithelium in embryonic eye, before the development of photoreceptors, and is the primary site of Mfsd2a expression in the eye. Eyes from whole body Mfsd2a-deficient (KO) mice, but not endothelium-specific Mfsd2a-deficient mice, were DHA-deficient and had significantly reduced LPC/DHA transport in vivo. Fluorescein angiography indicated normal blood-retinal barrier function. Histological and electron microscopic analysis indicated that Mfsd2a KO mice exhibited a specific reduction in outer rod segment length, disorganized outer rod segment discs, and mislocalization of and reduction in rhodopsin early in postnatal development without loss of photoreceptors. Minor photoreceptor cell loss occurred in adult Mfsd2a KO mice, but electroretinography indicated visual function was normal. The developing eyes of Mfsd2a KO mice had activated microglia and up-regulation of lipogenic and cholesterogenic genes, likely adaptations to loss of LPC transport. These findings identify LPC transport via Mfsd2a as an important pathway for DHA uptake in eye and for development of photoreceptor membrane discs.
Docosahexaenoic acid (DHA)2 is a conditionally essential -3 fatty acid highly enriched in neuronal tissues such as the brain and eye and is considered to be required for normal development and function of these tissues (1, 2), but the function of DHA in the retina is not understood. Within the eye, DHA is primarily found in phospholipids of photoreceptor outer segment (OS) membrane discs localized together with the photoreceptor rhodopsin (3) accounting for the highest body concentration of DHA per unit area (1). Like in brain, the eye does not synthesize DHA de novo, but must import it from the blood (1).The eye contains two cellular barriers that prevent the diffusion of blood-borne material from entering the retina, the blood-retinal barrier (BRB) formed by the endothelium of retinal capillaries and the retinal pigment epithelium (RPE) at the back of the eye (4). DHA must cross these barriers for ultimate delivery to photoreceptor discs, but the contribution of either of these routes, via the BRB or RPE, to DHA uptake in the eye is unclear. Photoreceptors in OS discs exposed to daylight accumulate photo-damaged proteins and lipids over time (5). To cope with photo-damaged discs, photoreceptor outer segment discs undergo a constant renewal process for the maintenance of its excitability ...