2012
DOI: 10.1074/jbc.m111.329235
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Lipofuscin and N-Retinylidene-N-Retinylethanolamine (A2E) Accumulate in Retinal Pigment Epithelium in Absence of Light Exposure

Abstract: Background: Toxic components of lipofuscin in the retina are proposed to arise from all-trans-retinal, a by-product of light detection. Results: Lipofuscin precursors form from 11-cis-retinal; lipofuscin accumulation is independent of light exposure. Conclusion: 11-cis-Retinal is the primary source of lipofuscin components. Significance: 11-cis-Retinal may play a major role in the pathogenesis of macular degenerations.

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Cited by 115 publications
(160 citation statements)
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References 44 publications
(35 reference statements)
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“…The mechanism by which ABCA4 transport activity together with chemical isomerization removes excess 11-cis-retinal from photoreceptor outer segments provides a molecular rationale for the light-independent accumulation of A2E and lipofuscin recently observed in Abca4 knockout mice (11). In the absence of ABCA4, 11-cis-retinal and its Schiff-base conjugate will accumulate in disk membranes leading to the formation of A2E and other bisretinoids in photoreceptors and lipofuscin deposits in RPE cells following phagocytosis of outer segments.…”
Section: Discussionmentioning
confidence: 96%
See 1 more Smart Citation
“…The mechanism by which ABCA4 transport activity together with chemical isomerization removes excess 11-cis-retinal from photoreceptor outer segments provides a molecular rationale for the light-independent accumulation of A2E and lipofuscin recently observed in Abca4 knockout mice (11). In the absence of ABCA4, 11-cis-retinal and its Schiff-base conjugate will accumulate in disk membranes leading to the formation of A2E and other bisretinoids in photoreceptors and lipofuscin deposits in RPE cells following phagocytosis of outer segments.…”
Section: Discussionmentioning
confidence: 96%
“…However, the light-dependent accumulation of lipofuscin and A2E in Abca4 knockout mice has been recently challenged. Boyer et al (11) have shown that the levels and rates of increase in lipofuscin, including the lipofuscin fluorophore A2E, were similar in dark-reared and cyclic light-reared Abca4 knockout mice. These results and experiments showing that the addition of 11-cis-retinal to metabolically compromised photoreceptors results in the accumulation of lipofuscin-like fluorophores have led to the suggestion that ABCA4 may play a more important role in the removal of 11-cisretinal from photoreceptor outer segments although the mechanism remains to be determined (11).…”
mentioning
confidence: 98%
“…In disease marked by 11-cis-retinal deficiency, 9-cis-retinal can form iso-rhodopsin (37) and generate small light-evoked rod responses (38). The propensity for 9-cis-retinal to form cis-A2E likely explains the detection of some RPE autofluorescence in Rpe65 −/− mice (39).…”
Section: Discussionmentioning
confidence: 99%
“…This reasoning has helped to support the hypothesis that ABCA4 functions as an exporter of all-trans-retinal. However, using ABCA4(Ϫ/Ϫ) mice, Boyer et al (25) recently showed that 11-cis-retinal can also support the formation of lipofuscin and proposed that 11-cis-retinal may be imported into the ROS discs by ABCA4. Currently, a mechanism of 11-cis-retinal import into the ROS discs is not known except through membrane diffusion.…”
mentioning
confidence: 99%
“…Based on recent studies proposing a physiological role of ABCA4 that may include translocation of 11-cis-retinal across the ROS disc membrane (25) as well as preliminary studies pointing to a specific interaction of NBD1 with 11-cis-retinal (40), we posed the following question. Do the nucleotide binding domains of ABCA4 interact with retinal, and if so, how is this interaction influenced by disease-associated mutations in these domains?…”
mentioning
confidence: 99%