R etinitis pigmentosa (RP), which occurs in about 1 in 3000-7000 people in Spain, is inherited in an autosomal dominant manner in 12% of cases, in an autosomal recessive way in 39%, and in an X linked manner in 4% of cases.1 This leaves 41% of RP cases with a simplex form and 4% in which the transmission pattern is unclear.The different genes that have been implicated in retinal degeneration are known or assumed to be expressed in the photoreceptor cells of the retina or in the retinal pigment epithelium (RPE). The large number of RP genes identified can be grouped into a number of functional classes: (1) proteins of the visual cascade, (2) proteins of the visual cycle, (3) photoreceptor cell transcription factors, (4) proteins related to catabolic processes, and (5) 14 and in the USH2A gene 15 have been detected in a small percentage of Spanish ARRP families. These data indicate that other genes play a part in the degeneration process of the retina in the remaining families.We analysed the involvement of three additional genes, the RPE retinal G protein coupled receptor (RGR), the cellular retinol binding protein (CRBP1), and the crumbs homologue 1 (CRB1) (table 1) in 92 ARRP Spanish families.RGR is an integral membrane protein that is expressed in the cytoplasm of RPE and Müller cells. 16 It is a member of a large family of G protein coupled receptors and shows considerable overall homology to the visual pigments and retinochromes. Under light conditions, RGR converts all-transretinal to 11-cis-retinal, whereas the reverse isomerisation occurs within rhodopsin.CRBP1 belongs to a family of cytosolic proteins whose members bind various hydrophobic ligands. This protein is a component in the retinal pigment epithelium where it is believed to function in intracellular storage and transport of retinol.The CRB1 gene is expressed in human retina and brain. It exhibits alternative splicing at its 3′ end and the four classes of mRNA are predicted to encode four different proteins, two of which are found in human retina. 17 Given its homology to the Drosophila Crumbs protein that is required for polarity and adhesion in embryonic epithelia, it has been postulated that the role of CRB1 in vertebrate photoreceptors may be in cell adhesion and photoreceptor morphogenesis. A role in localising the phototransduction complex to the apical membrane of the photoreceptors has been proposed owing to the specific expression of CRB1.
MATERIALS AND METHODS
FamiliesThis study comprises 92 ARRP families including four families with retinitis punctata albescens (50 consanguineous and 42 non-consanguineous pedigrees). Most of the families were examined ophthalmologically at the Hospital de la Santa Creu i Sant Pau in Barcelona or at the Fundación Jiménez Díaz in Madrid. The clinical diagnosis of RP was based on ophthalmological examination including measurements of visual acuity, ophthalmoscopy, dark adaptation, ocular tension by air tonometer, perimetry, and electroretinogram amplitudes according to ISCEV protocols.
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METHODSBlood sam...