Retinitis pigmentosa is the most common form of retinal degeneration and is heterogeneous both clinically and genetically. The autosomal dominant forms (ADRP) can be caused by mutations in 12 different genes. This report describes the first simultaneous mutation analysis of all the known ADRP genes in the same population, represented by 43 Italian families. This analysis allowed the identification of causative mutations in 12 of the families (28% of the total). Seven different mutations were identified, two of which are novel (458delC and 6901CRT (P2301S), in the CRX and PRPF8 genes, respectively). Several novel polymorphisms leading to amino acid changes in the FSCN2, NRL, IMPDH1, and RP1 genes were also identified. Analysis of gene prevalences indicates that the relative involvement of the RHO and the RDS genes in the pathogenesis of ADRP is less in Italy than in US and UK populations. As causative mutations were not found in over 70% of the families analysed, this study suggests the presence of further novel genes or sequence elements involved in the pathogenesis of ADRP. R etinitis pigmentosa is a clinically and genetically heterogeneous type of retinal degeneration which results in progressive loss of vision. It is characterised by abnormalities of the photoreceptors or the retinal pigment epithelium. Patients with this disorder typically develop night blindness, followed by constriction of the peripheral visual fields, bone spicule-like pigmentary deposits, and abnormal electroretinography (ERG). In the more advanced stages of the disease, there are intraretinal and preretinal clumps of black melanin pigment, attenuated retinal vessels, loss of retinal pigment epithelium, and pallor of the optic nerve.1 The time of onset of the disease varies from childhood to middle age.2 The incidence is estimated to be 1 in 4000-5000 people in Western populations.3 4 Inheritance can be autosomal dominant, autosomal recessive, X linked, or in rare cases as a digenic trait. However, in the majority of cases (about 50-60% in the white population) it is impossible to establish the pattern of inheritance, and these cases are defined as ''sporadic. '' 5-7 Autosomal dominant retinitis pigmentosa (ADRP) represents between 15% and 35% of all cases of the disorder, depending on the countries and the ethnic groups analysed, with the highest values being found in the USA 8 and the lowest in southern Europe.9 A previous study reported that the prevalence of ADRP in the Italian population is about 17%, 10 which is concordant with estimates from other studies carried out in southern Europe. 9 To date, 12 genes have been clearly associated with the pathogenesis of this condition (RETnet, http://www.sph.uth.tmc.edu/Retnet/disease.htm). The rhodopsin (RHO) gene is the most commonly involved in ADRP (25-50% of cases) followed by RP1 (5-10%), RDS (5%), and IMPDH1 (5-10%). These prevalence values were all derived from different and heterogeneous studies mostly carried out in American and British populations, 6 11 12 and a simultaneous ...