Rhodopsin expression is regulated primarily at the transcriptional level.
1 13 The rhodopsin proximal promoter region (RPPR), located −222 to +70 bp relative to the transcription start site, can drive photoreceptor-specific expression of a β-galactosidase (LacZ) reporter gene in transgenic mice
14 and contains binding sites for both retina-specific and ubiquitous nuclear proteins.
15 16 17 Among the transcription factors implicated in rhodopsin regulation are cone rod homeobox (Crx)
18 19 and neural retina leucine zipper (Nrl).
20 Consistent with the proposal that photoreceptor-specific genes share transcriptional regulatory mechanisms, Crx transactivates multiple photoreceptor-specific promoters including rhodopsin,
IRBP, β-phosphodiesterase, and arrestin,
18 and regulatory targets of Nrl identified to date are rhodopsin
20 21 and the rod-specific β-phosphodiesterase.
22 Highlighting the importance of precise gene regulation in the retina, mutations in
Crx and
Nrl are associated with retinal degeneration. Homozygous
Crx-knockout mice fail to form photoreceptor outer segments (OS), lack detectible visual function, and have retinal degeneration.
19 Mutations in
Crx or
Nrl have been identified in patients with various degenerative retinal diseases, including cone–rod dystrophy,
23 24 Leber congenital amaurosis,
25 and both autosomal dominant, and autosomal recessive retinitis pigmentosa.
26 In addition, deletion of
Nrl in mice leads to the loss of normal rods and an increase of conelike cells, suggesting an additional role for
Nrl in photoreceptor cell fate determination.
27