Although the overall downregulation of GCAPs in the GC1 KO retina was expected, it was intriguing that the only GCAP protein detected in the outer segment region of the photoreceptor cells was GCAP2. This observation and the results of recent analyses of GCAP1/GCAP2 double-KO mice provide new clues about the possible physiological roles that GCAP1, GCAP2, GC1, and GC2 play in photoreceptor function. First, the absence of GCAP1 immunostaining in the photoreceptor outer segments of GC1 KO retinas points to a possible role for GCAP2 in regulating GC2 activity in rod photoreceptors. The hypothesis that GC2 and GCAP2 underlie rod function in the GC1 KO mouse retina is indirectly supported by the recent observation that the kinetics of rod photoreceptor responses to light stimulation in the retinas of GCAP1/GCAP2
−/− mice expressing bovine GCAP2 are very similar to those measured in rods in the GC1 KO mouse.
17 The additional observation that expression of GCAP1 in the GCAP1/GCAP2 KO mice restores normal flash response kinetics in both rod
16 17 and cone
15 photoreceptor cells reinforces the view that GCAP1 is essential for cone function and that it alone is capable of maintaining normal rod function. Second, the observation that rod photoreceptor cells remain functional and do not degenerate in the GC1 KO mouse retina
12 is consistent with the hypothesis that GC2, which has also been localized to photoreceptor outer segments,
39 is capable of supporting rod phototransduction and survival in the absence of GC1. Because cone photoreceptors cannot function in the absence of GC1 and degenerate in both the GC1 KO mouse and GUCY1*B retina, it appears that these cells do not possess a “redundant” mechanism for cGMP synthesis that can sustain function and survival. This scenario holds true for cone cells in GUCY1*B; however, unlike the rods in the GC1 KO mouse retina, the absence of GC1 in the GUCY1*B retina adversely affects rod function and survival. Functional and histologic studies of human LCA1 retinas show that rod cell function is also compromised in them.
36 The “bystander” hypothesis that has recently been proposed as a possible explanation for the observed secondary loss of rod or cone cells in genetic retinal diseases could explain these observations.
40 If cone cells are the primary targets in LCA1, then rod cell death in chicken and human retinas could reflect greater connectivity by gap junctions between cones and rods in these retinas. The relatively uniform, central-to-peripheral loss of rods across the GUCY1*B chicken retina,
14 whose photoreceptor population is ∼80% cones, is consistent with the predictions of the “bystander effect” hypothesis. Based on these observations, rod loss in human LCA1 retina would be predicted to be most severe in the cone-enriched macular region.