Voltage-gated L-type calcium channels contribute to retinal signal transmission.
58 Recently, it has been shown that a mutation in the
CACNA2D4 gene, which encodes one of the auxiliary subunits (α
2δ) of the L-type calcium channels, causes autosomal recessive progressive cone dystrophy.
59 The gene encoding the L-type calcium channel α
1-subunit,
CACNA1F, is associated with other types of retinal dysfunction—namely, incomplete X-linked congenital stationary night blindness (CSNB2)
60,61 and X-linked cone-rod dystrophy (CORDX3).
62 The main cellular function of Ca
v1.4 (α
1F) is thought to be the mediation of neurotransmitter release from photoreceptor and bipolar cells,
63 a function that could be assumed for Ca
v1.3 (α
1D) as well. Therefore, and because of the Ca
v1.3 (α
1D) expression in the developing retina,
CACNA1D is a candidate gene for retinal dysfunction in humans. However, no mutations have been described in patients with retinal disorders, and animal models with defects in
Cacna1d do not exhibit a retinal phenotype. Despite the absence of an obvious retinal phenotype in a Ca
v1.3
−/− mouse model, there is a reduced electroretinogram (ERG) light peak (LP) amplitude.
64 The LP of the ERG reflects the depolarization of the basolateral plasma membrane of the retinal pigment epithelium (RPE), resulting from changes in the activity of one or more calcium-sensitive chloride channels.
65 However, we did not observe immunostaining of Ca
v1.3 (α
1D) in the RPE (
Fig. 2B). The lack of retinal phenotypes in the animal models may be due to compensation by other α-subunits. In zebrafish, Ca
v1.3b is one of the obvious candidates
21 and, in the mouse, it could be Ca
v1.4 (α
1F).
60–62 The absence of a retinal dysfunction of the Ca
v1.3
−/−-defective mice does not rule out a retinal dysfunction in humans with defects in the orthologous gene, since several mouse mutants with defects in genes involved in Usher syndrome do not exhibit retinal degeneration, but only mild ERG abnormalities in some of them.
66–69 For the whirler mouse with defects in the
Whrn gene, no retinal phenotype has been reported. However, progressive retinal degeneration has been described in a
Whrn–knockout mouse (Yang J, et al.
IOVS 2008;49:ARVO E-Abstract 4405). Whether the Ca
v1.3 (α
1D) localization or function is disturbed in this mouse mutant remains to be determined. To the authors' knowledge, no locus for syndromic or nonsyndromic retinal dysfunction or deafness has been reported for the
CACNA1D locus. The locus for Usher syndrome type 2b, which harbored the
CACNA1D gene, has recently been withdrawn.
70,71