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1From the Departments of Ophthalmology and Biochemistry, State University of New York at Buffalo, New York; and the 2Department of Molecular and Cell Biology, Roswell Park Cancer Institute, Buffalo, New York.
| Abstract |
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METHODS. The 2.0-kb region flanking the 5' end of the human Rk gene was isolated, mapped, and sequenced. The sequence was fused upstream of the luciferase gene and was tested for promoter activity in retinoblastoma cells by transient transfection. Transcriptionally active segments were identified by deletion and site-directed mutagenesis. Transgenic mice were generated that carried the immediate 5' flanking segment linked upstream of the enhancerless green fluorescent protein (GFP) gene. GFP expression was analyzed by RT-PCR, fluorescence microscopy, and immunohistochemistry.
RESULTS. Mapping and sequence analysis uncovered a TATA-less promoter with several recognizable elements concentrated proximally. A conserved putative homeodomain response element H1 and a GC- and a GA-rich motif were noted within a 0.11-kb region. Another putative homeodomain binding site, H2, and a stretch of C-rich repeats were present distally. Mutagenesis in conjunction with transient transfection in retinoblastoma cells identified the 0.11-kb region and H1 sequence as the key active enhancerpromoter sequences. The distal sequences were inhibitory. Transgenic mice that carried the 0.11-kb DNA segment with the GFP gene linked downstream showed GFP transcript, fluorescence, and immunoreactivity that were restricted to photoreceptors.
CONCLUSIONS. The experiments defined a short, highly active photoreceptor-specific enhancerpromoter region upstream of the Rk gene. The H1 element contributed substantially but not exclusively to the transcriptional activity of the region. The findings support a transcriptional basis for photoreceptor-specific expression of Rk.
Previous studies have suggested a possible transcriptional basis for the differential expression of GRKs or Rk in various tissues. Levels of GRK proteins, including retina and pineal-restricted GRK1,13 cone-specific GRK7,14 15 and testis-specific GRK4,16 generally parallel their tissue transcript levels, suggesting that differential promoter responsiveness may be a key factor in determining tissue-specific distribution of the protein. In the eye, Rk protein and transcript are both confined exclusively to the rod and cone photoreceptors, further consistent with this notion.8 17 However, unlike other photoreceptor-specific genes, Rk transcript levels and expression appear largely unperturbed by the functional disruption of the two known photoreceptor transcription factors, the paired homeodomain protein Crx18 19 and the leucine zipper protein Nrl,20 both of which are essential for driving expression of most of the photoreceptor-specific genes. The apparent relative insensitivity of the Rk gene to these transcriptional regulators raises the possibility of an independent set of unidentified transcriptional or posttranscriptional mechanisms that govern Rk and Rk-like gene expression.
In this study, we examined the role of transcriptional mechanism in governing the photoreceptor-restricted expression of Rk. Structural analysis, mutagenesis, and in vitro and in vivo functional studies were used to define a short, robustly active 0.11-kb DNA segment upstream of the start site that is sufficient for mediating photoreceptor-specific expression. A putative homeodomain binding site was located in the core of this segment that was responsible for part but not all of the transcriptional activity. The findings in this study highlight the importance of transcriptional mechanisms in regulating the cellular distribution of this photoreceptor-specific GRK in the eye.
| Materials and Methods |
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Structure of the Rk Promoter Region
Isolation of the human Rk genomic clone G1, which contains the 5' flanking sequence, the first two coding exons of the human Rk gene, and the 5' portion of the third exon gene has been described.22 After mapping the 16-kb DNA insert by partial-restriction digestion, the 2.0-kb EcoRI-SmaI fragment containing the flanking sequence upstream of the initiation codon was subcloned into a vector (BlueScribe, p-2.0; Stratagene, La Jolla, CA) and characterized by sequencing in both directions by an automated or manual 33P-dideoxy nucleotidebased cycle sequencing approach with a commercial DNA polymerase (ThermoSequenase; Amersham Pharmacia Biotech, Piscataway, NJ). Sequence comparisons and analysis were performed by using BLAST (www.ncbi.nlm.nih.gov/blast/ provided in the public domain by the National Center for Biotechnology Information, Bethesda, MD) or GCG BestFit algorithms (Accelrys, Princeton, NJ).
The position of the transcription start site was determined by sequence analysis of Rk cDNA clones extending farthest into the 5' untranslated region. In addition to sequencing previously retrieved cDNA clones from a random primergenerated human retinal cDNA library (Stratagene) additional Rk cDNA clones were generated by extension of Rk primers on a human retinal RNA template using an RNA ligase-mediated rapid amplification of cDNA ends kit (RLM-RACE; Ambion, Austin, TX). The inner and outer antisense primers used for the race amplification were complementary to codons 1 to 6 and 22 to 28, respectively.22 After cloning into a vector (pGEM-T; Promega, Madison, WI), the cDNAs were sequenced.
The position of start sites in relation to the 2.0-kb EcoRI-SmaI genomic sequence was further clarified by S1 nuclease and RNase mapping.23 24 To generate the antisense single-stranded S1 probe from this region, a 32P end-labeled primer complementary to positions +87 to +67 was cycle extended on a single-stranded m13mp18 template carrying the EcoRI-SmaI genomic fragment using the DNA polymerase (ThermoSequenase; Amersham Pharmacia Biotech). After the digestion of the product with ApaI, the 0.2-kb end-labeled single-stranded probe (-111 to +87) was retrieved from a denaturing polyacrylamide gel and hybridized to human retinal or control RNA (35 µg) in formamide-containing buffer.24 The hybridization mixtures were then incubated with 300 units of S1 nuclease in 1x S1 buffer for 1 hour at 37°C, and the protected hybrids were fractionated by electrophoresis on 6% denaturing polyacrylamide gel before autoradiography. For RNase mapping of the start site, antisense RNA probes corresponding to the exact same 0.2-kb genomic region were transcribed in vitro from an ApaI-linearized p-2.0 template in the presence of [
-32P] UTP (MaxiScript kit; Ambion) and hybridized to 20 µg of total human retinal or control RNA before RNase A/T1 digestion (RPAIII kit, Ambion), electrophoresis, and autoradiography.
Transient Transfection Assays of the 5' Flanking Sequence Upstream of the Human Rk Gene
A series of Rk-Luc plasmids was constructed carrying the human Rk gene 5' flanking sequences inserted upstream of the firefly luciferase gene in the pLuc vectors.21 To make the ends of the human genomic sequence compatible with the polylinker region of the pLuc vectors, the 5' ends of the 2.0-kb human EcoRI-SmaI and 0.2-kb ApaI-SmaI fragments were modified by insertion of a unique XhoI recognition sequence into either the EcoRI or ApaI site in p-2.0. The 2.0- or 0.2-kb XhoI-SmaI cassettes were then retrieved and inserted in forward or reverse orientation upstream of the luciferase gene in pXP1 or pXP2 to generate p-2.0Luc, p-2.0Luc(-), p-0.11Luc, and p-0.11Luc(-). Plasmids p-2.0h1Luc and p-0.11h1Luc were constructed from p-2.0Luc and p-0.11Luc, respectively, by replacing the wild-type H1 motif (TCTAATC; -29 to -23) with an inactive h1 sequence (AGATCTC).25 26 Mutagenic oligonucleotide pairs corresponding to positions -36 through -4 were used in conjunction with a pfu-mediated mutagenesis kit (QuickChange; Stratagene) to introduce the substitutions into this region. After sequencing the segment to ensure accurate mutagenesis, the mutagenized region was then used to replace the corresponding wild-type segment to generate the final mutant Rk-Luc plasmids. An additional series of truncated Rk-luciferase constructs without segments of the 5' end of the human flanking sequence was generated by unidirectional partial exonuclease III/S1 digestion starting from p-2.0Luc. After linearization with two adjacent restriction enzymes, XhoI and BglII, and fill-in protection of the BglII site with
-phosphorothioate dNTPs, the DNA was nuclease treated (Erase-a-Base kit; Promega) for various periods and recircularized for cloning. Nested deletions of the 2.0-kb region with segments missing from the 3' end were generated by nuclease degradation, starting with SalI-HindIIIdigested p-2.0Luc protected at the HindIII end.
For transient transfection studies, low-passage WERI-RB1 retinoblastoma and Jurkat cell lines were grown in suspension in RPMI 1640 medium containing 10% fetal calf serum, and exposed to 2.5 µg of the above Rk-Luc constructs, together with 0.5 µg of pCMV-LacF in the presence of lipofection reagent (GenePorter I; Gene Therapy Systems, Inc., San Diego, CA) for 45 minutes in serum-free medium at 37°C. After subsequent recovery in serum-supplemented medium for 48 to 72 hours, the cells were harvested, lysed, and fluorometrically assayed for luciferase and ß-galactosidase activities, with kits supplied by Tropix (Bedford, MA). Relative luciferase activities (RLA) for each construct were calculated by dividing the raw light units by the nuclearcytoplasmic ß-galactosidase activity and subsequently by the relative activity of promoterless pLuc. At least three separate transfections were performed with each of the Rk-Luc constructs, and the average ± SEM RLA was recorded for each.
Generation of Rk-GFP Transgenic Mouse Lines
A composite plasmid was developed containing the 5' flanking sequence of the human Rk gene arranged in series with the SV40 splice donoracceptor site, the GFP gene, and the SV40 poly(A) sequentially downstream. The plasmid was constructed by incorporating the XbaI-SalI sequence from pTR-UF527 into the polylinker region of p-2.0. No viral enhancer sequences were present in the construct. The 0.11GFP (1.3-kb) and 2.0GFP Rk-GFP (3.2-kb) fragments were then retrieved from the composite plasmid by digestion with ApaI-SalI and XhoI-SalI, respectively, and used as transgenes after a purification step (Qiaquick; Qiagen, Valencia, CA). Transgenic mouse lines were generated by pronuclear injection of the transgene into BCF2 embryos (C57BL/10Ros-pd x C3H/HeRos F2) followed by implantation into pseudopregnant mice.28 The progenies were screened for the presence of the GFP gene by PCR amplification of tail DNA for 30 cycles.22 Sense and antisense PCR primers were complementary to GFP sequence at positions 267-286 and 417-398, respectively (GenBank accession no. U50963; http://www.ncbi.nlm.nih.gov/GenBank; provided in the public domain by the National Center for Biotechnology Information, Bethesda, MD). Transgene copy numbers were estimated by the comparing the intensity of GFP band amplified from Rk-GFP mice with those carrying Ren-GFP.28 Transgenic founders were crossed with C57BL/6 to propagate and maintain the lines.
Analysis of Transgene Expression by RT-PCR
Total RNA was isolated from pooled transgenic tissues with standard CsCl-guanidium isothiocyanate or extraction reagent24 (TriZol; Invitrogen-Gibco, Grand Island, NY) and analyzed for GFP transcript. Reverse transcription reactions included 3 to 5 µg RNA annealed to random hexamers (50 µg/mL) in 1x reaction buffer (Promega) containing 1 mM dNTPs and 250 U Moloney murine leukemia virus (MMLV) reverse transcriptase in a final volume of 25 µL. The reverse transcriptase was excluded in control experiments to ensure that the bands detected were not the result of contamination by genomic DNA. PCR amplification of the reverse transcription products was performed as described earlier with either the GFP primer pair alone or with mouse actin amplimers in the same reaction. Mouse actin primers, both sense (positions 817-836) and antisense (positions 934-915), were chosen from adjacent exons to differentiate a band resulting from transcript versus genomic DNA amplification (GenBank accession no. NM007393).
Analysis of Transgene Expression by Fluorescence Microscopy
For gross GFP detection, freshly harvested tissues from transgenic and nontransgenic mice were compared side by side under a dissecting epifluorescence microscope. Digitally recorded images were examined for fluorescence density and distribution.
Confocal microscopy was used to further assess the distribution and cellular localization of GFP fluorescence. After a brief 10-minute fixation in 0.1 M sodium phosphate (pH 7.4) containing 4% paraformaldehyde at room temperature, dissected retinas and eyecups were washed with 10 mM sodium phosphate-buffered saline (PBS). For viewing as wholemounts, retinas were placed under 50% glycerol, with the outer segments contacting the overlaid coverslip. For identifying the layer of fluorescence, 30-to 50-µm-thick frozen eyecup sections were prepared and examined immediately after fixation under a confocal microscope.
Immunofluorescent Staining of GFP in Transgenic Eyes
Immunostaining of the eye sections was performed by a modification of methods described elsewhere.14 29 Transgenic mouse eyes were enucleated after death and placed in buffered 4% paraformaldehyde at room temperature for 1 hour. After fixation, the globes were washed in several changes of PBS and cryoprotected overnight at 4°C in PBS containing 30% sucrose. After freezing in optimal cutting temperature (OCT) compound, 10-µm frozen sections were taken onto slides (Plus; Fisher Scientific, Pittsburgh, PA) and stored at -80°C until further use. For immunolabeling, the slides were thawed, refixed, and washed in 10 mM Tris-buffered saline pH 7.4 (TBS) containing 0.1% Triton X-100 at room temperature. After the sections were blocked with 5% bovine serum albumin and 5% goat serum in TBS-Triton X100 at 37°C, they were incubated with a 1:500 dilution of the primary rabbit anti-GFP polyclonal antibody29 (kindly provided by W. Clay Smith, University of Florida, Gainesville, FL) in TBS-Triton X100 and 5% BSA. For double-staining experiments, the primary antibody cocktail was supplemented with a 1:1000 dilution of monoclonal Rk antibody D1130 (a gift from Krzysztof Palczewski, University of Washington, Seattle, WA, also available through Affinity BioReagents, Inc., Golden, CO). After overnight incubation at 4°C, the slides were washed with TBS-Triton X-100 at room temperature and blocked again for 1 hour at 37°C. The sections were then reacted with secondary (red; Alexa-568; Molecular Probes Inc.) fluorescence-conjugated goat anti-rabbit antibody in TBS containing 5% bovine serum albumin, to visualize primary antibody-antigen complex. Fluorescence-conjugated (green; Alexa-488; Molecular Probes Inc.) goat anti-mouse was added to the secondary antibody cocktail for double-labeling experiments. After the sections were washed with the TBS-Triton X-100 solution, they were mounted with antifade medium (Mowiol; Calbiochem, La Jolla, CA) and viewed by epifluorescence confocal microscopy at FITC or rhodamine channels. Control slides contained nontransgenic globe sections processed identically in the absence of relevant primary antibodies.
| Results |
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As a first step, we established the position of transcription start sites using primer extension and S1 nuclease and RNase protection mapping. The longest Rk cDNA clone, c1, retrieved from a random-primergenerated human retinal cDNA library contained 254 bp of untranslated leader sequence, placing the transcription start site at least 254 bp ahead of the initiation codon. No additional untranslated sequences were found among other Rk cDNA clones generated by the RLM-RACE primer extension approach. The genomic clone G1 also contained exactly the same noncoding sequences as the cDNA clones, further excluding the possibility of additional introns interrupting the 5' Rk untranslated sequence in the genome. To further verify the position of start sites relative to the genomic sequence, S1 nuclease and RNase mapping were performed with labeled single-stranded probes derived from the ApaI-SmaI genomic fragment (-111 to +87) (Figs. 1A 1B 1C) . After hybridization to total human retinal RNA and digestion of residual single-stranded nucleic acids, the protected hybrids were fractionated by electrophoresis and visualized by autoradiography. A comparable collection of protected bands were observed by both mapping approaches (Figs. 1B 1C ; lanes 1, 5) suggesting heterogeneity of the transcription start site. Position +1 was arbitrarily designated based on the position of the cap site for the most distally initiated transcript detectable on RNase mapping (Fig. 1C) . No protected hybrids were detected with control RNA (Figs. 1B 1C ; lanes 2, 4). All detectable cap sites mapped by these approaches fell within 280 bases of the initiation codon. No Inr sequence was found, consistent with nonspecific transcription initiation near the site of the formation of the photoreceptor-specific transcriptional complex.31 These observations on heterogeneity of the start site are furthermore consistent with the absence of a TATA-motif upstream of the Rk gene.32
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To study the transcriptional activity of the 5' flanking region, we generated a series of plasmids carrying the Rk flanking sequences upstream of the luciferase gene and analyzed their activity by transient transfection (Fig. 2) . WERI-RB1 retinoblastoma cells transfected with p-2.0Luc carrying the full 2.0-kb flanking sequence showed luciferase activities on average 50 times higher than those transfected with pLuc. Truncated constructs missing as few as 24 bases from the 3' end of the 2.0-kb region (p-2.0/0.03Luc) conferred only a fraction of the luciferase activity (0.2x) whereas those without the proximal segment altogether with positions between +63 and -217 missing (p-2.0/0.2Luc) showed no activity at all. In contrast substantial enhancement in activity was observed with truncation from the 5' direction. Both p-0.5Luc and p-0.11Luc were five to six times as active as p-2.0Luc. The burst in activity was most evident with the elimination of the sequence between positions -556 and -718, with p-0.5Luc showing four times the activity of p-0.75Luc. This abrupt enhancement resulting from the removal of this narrow segment was in contrast to the relatively blunted increase resulting from elimination of nucleotides between -1904 and -719, as evident from comparison of p-2.0-, p-1.5-, p-1.0-, and p-0.75Luc activities. The relatively robust activity of the residual enhancerpromoter residual segment was orientation independent after removal of the positions -1904 to -113, with activity of p-0.11Luc essentially equaling p-0.11Luc(-). The activity, however, appeared to be relatively position sensitive, as judged from the inactivity of p-2.0Luc(-), which in effect carries the highly active, albeit inverted, 0.11-kb region separated from the luciferase gene by more than 1800 bp. Activities of the plasmids were uniformly four- to fivefold lower in Y79 retinoblastoma cells, reflecting the lower transfection efficiency of this cell type by 80% (data not shown). None of the constructs showed any luciferase activity in the nonphotoreceptor Jurkat cell lines, despite the presence of the comparable ß-galactosidase activity in both retinoblastoma and Jurkat cells. These results suggest that the transcriptionally active sequences are largely confined to a short proximal enhancerpromoter segment from -112 to +87, with inhibitory sequences located distally and concentrated in the region between -556 and -718.
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Confocal microscopy was used to further examine the cellular localization of GFP fluorescence. Eyecups were briefly fixed and immediately viewed after frozen sectioning to minimize autofluorescence. The confocal micrograph in Figure 5A shows bright fluorescence confined to the outer layers of the retina occupied by photoreceptors and their processes, including the outer and inner segments. A lower level of fluorescence was also seen in outer nuclear layer and synaptic terminals. This pattern is consistent with primarily cytosolic distribution of GFP throughout the photoreceptors. No background was visible on nontransgenic sections (Fig. 5B) , except for a faint yellowish fluorescence that was barely detectable in enhanced micrographs.
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To demonstrate colocalization of the endogenous Rk with GFP, we stained the transgenic globes with a combination of monoclonal anti-Rk and polyclonal anti-GFP antibodies. Secondary green and red antibodies were used to stain Rk green and GFP red. The direct green fluorescence from GFP was largely obscured by background autofluorescence in the fully fixed sections and did not interfere with the high quantum yield fluorescent signal expected from Rk bound to a green fluorescence-conjugated antibody. Double-labeled sections show uniform distribution of GFP epitopes stained red in cytosol (Fig. 5G , rhodamine channel) complemented with prominent specific green fluorescence from Rk immunoreaction concentrated in the outer segment (Fig. 5H , FITC channel). The preferential localization of Rk signal in the outer segments was anticipated reflecting the interaction of Rk with its membrane-bound light-activated rhodopsin substrates,47 whereas GFP was expected to be more uniformly distributed without any membrane localization signal. Nevertheless, the colocalization of the fluorescence is evident from uniformly yellow photoreceptor outer segments in the composite confocal micrograph (Fig. 5I) and provides compelling evidence for the photoreceptor-specific activity of the human 0.11-kb promoter, paralleling the specificity of the endogenous mouse Rk promoter.
| Discussion |
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Among photoreceptor-specific genes characterized to date, Rk generally resembles Irbp,34 35 arrestin,39 40 and ß-PDE36 37 38 in promoter architecture and function. Comparable cis-acting elements are found in all these TATA-less promoters, including key homeodomain binding sites, GC-rich sequences, and GA-boxes concentrated within the vicinity of the start site immediately upstream of the gene.48 As in the Rk promoter, sequences tend to be most active proximally and the distal regions generally inhibit the overall promoter activity, both in vitro38 48 49 and in transgenic mouse or Xenopus models.37 41 50 Such parallels in architecture and function could mean that this group of relatively simple TATA-less promoters is coregulated by a set of mechanisms fundamentally distinct from those that govern specialized photoreceptor-specific genes, such as opsins with complex TATA-containing promoters linked to photoreceptor terminal differentiation. Subtle differences in expression profiles among Rk-like genes including rod-restricted expression of arrestin and ß-PDE in contrast to expression of Rk and Irbp in both rods and cones could be explained by the divergence in the sequence in the proximal or distal promoters.
The conserved proximally located H1 sequence (TCTAATCG) appears to be a major contributor to the overall basal transcriptional activity of the Rk promoter. This sequence is nearly identical with putative homeodomain binding sites found upstream of nearly all photoreceptor-specific promoters characterized to date.26 A conerod photoreceptor-specific homeodomain protein Crx,25 26 responsible for terminal differentiation of the photoreceptors recognizes a consensus H1-related sequence (C/TTAATCC)26 making Crx a logical first candidate cognate for this site. However, recent studies on Crx-/- mice suggest that transcriptional activity of Rk, arrestin, and Irbp may not be effected greatly by the absence of Crx activity, despite a profound decline in the transcription of opsin and opsinlike genes tied to the terminal differentiation of photoreceptors.18 Otx2 has been proposed as the alternative transcription factor capable of driving some photoreceptor-specific genes in the presence or absence of Crx, as it has been retrieved by yeast one hybrid using the bait from the Irbp promoter sequence, even in the presence of Crx.34 49 The role of Otx2 alone, however, remains controversial, given its more generalized distribution in the eye beyond the photoreceptor.51 52 The decline in activity of the promoter with the mutagenesis of H1 sequence clearly suggests a functional role for this sequence in Rk promoter. Whether this sequence interacts at least in part with Crx, Otx2, or other homeodomain factors remains to be elucidated through future biochemical studies of the promoter.
Elements other than H1 could participate in regulating the activity of the Rk promoter. The GC-rich and GA sequences may interact with Sp proteins, as previously documented for several other photoreceptor-specific proteins, including Irbp50 and ß-PDE promoters.37 38 More distally, the PCE-like sequence H2 could participate as a developmentally sensitive element by interacting with Rx/rax an antennapedia-type homeodomain factor expressed most prominently in retina and anterior brain during early embryonic development.53 54 55 At this point, we do not have evidence supporting transcriptional activity of H2 in adult mice, but the possibility of its activity during embryonic phase cannot be excluded based on our data. The physiologic role of the more distal region containing the C3 and C4 repeats remains uncertain at this point; however, it is possible that this region may act as a regulatory silencer or shield adjacent genes against the effect of a powerful proximal promoter/enhancer segment. A major contribution from another key photoreceptor transcription factor Nrl is unlikely given that there are no identifiable sites in the Rk promoter so far examined and that the targeted disruption of Nrl leads to only a relatively small change in the expression of Rk.20 The possibility that this or other cognates may nevertheless act through remotely located sequences to regulate the expression in photoreceptors or even pineal13 or cone photoreceptors8 10 cannot be excluded in light of the current data. The precise overlap of GFP (red) and endogenous Rk (green) immunoreactivities in confocal micrographs (Fig. 5I) , evident from the uniformly yellow outer segments uninterrupted by any discernible green skip areas, suggests that the key elements governing expression in all photoreceptors, including cones, are contained within the 0.11-kb Rk promoter segment. Additional evidence in favor of the presence of both cone- and rod-responsive elements comes from the demonstration of the comparable in vitro activity of proximal promoterenhancer in both conelikeWERI-RB1 and rodlike Y79 cell lines (data not shown).
Rk plays an important role in protecting from light-induced apoptosis, and alterations in Rk levels could modify the susceptibility of photoreceptors to light.5 Absence of Rk leads to light-induced retinal degeneration in mouse models, even under conditions of relatively low light, especially when compounded by additional mutations in other photoreceptor-specific genes.7 Whether changes in Rk promoter activity could ultimately compensate for or exacerbate genetic deficits affecting photoreceptors and help avert or expedite the appearance of a clinically detectable retinal disease remains an open question. Previous studies designed to examine the role of Rk mutations in causing human retinal disease have primarily focused on alterations of the coding sequence.10 11 56 Availability of the additional information from the present study opens the way to assessing the potential pathogenic impact of Rk promoter mutations in initiation and progression of retinal degenerative disease.
| Acknowledgements |
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| Footnotes |
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Submitted for publication February 26, 2003; revised April 14, 2003; accepted April 15, 2003.
Disclosure: J.E. Young, None; T. Vogt, None; K.W. Gross, None; S.C. Khani, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Shahrokh C. Khani, State University of New York at Buffalo, 462 Grider StreetECMC, Buffalo, NY 14215; skhani{at}buffalo.edu.
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