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Phototransduction is the series of biochemical events that lead from photon capture by a photoreceptor cell to its hyperpolarization and slowing of neurotransmitter release at the synapse. This overall process includes an activation phase and a recovery phase. While the fundamental mechanisms of phototransduction seem to be constant over a wide range of light intensities and very similar in rods and cones, the quantitative features differ strikingly depending on the level of ambient light (see Chapter 20 ) and the cell type. While we know more about the biochemistry of phototransduction than we do about any other neuronal signaling pathway, there are numerous remaining mysteries.
Rod and cone photoreceptors are densely packed in the outermost layer of the neural retina, stretching from their synapses in the outer plexiform layer to their most distal tips, which are embedded in the membrane processes of the retinal pigmented epithelium (RPE) ( Fig. 18.1 ). They are long, thin cells with their long axes aligned along the radii of the eye to maximize light collection. Efficient phototransduction depends upon the organization of photoreceptors into distinct membrane compartments ( Figs 18.1–18.3 ). The biochemical cascade of phototransduction are restricted to the outer segment, an elongated membrane compartment separated from the rest of the cell, by a thin connecting cilium or ciliary transition zone, consisting of a 9 + 0 bundle of microtubules surrounded by a very thin layer of cytoplasm and a plasma membrane. Immediately adjacent is the inner segment, the site of active biosynthesis and oxidative metabolism. Although small molecules and proteins can diffuse along the connecting cilium between the inner and outer segments, this process occurs in general on a slower time scale than that of a light response. This inter-compartment transport plays an important role in producing the molecules necessary for phototransduction and modulating their levels, but it does not contribute directly to the phototransduction cascade. While cytoplasmic diffusion is limited by the constriction at the connecting cilium, this constriction does not pose a major barrier to the propagation of electrical changes along the plasma membrane. Therefore, changes in membrane potential can be passively communicated from the outer segment to the synaptic terminal at the other end of the cell, where they control neurotransmitter release and transmit the signal to higher order neurons.
The phototransduction cascade takes place in the outer segments. There are two membrane systems in rods ( Figs 18.3, 18.4 ). The disk membranes, which can be thought of as flattened sealed vesicles, are stacked up along the long axis of the outer segment and make up the vast majority of membrane surface in the cells. The plasma membrane surrounds the disks and the cytoplasm ( Fig. 18.4 ), and forms the interface between the cell and the extracellular space. Although there are proteins linking these two membranes, there does not appear to be any flow of lipid or trans-membrane proteins between them in the outer segment. In contrast, cones have a single membrane which forms multiple invaginations that resemble disks but are not sealed and are continuous with the plasma membrane. A cone-like relationship between plasma membrane and nascent disks appears to be present at the base of rod outer segments (ROS), although there is some controversy as to whether even those nascent disks may be distinct from, and surrounded by, plasma membrane.
The components of phototransduction, discussed in detail below, are primarily localized in the outer segments, and are mostly peripheral or integral membrane proteins. The disk and plasma membranes have distinct protein compositions.
The most information at the molecular level is available for the dim light responses of dark-adapted rods (see Chapter 19 ). These cells in this state can respond with amazingly high efficiency to single photon capture events. It is useful conceptually to begin with the resting dark state and then consider the chain of events set in motion when a photon is absorbed.
In the dark, rods have a resting membrane potential of about −40 mV. The negative value means that there is more positive charge on the outside of the plasma membrane than on the inside. In most resting neurons, the potential is closer to −70 mV, so rods are considered to be relatively depolarized as compared to other cells or, as we shall see, as compared to fully light-activated rods. In rods, as in other neurons, the source of membrane potential is the inequality of ion concentrations on either side of the plasma membrane generated by the Na + /K + -ATPase. This protein uses the energy released upon ATP hydrolysis to pump sodium ions out of the cell and potassium ions into the cell, and in rods it is found in the plasma membrane of the inner segment (see Chapter 19 ). In most neurons, potassium channels are the predominant conductance at resting potentials, and these allow potassium ions to flow out of the cell down their concentration gradient. Because these channels pass a specific cation, but no anions, a net positive charge accumulates on the outside of the membrane and a net negative charge accumulates on the inside of the membrane. This occurs until the electrical energy stored in the charge separation equals the energy stored in the potassium gradient, the relationship described by the Nernst equation, described in detail in many textbooks. Strictly speaking, this equation only works when the membrane in question contains a single type of channel permeable to only a single type of ion. In reality there are always additional minor conductances (other channels and transporters) so that the resting potential is modified by these to give the typical resting value of about −70 mV to −90 mV for excitable cells.
Rods also have a negative resting membrane potential, but its magnitude is less than in many other neurons because the effects of potassium channels in the inner segment are balanced by a major additional channel current in the outer segment. The less negative resting potential, or partially depolarized state, of rods is due to the cyclic-GMP-gated cation channel (see Chapter 19 ), also known as CNG channel (for cyclic nucleotide-gated) or light-sensitive channel or phototransduction channel (see Chapter 19 ). This multi-subunit channel only passes cations, but does not discriminate strictly among different cations, allowing Na + , K + , and Ca 2+ to pass. Among physiologically important cations it has the highest permeability to Ca 2+ , but because of its much higher concentration outside the cell (over 140 mM, as compared to ~1.5 mM for Ca 2+ ), Na + is the primary carrier of the current through the CNG channel in the dark. Because it tends to dissipate the gradient of charge, by allowing positive charge to enter the cell, the open CNG channel causes the cells to be partially depolarized. Put another way, because there are substantial inward sodium currents in the outer segment to balance outward potassium currents in the inner segment, the resting potential is moved away from the potassium “equilibrium” or Nernst potential of ~−90 mV, and toward the sodium “equilibrium” or Nernst potential of ~+60 mV. Because there is net flux of cations out of the inner segment plasma membrane, and a net flux of cations into the outer segment plasma membrane, as well as electrical conductance between the inner and outer segments, a complete circuit is made which is known as the circulating current or dark current.
The CNG channel also has an influence on the concentration of Ca 2+ , which in rods and cones, as in other cells, plays an important role in signaling and regulation. A Na + /Ca 2+ , K + exchanger protein, NCKX2, uses the energy stored in the Na + gradient across the plasma membrane to push Ca 2+ ions outside the cell, against their concentration gradient (see Chapter 19 ). In the absence of any inward flux of Ca 2+ , this mechanism would lower the Ca 2+ concentration in the outer segment cytoplasm to about 10 nM. In the dark, there is an inward leak of Ca 2+ through the CNG channel, so the resting level of Ca 2+ is a few hundred nanomolar.
Even though in the dark more channels are open than at any other time, because cGMP levels are at their highest, the percentage of total channels that are open is fairly small; most of the channels are closed even in the dark (see Chapter 19 ). One reason for this situation is that binding of more than one cGMP is necessary to give each channel a high probability of opening, i.e. the response of the channel to cGMP is non-linear and shows positive cooperativity. The other reason is that the dark concentration of cGMP is well below the concentration of cGMP at which channel opening probability is 50 percent, a number that reflects the affinity of cGMP for the channel subunits as well as the positive cooperativity. Because the dark cGMP concentration is at the low end of the dose response curve for the channel (therefore very far from saturation), even a small change in cytoplasmic concentration of cGMP can be immediately sensed as a change in the number of open channels and therefore of the dark current.
The resting, or dark, level of cGMP is determined by the balance between the activity of the enzyme that synthesizes it, guanylate cyclase (GC), and the enzyme that degrades it, the cGMP phosphodiesterase, PDE6. Both of these have much lower activities in the dark than they do in the light. When fully activated PDE6 is one of the most efficient enzymes known, and the most active of any of the PDE superfamily of cyclic nucleotide phosphodiesterases. The maximal turnover at saturating cGMP concentrations, k cat , has been reported to be between 1000 s −1 and 7000 s −1 , and the Michaelis constant, the cGMP concentration at which activity is half-maximal is about 40 µM. Thus the enzymatic efficiency, k cat / K m , is thus in the range of 2.5 × 10 7 M −1 s −1 to 1.75 × 10 8 M −1 s −1 , implying that it operates near the diffusion limit. PDE6 requires two kinds of metal ions for activity. Mg 2+ binds reversibly along with cGMP, and Zn 2+ is permanently bound to high affinity sites essential for catalysis. The other key players in photoactivation are also in quiescent states under dark conditions. The mechanisms for regulation of these enzymes by light are discussed below.
Guanylate cyclase uses GTP as a substrate, and produces cGMP and inorganic pyrophosphate as products. Inorganic pyrophosphate is rapidly broken down by the enzyme inorganic pyrophosphatase, which is found at higher levels in rod outer segments than in any other cell type in which it has been measured. Guanylate cyclase is a transmembrane protein that is thought to exist in photoreceptor membranes as a dimer, with each dimer bound to the calcium binding protein, GCAP (guanylate cyclase activating protein). PDE6 is a heterotetrameric peripheral membrane protein consisting of two large catalytic subunits, PDE6α and PDE6β, as well as two smaller identical inhibitory PDE6γ subunits. The catalytic subunits are each subject to the set of post-translational modifications associated with isoprenylation, as described below, so the enzyme is bound in a peripheral way to disk membranes. The PDE6α and PDE6β subunits bound in rods are similar in structure to one another, whereas in cones, two identical PDE6α subunits are bound. PDE6 catalytic subunits are related in sequence to a large family of cyclic nucleotide phosphodiesterases, the PDE superfamily. These share sequence similarity in their catalytic domains, where the PDE6 isoforms most closely resemble in structure the PDE5 isoforms, which are the targets of sildenafil citrate (Viagra) and other drugs used to treat erectile dysfunction. In addition to the catalytic domains, PDE6 catalytic subunits each contain two GAF domains, one of which contains a non-catalytic binding site for cGMP. Because the total concentration of cGMP-binding GAF domains in the outer segments is about 50 µM, most of the cGMP in the cell is bound to PDE6. The physiological function of these non-catalytic sites is unclear, but their occupancy is coupled to binding of the catalytic subunits by the inhibitory PDE6γ subunit. It is the PDE6γ subunit which interacts most extensively with the activated form of the G-protein, as described below.
In the dark, the photon receptor rhodopsin is in its inactive state with an inverse agonist, 11- cis retinal, covalently attached to its active site ( Figs 18.5–18.7 ). Ligands that activate receptors are called agonists, those that block the action of agonists are called antagonists, and those that actually reduce receptor activity below the level it has in the absence of any ligand are called inverse agonists. Rhodopsin has seven membrane-spanning helices and is a part of the G protein-coupled receptor (GPCR) super-family of signal transducing receptors. Like other GPCRs, its activity consists of its ability to catalyze the activation of a heterotrimeric G-protein. This is the activity of rhodopsin which is inhibited by the chromophore and inverse agonist 11- cis -retinal. The apo-form of rhodopsin without a ligand, known as opsin, has much higher G protein-activating activity than rhodopsin does, a fact that becomes important at high light levels but is relatively unimportant in the dark-adapted state. Rhodopsin is present at very high concentrations in the disk membrane (and somewhat lower concentrations in the plasma membrane), so that about one-third the surface area of the disks is occupied by rhodopsin, and the other two-thirds is occupied by phospholipids, cholesterol, and other minor lipids.
Rhodopsin is subject to post-translational modifications that are important for its function. N-linked carbohydrates are found on the domain of rhodopsin that faces the inside of the disks and the extracellular solution, and they appear to be important for proper transport of rhodopsin from its site of synthesis in the inner segment to the outer segment membranes. Two palmitoyl groups are attached via thio-ester linkages to two adjacent cysteine residues near its carboxyl terminus, which tether the polypeptide chain to the cytoplasmic surface of the disk membrane forming a fourth cytoplasmic loop. In addition, the aldehyde moiety of 11- cis retinal and all- trans retinal is not bound to rhodopsin as a free aldehyde, but rather a covalent Schiff's base linkage is formed between ll- cis retinal and lysine residue 296 in the transmembrane domain of rhodopsin ( Fig. 18.7 ).
There are 348 amino acids that comprise rhodopsin. Whereas mutations at only four different positions are found in patients with the disease congenital stationary night blindness (CSNB; Box 18.1 ), there are over 100 amino acid positions that are found mutated in patients with the blinding disease autosomal dominant retinitis pigmentosa (ADRP; Box 18.2 ). Therefore, the molecule is not only sensitive in that it can become activated with only one photon of light, it is also remarkably sensitive to its amino acid composition.
Congenital stationary night blindness (CSNB) comprises a group of genetically and clinically heterogeneous non-progressive retinal disorders, mainly due to defects in rod photoreceptor signal transduction and transmission. Mutations in genes coding for proteins of the phototransduction cascade ( RHO , GNAT1 , PDE6B , RHOK , SAG and RDH5 ) or genes associated with the transmission of the signals from the photoreceptors to bipolar cells ( NYX , GRM6 , CANCA1F and CABP4 ) can lead to this disease.
Night blindness, reduced or absent dark adaptation, is a typical and early sign of various forms of retinal dystrophies. Forms differ in inheritance pattern (autosomal dominant, autosomal recessive or X-linked), electroretinograms (presence or absence of a-wave), refractive error (presence or absence of myopia) and fundus appearance ( Fig. 18.8 ). All patients with stationary night blindness have severely reduced rod ERG amplitudes and many have modestly reduced cone ERG amplitudes. Rod sensitivity in patients is decreased by 100× to 1000× compared with normals. Almost all have cone responses with a normal peak implicit time (time interval between the light flash and subsequent peak of b-wave).
Stargardt's disease is an autosomal recessive form of juvenile macular degeneration with variable progression and severity. It is caused by mutations in the ABCR ( ABCA4 ) gene on chromosome 1 which encodes a retina-specific ATP-binding cassette transporter protein, in the rims of rod and cone outer segment disks, proposed to serve as a flippase protein for phospholipids conjugated to all- trans retinal. Mutations in this gene have also been attributed to some cases of cone–rod dystrophy, retinitis pigmentosa, and age-related macular degeneration. Pathologic features of Stargardt's include accumulation of fluorescent lipofuscin pigments in the retinal pigmented epithelium (RPE) cells and retinal degeneration.
An important fluorophore in lipofuscin is the bis-retinoid pyridinium salt N-retinylidene-N-retinylethanolamine (A2E) formed by the condensation of all- trans retinaldehyde with phosphatidylethanolamine. Significant accumulation of A2E is seen in the RPE of patients with Stargardt's disease. , A2E has several potential cytotoxic effects on RPE cells, including destabilization of membranes, release of apoptotic proteins from mitochondria, sensitization of cells to blue light damage, impaired degradation of phospholipids from phagocytosed outer segments.
Like rhodopsin, the G-protein, known as transducin or G t ( Fig. 18.9 ), is also found in an inactive state in the dark. For a G-protein, this means that it has GDP, rather than GTP, bound to its α subunit, G tα , and exists in a heterotrimeric form, G tαβγ . The G-protein associates with the disk membranes by virtue of its covalently attached lipids. , A heterogeneous mixture of saturated and unsaturated 12- and 14-carbon fatty acids are found attached to the amino terminal glycine residue of G tα , linked through an amide bond. This reaction occurs during translation and is important for G-protein localization in the outer segment. There is a 15-carbon isoprenyl group, farnesyl, attached to the carboxyl terminus of the γ subunit , through a thioether linkage. This sort of isoprenylation is found in other phototransduction proteins; in each case it occurs at a cysteine residue four residues from the carboxyl terminus of the initial translation product. The final three residues are cleaved by the action of a protease, and the hydrophobicity conferred by the isoprenyl group is enhanced by the methyl esterification of the carboxyl group on what has been converted into a C-terminal cysteine residue.
The lipids of the disk membrane play an important role in assembling the phototransduction machinery and providing the proteins a stage on which to act. Rhodopsin and guanylate cyclase are transmembrane proteins, and G t and PDE6 are peripheral membrane proteins, attached to the membrane by covalently attached lipids ( Figs 18.9, 18.10 ). GCAPs are also covalently lipidated by fatty acids on their amino termini, and another phototransduction protein, rhodopsin kinase, is isoprenylated (discussed below). The transmembrane CNG channel is found only in the plasma membrane, not in the disks. Experiments with purified proteins have shown that the proper assembly of these proteins on the disk membrane is essential for efficient interactions among them. Rhodopsin diffuses rather rapidly within the lipids of the disk membrane, so that many encounters between it and the G-protein occur every second even in the dark. ROS membranes have an unusual lipid composition, with a high content of polyunsaturated fatty acids. Close to 40 percent of the fatty acyl groups of ROS phospholipids are the ω-3 fatty acid, docosahexaenoic acid (DHA or 22:6), which has 22 carbons and 6 double bonds. DHA can only be synthesized in the body if essential ω-3 fatty acids are consumed in the diet. Cholesterol, while making up only 10–15 percent of total outer segment lipids, plays an important role in establishing the lipid environment in which phototransduction reactions occur.
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