http://austinpublishinggroup.com/clinical-ophthalmology/
Retinitispigmentosa (RP) is a progressive disease that exhibits abnormalities in the
photoreceptor cells of the rods and cones that detect light, and is
characterized by symptoms such as night blindness, visual field constriction
especially in the peripheral field, and reduced visual acuity. In Japan, this
disorder is estimated to affect approximately 20 in 100,000 people and is the
third leading cause of blindness following glaucoma and diabetic retinopathy.
RP appears through a variety of genetic inheritance modes, including autosomal
dominant, autosomal recessive, and X-linked recessive patterns, and 40 or more
causative genes have been identified. In many patients, however, genetic
abnormalities cause this disorder to be under diagnosed.
Toovercome these difficulties, transgenic (Tg) rabbits with a P347L rhodopsin
mutation were created by Kondo et al. They displayed symptoms extremely similar
to findings in patients with RP and are considered to offer a useful animal
model for elucidating the pathology of RP. However, when and where the
degeneration begins are unclear, as are its underlying mechanisms and
pathologies. There are many other unknown issues as well, such as how light is
received and converted to electric signals in the steps leading to blindness,
and why organisms with undeveloped vision such as rabbits receive light, and
where photoreceptors are located in these animals. In humans, light is received
by photoreceptor cells and is converted to electric signals to visualize an
object.
Inclinical settings, we encounter patients with RP who maintain circadian rhythms
in which the body wakes in the morning and becomes sleepy at night, and those
who present a residual light response in which the pupil becomes smaller on
exposure to light. This is unlike patients who have lost their vision due to
other eye diseases. In other words, RP patients show partial response to light
even when blind and unable to sense light. Based on these facts, we
hypothesized the existence of photoreceptors other than the rods and cones of
the photoreceptor cells. In this review based on our previous studies we report
the mechanism of retinal degeneration and describe the process of
phototransduction in Tg rabbits with a P347L rhodopsin mutation.
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