Purpose. Mutations at various loci on the rhodopsin gene have been sho
wn to cause autosomal dominant retinitis pigmentosa (ADRP). One of the
most common is a point mutation (P23H) near the N-terminus of the pro
tein. The authors have studied the effects of light deprivation on the
rate of degeneration in pigmented transgenic mice expressing the P23H
mutation as well as two additional mutations near the N-terminus of o
psin (V20G, P27L). Methods, Transgenic and normal littermates were rea
red in darkness or in cyclic light (similar to 7 foot-candle) for peri
ods of 2, 4, or 6 months. Retinal structure and function were evaluate
d by electroretinography, retinal densitometry, light microscopy, and
TUNEL labeling. Results. Retinas of normal animals, whether reared in
darkness or in cyclic light, had no structural or functional abnormali
ties. The rate of photoreceptor degeneration in dark-reared transgenic
mice was significantly slower than in transgenic mice raised under cy
clic light conditions. Differences between the two groups of animals w
ere evident in the retinal histology, the electroretinographically det
ermined sensitivity to photic stimulation, and the rhodopsin levels in
the retina. TUNEL labeling of retinal wholemounts showed that cyclic
light-reared animals had a threefold higher incidence of photoreceptor
cell death than their dark-reared counterparts; the density of apopto
tic cells was greatest in the inferior retina, the region most severel
y affected in patients with the P23H mutation. In comparison, photorec
eptor cell death was more uniformly distributed across the retina in d
ark-reared transgenic mice. Conclusions, These findings suggest that l
ight activation of rhodopsin contributes to the severity of the degene
rative disease resulting from the P23H opsin mutation, and they raise
the possibility that minimizing exposure to light may help to prolong
useful vision of patients with this form of retinitis pigmentosa.