Bleach and recycle
The "bleach and recycle" process is used within the retina to ensure that the chromophore, 11-cis retinal, is present within opsin molecules in sufficient quantities to allow phototransduction to occur. It uses vitamin A (retinol) derivatives.
Vitamin A must be consumed in the diet, as it is not synthesisable by the body. It may, however, be consumed indirectly, in the form of carotenoids such as beta carotene, which can be cleaved to form two retinol molecules. It is absorbed in the gut and is transported around the body via two pathways. In the first, and most predominant, it is esterified with a fatty acid to form a retinyl ester, and packaged into a chylomicron. In the second minor pathway, it is bound to Retinol Binding Protein (RBP) and Transthyretin, which prevents its filtration in the glomeruli. It is via this RBP-Transthyretin pathway that the retina receives most of its retinoids.
As in transport via the RBP-Transthyretin pathway, retinoids must always be bound to chaperone molecules, for several reasons. Retinoids are toxic, insoluble in aqueous solutions, and prone to oxidation, and as such they must be bound and protected when within the body. The body uses a variety of chaperones, particularly in the retina, to transport retinoids.
When a photon of light is absorbed, 11-cis retinal is transformed to all-trans retinal, and it moves to the exit site of rhodopsin. It will not leave the opsin protein until another fresh chromophore comes to replace it, except for in the ABCR pathway. Whilst still bound to the opsin, all-trans retinal is transformed into all-trans retinol by all-trans Retinol Dehydrogenase. It then proceeds to the cell membrane of the rod, where it is chaperoned to the Retinal Pigment Epithelium (RPE) by Interphotoreceptor Retinoid Binding Protein (IRBP). It then enters the RPE cells, and is transferred to the Cellular Retinol Binding Protein (CRBP) chaperone.
When inside the RPE cell, bound to CRBP, the all-trans retinol is esterified by Lecithin Retinol Acyltransferase (LRAT) to form a retinyl ester. The retinyl esters of the RPE are chaperoned by a protein known as RPE65. It is in this form that the RPE stores most of its retinoids, as the RPE stores 2-3 times more retinoids than the neural retina itself. When further chromophore is required, the retinyl esters are acted on by isomerohydrolase to produce 11-cis retinol, which is transferred to the Cellular Retinaldehyde Binding Protein (CRALBP). 11-cis retinol is transformed into 11-cis retinal by 11-cis Retinol Dehydrogenase, then it is shipped back to the rod photoreceptors via IRBP. There, it replaces the spent chromophore in opsin molecules, allowing the opsin to function again as a light receptor.
Under some circumstances, the spent chromophore may leave the opsin molecule prior to its replacement, when it is bound to the ABCA4 protein (also known as ABCR), when it is also transformed to all-trans retinol, and then leaves the photoreceptor outer segment via the IRBP chaperone. It then follows the conventional pathway of recycling. It is from this pathway that the presence of opsin without a chromophore can be explained.
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