“…Increasing the levels of rhodopsin mRNA and protein was found to preserve rod cell viability so that as many as four times as many photoreceptor nuclei remained in mice expressing a P23H mutant rhodopsin. This form of rhodopsin is known to fold inefficiently (Liu et al, 1996; Sung et al, 1991), to be unstable (Chen et al, 2014), and to mislocalize to the inner segment (Tam and Moritz, 2006), so it has been assumed to cause cell death through a toxic gain-of-function, such as triggering the unfolded protein response, or toxic stress of the endoplasmic reticulum. The genetic experiments show clearly that the primary mechanism is a dominant negative effect, consistent with the observation that over-expression of wildtype rhodopsin, which has a protective effect on the P23H background, increases, rather than decreases, the percentage of a P23H rhodopsin-EGFP fusion that is transported to the outer segment (Price et al, 2012), and with the observation that P23H rhodopsin has a harmful effect on disk structure in the outer segment (Sakami et al, 2011).…”