“…A sector pattern of photoreceptor loss has been described in dominant RP caused by a variety of missense mutations in the rhodopsin gene. 1,2,[24][25][26][27][28][29][30] These mutations, which appear to confer a light-sensitive degenerative phenotype, are those associated with misfolding and endoplasmic reticulum (ER) retention, and those with altered posttranslational modification and reduced stability of the protein. 5,31 Potential mechanisms by which light might act as a modifying factor include depletion of free 11-cis-retinal, which in low-luminance conditions may act as a molecular chaperone for rhodopsin, 8,14,15 direct destabilization of the mutant protein within the rod outer segment, 2,32,33 and via activation of the phototransduction cascade.…”