Vertebrate vision is maintained by the retinoid (visual) cycle, a complex enzymatic pathway that operates in the retina to regenerate the visual chromophore, 11-cis-retinal. A key enzyme in this pathway is the microsomal membrane protein RPE65. This enzyme catalyzes the conversion of all-trans-retinyl esters to 11-cis-retinol in the retinal pigment epithelium (RPE). Mutations in RPE65 are known to be responsible for a subset of cases of the most common form of childhood blindness, Leber congenital amaurosis (LCA). Although retinoid isomerase activity has been attributed to RPE65, its catalytic mechanism remains a matter of debate. Also, the manner in which RPE65 binds to membranes and extracts retinoid substrates is unclear. To gain insight into these questions, we determined the crystal structure of native bovine RPE65 at 2.14-Å resolution. The structural, biophysical, and biochemical data presented here provide the framework needed for an in-depth understanding of the mechanism of catalytic isomerization and membrane association, in addition to the role mutations that cause LCA have in disrupting protein function.isomerization ͉ metalloprotein ͉ monotopic membrane protein V ision begins when the 11-cis-retinylidene chromophore of rhodopsin is photoisomerized to all-trans-retinylidene, a process resulting in receptor activation and transduction of the light signal (1). After rhodopsin is photoactivated, it is no longer responsive to light, so for vision to continue, a trans-to-cis isomerization mechanism must be present to regenerate lightsensitive visual pigments. In vertebrates, after photoisomerization, all-trans-retinylidene is hydrolyzed from rhodopsin, reduced to all-trans-retinol, and transported to a tissue adjacent to the photoreceptor layer known as the retinal pigment epithelium (RPE), where enzymatic isomerization occurs (2). An RPEspecific, microsomal membrane protein with an apparent molecular mass of 65 kDa, known as RPE65, was determined to be responsible for trans-to-cis retinoid isomerase activity in the RPE (3-5). The importance of this protein in visual function is also evident from the observation that certain RPE65 mutations cause a form of the hereditary childhood blinding disease known as Leber congenital amaurosis (LCA) or the less severe, lateronset disease, retinitis pigmentosa (RP) (6-8).Based on sequence homology, RPE65 belongs to a family of carotenoid cleavage oxygenase (CCO) enzymes that oxidatively cleave -carotene or apocarotenoids (9-11). However, RPE65 is distinct from all other members of this family in that it simultaneously cleaves and isomerizes all-trans-retinyl esters to 11-cisretinol and a fatty acid rather than oxidatively cleaving carotenoids (3-5, 11, 12). Unlike the reactions catalyzed by other CCO family members, there is no obvious role for molecular oxygen in RPE65 enzymology. The only family member with a known crystal structure is an apocarotenoid oxygenase from Synechocystis that is 25% identical and 42% homologous to human RPE65 (13). All members of this fa...