RDH12 mutations are responsible for early-onset autosomal recessive retinal dystrophy, which results in profound retinal pathology and severe visual handicap in patients. To investigate the function of RDH12 within the network of retinoid dehydrogenases/reductases (RDHs) present in retina, we studied the retinal phenotype of Rdh12-deficient mice. In vivo rates of alltrans-retinal reduction and 11-cis-retinal formation during recovery from bleaching were similar in Rdh12-deficient and wild-type mice matched for an Rpe65 polymorphism that impacts visual cycle efficiency. However, retinal homogenates from Rdh12-deficient mice exhibited markedly decreased capacity to reduce exogenous retinaldehydes in vitro. Furthermore, in vivo levels of the bisretinoid compound diretinoid-pyridinium-ethanolamine (A2E) were increased in Rdh12-deficient mice of various genetic backgrounds. Conversely, in vivo levels of retinoic acid and total retinol were significantly decreased. Rdh12 transcript levels in wild-type mice homozygous for the Rpe65-Leu 450 polymorphism were greater than in Rpe65-Met 450 mice and increased during postnatal development in wild-type mice and Nrl-deficient mice having an all-cone retina. Rdh12-deficient mice did not exhibit increased retinal degeneration relative to wild-type mice at advanced ages, when bred on the lightsensitive BALB/c background, or when heterozygous for a null allele of superoxide dismutase 2 (Sod2 ؉/؊ ). Our findings suggest that a critical function of RDH12 is the reduction of all-trans-retinal that exceeds the reductive capacity of the photoreceptor outer segments.RDH12 is a major disease gene for Leber congenital amaurosis, with RDH12 mutations responsible for approximately 2% of cases of childhood-onset severe autosomal recessive retinal dystrophy (1-4). Affected individuals experience poor vision in early life, which progressively declines with age as a result of both rod and cone degeneration (5). Analyses of retinal organization and visual function in patients with mutations in RDH12 or RPE65, another Leber congenital amaurosis gene involved in retinoid metabolism, show distinctly different pathologies associated with defects in each gene that will be important to consider when developing targeted forms of therapy (6).RDH12 encodes a member of the family of short chain dehydrogenases/reductases that catalyze oxidation and reduction reactions involved in various aspects of metabolism (reviewed in Refs. 7 and 8). In the photoreceptor cells and retinal pigment epithelium (RPE), 3 the interconversion of oxidized and reduced retinoids by RDH enzymes is an important feature of the visual cycle, the process responsible for the conversion of vitamin A (all-trans-retinol) to 11-cis-retinal, the chromophore of the visual pigments (reviewed in Ref. 9). On the basis of in vitro assays showing reactivity toward retinaldehyde substrates and expression in photoreceptor cells, RDH12 was initially proposed to function in the reduction of all-trans-retinal released by bleached visual pigments (10...