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RPE65

Chr 1p31.3

retinoid isomerohydrolase RPE65

Aliases:
LCA2, rd12, BCO3
MANE:
ENST00000262340.6

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • DDG2P

    BIALLELIC, autosomal or pseudoautosomal
  • Retinal disorders

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Fetal anomalies

    BIALLELIC, autosomal or pseudoautosomal
  • Glaucoma (developmental)

  • Intellectual disability

    BIALLELIC, autosomal or pseudoautosomal
  • Ophthalmological ciliopathies

  • Primary ciliary disorders

  • Rare multisystem ciliopathy disorders

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Disease associations (Open Targets)

  • retinitis pigmentosa

    0.83
  • Leber congenital amaurosis 2

    0.82
  • Leber congenital amaurosis

    0.76
  • Retinal dystrophy

    0.69
  • RPE65-related recessive retinopathy

    0.68
  • retinitis pigmentosa 87 with choroidal involvement

    0.65
  • autosomal recessive retinitis pigmentosa

    0.51
  • hereditary disease

    0.51
  • Stargardt disease

    0.44
  • retinal disorder

    0.42

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Retinoid isomerohydrolase

Critical isomerohydrolase in the retinoid cycle involved in regeneration of 11-cis-retinal, the chromophore of rod and cone opsins. Catalyzes the cleavage and isomerization of all-trans-retinyl fatty acid esters to 11-cis-retinol which is further oxidized by 11-cis retinol dehydrogenase to 11-cis-retinal for use as visual chromophore (PubMed:16116091). Essential for the production of 11-cis retinal for both rod and cone photoreceptors (PubMed:17848510). Also capable of catalyzing the isomerization of lutein to meso-zeaxanthin an eye-specific carotenoid (PubMed:28874556). The soluble form binds vitamin A (all-trans-retinol), making it available for LRAT processing to all-trans-retinyl ester. The membrane form, palmitoylated by LRAT, binds all-trans-retinyl esters, making them available for IMH (isomerohydrolase) processing to all-cis-retinol. The soluble form is regenerated by transferring its palmitoyl groups onto 11-cis-retinol, a reaction catalyzed by LRAT (By similarity)

Curated MONDO disease pages that list RPE65 among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.