Retinal very long-chain PUFAs: new insights from studies on ELOVL4 protein.

Compared with other mammalian tissues, retina is highly enriched in PUFA. Long-chain PUFA (LC-PUFA; C18-C24) are essential FAs that are enriched in the retina and are necessary for maintenance of normal retinal development and function. The retina, brain, and sperm also contain very LC-PUFA (VLC-PUFA; >C24). Although VLC-PUFA were discovered more than two decades ago, very little is known about their biosynthesis and functional roles in the retina. This is due mainly to intrinsic difficulties associated with working on these unusually long polyunsaturated hydrocarbon chains and their existence in small amounts. Recent studies on the FA elongase elongation of very long chain fatty acids-4 (ELOVL4) protein, however, suggest that VLC-PUFA probably play some uniquely important roles in the retina as well as the other tissues. Mutations in the ELOVL4 gene are found in patients with autosomal dominant Stargardt disease. Here, we review the recent literature on VLC-PUFA with special emphasis on the elongases responsible for their synthesis. We focus on a novel elongase, ELOVL4, involved in the synthesis of VLC-PUFA, and the importance of these FAs in maintaining the structural and functional integrity of retinal photoreceptors.

fi ed through an amide bond linkage to form sphingolipids or ceramides. As glycerolipids, they may be esterifi ed to either the sn-1 or sn-2 position of the glycerol backbone, which in turn can be modifi ed by the addition of polar head groups to the sn-3 position to form different phospholipids ( Fig. 1C ).

DISTRIBUTION, ABUNDANCE, AND BIOSYNTHESIS OF VLC-PUFA
Over 20 years ago, Aveldano and Sprecher ( 4,6 ) reported the existence in the vertebrate retina of unusually LC-PUFA with carbon chains ranging from C26-C36. They showed that these unique and novel retinal FA occur as a dipolyunsaturated molecular species of PC, with 22:6n3 as the predominant partner. The retinal outer segment (ROS) membranes were highly enriched in PC-containing VLC-PUFA ( 1,2 ). Later, Poulos et al. ( 16 ) confi rmed the existence of 22:6n3, 32:6n3, and 34:6n3 as major components of the PC fraction obtained from the bovine retina. Although these FA usually constitute <2% of total retinal lipids, the PC-containing VLC-PUFA compose 13% of the PC fraction of retinal ROS membranes ( 3,4 ).
Triacylglycerols and cholesterol esters containing VLC-PUFA were also found in rat testes and sperm ( 17 ). In rat testes, 28:4n6 and 30:5n6 constitute the most abundant VLC-PUFA found in ceramides and sphingolipids ( 19 ). The VLC-PUFA content increased with the onset of spermatogenesis, reaching almost 15% and 40% of the total FA in sphingomyelin and ceramides, respectively. As in the retina, these FA, together with 22:6n3, remain at high levels during adult life in fertile rats and then decrease during older age ( 19,56 ).
Studies on bull and ram spermatozoa found VLC-PUFA in sphingomyelin and ceramide. The VLC-PUFA content reached almost 70% in the sphingomyelin of freshly harvested spermatozoa from adult bull, while ram spermato-was named Elongation of Very Long Chain fatty acids-4 ( ELOVL4 ). We identifi ed the metabolic function of the ELOVL4 protein and showed that it is indeed a component of an elongase system involved in biosynthesis of VLC-PUFA ( 39 ). This review will summarize our current knowledge of VLC-PUFA with respect to their distribution, biosynthesis, and possible function in the tissues in which they are found. We will focus much of our attention on the retina, which, apart from mammalian sperm, contains high levels of VLC-PUFA of any mammalian tissue, and on the novel elongase, ELOVL4, that is responsible for VLC-PUFA biosynthesis in retina, testes, and the brain.

NOMENCLATURE AND STRUCTURE OF VLC-FA AND VLC-PUFA
There has been very little change in nomenclature of FA over the years despite the advent of International Union of Pure and Applied Chemistry system of naming. For the most part, trivial names of the FA such as docosahexaenoic acid (DHA, or 22:6n3) or arachidonic acid (20:4n6) still prevail and are more commonly used ( 9 ). Also, because most studies done previously were focused on FA with a maximum of 22 carbons, most studies refer to FA such as 20:4n6, 22:5n3, and 22:6n3 as either LC-PUFA or VLC-PUFA ( 3,9,21,40,41 ). With advancement in science and technology, coupled with improvement in analytical methods for detection, identifi cation and quantifi cation of FA with carbons chain longer than C22 by GC-MS and/or LC/ ESI-MS and LC-MS/APCI, among others, we are now in a new era of beginning to appreciate the presence and possible function of FA with carbon chains longer than C22 ( 42 ). As such, we suggest that there is the need to regroup and redefi ne some of these FA based on our current knowledge. For this review, we defi ne VLC-FA as saturated and monounsaturated FAs with C26-C40 or more carbon chains. These may exist as even-or odd-numbered, straightor branched-chain, hydroxylated or nonhydroxylated FAs ( 3,9,11 ). We further defi ne VLC-PUFA as PUFA containing an even or odd number of carbons from C26 to C40 or more with 3-9 cis ( Z ) double bonds ( 3,(10)(11)(12). Previous publications have described some of these FA as extremely LC-PUFA (43)(44)(45) or ultra-long-chain FAs ( 21 ). We defi ne the C18-C24 PUFA with 3-7 double bonds in the cis ( Z ) conformation as LC-PUFA ( 10 ).
The VLC-PUFA found in tissues are unique in that the proximal carboxylic region is composed of 12-20 saturated carbon bonds, whereas the distal region (CH 3 group end) contains 5 or more methylene interrupted cis double bonds, as shown in Fig. 1A -C . Positions of the cis (Z) double bonds are numbered from the COOH group. By their unique structure, these FA have the length to occupy both halves of a lipid bilayer or be associated with proteins within one half of the bilayer and give quite different biophysical properties to each domain.
Both VLC-FA and VLC-PUFA rarely exist as free FA ( Fig.  1A, B ) in tissues; instead, their carboxyl head groups are usually esterifi ed to glycerol to form glycerolipids or modi-n7 and n9 isomers with the double bond in the cis confi guration ( 3,60,61 ). The concentration of C24-C38 VLC-PUFA in brain sphingomyelin increases during development. Signifi cant amounts of 34:4n6 and 36:4n6 have been found in rat brains ( 62 ), although 22:6n3, 24:4n6, and 24:6n3 are the most abundant PUFA. The healthy human brain also contains C30-C38 n6, with 34:4n6 and 34:5n6 as the major VLC-PUFA ( 63 ). Developmental and age-dependent changes in composition and concentration of these FA occur in both rat and human brains. VLC-PUFA exist at relatively higher concentrations in the brains of young rats and humans, in which 34:4n6 and 34:5n6 predominate, but are replaced with 36:4n6 in the adult ( 3,63 ). Glycerophospholipids containing C28-C32 saturated and monounsaturated FA as well as cerebrosides and sulfatides containing VLC-FA have been found in the bovine brain ( 64,65 ). Age-dependent increases in both saturated and monounsaturated C24-C28, including 25:0 and 25:1, have been found in cerebrosides, gangliosides, sphingomyelin, and total FA in the developing rabbit brain ( 66 ). These developmental changes have been suggested to be due to specifi c incorporation of these FA into myelin lipids ( 66 ). Neonatal rat brains are capable of elongating and desaturating [1-14 C] 26:4n6 to C28-C36 tetraenoic and C26-C38 pentaenoic VLC-PUFA that can undergo peroxisomal ␤ -oxidation ( 58 ). Poulos and Sharp ( 16,20,59,67 ) reported the presence of VLC-PUFA of C26-C38 in the brains of patients with the cerebro-hepato-renal (Zellweger) syndrome. Zellweger syndrome zoa contained even higher concentrations of VLC-PUFA in both sphingomyelin and ceramides ( 18 ). The predominant FA in the sphingomyelin and ceramides include 32:6n3, 30:6n3, and 34:6n3. Sphingomyelin accounted for 13-15% of the total phospholipids in bull and ram spermatozoa; thus, the 70-80% VLC-PUFA in sphingomyelin represents a signifi cant proportion of the total FA of bull sperm cells ( 18 ). The percentage of VLC-PUFA in sphingomyelin in sperm heads was signifi cantly higher than in sphingomyelin of sperm tail fractions of both bulls and rats ( 18 ). Human spermatozoa differs from the other mammalian spermatozoa in that it contains up to C32 VLC-PUFA with 2-4 double bonds, whereas boar, ram, and bull spermatozoa contain 5 and/or 6 double bonds with chains up to 34 carbons ( 54 ). While n6 VLC-PUFA are most abundant in human and boar spermatozoa, ram and bull spermatozoa contain both n3 and n6 FA ( 54,55 ). The presence of sphingomyelin containing unusual 2-hydroxylated and nonhydroxylated n6 VLC-PUFA with four to fi ve double bonds has also been reported for boar and rat testes and spermatozoa ( 57 ).
In the brain as in the retina, VLC-PUFA are esterifi ed at the sn-1 position of the glycerol backbone of PC, with saturated, monounsaturated, and LC-PUFA molecules occupying the sn-2 position ( 16,58 ). They are also present in neutral lipids, predominantly in cholesterol esters, with smaller amounts in the nonesterifi ed FA and triacylglycerols ( 59 ). The monounsaturated FA in the brain are mainly In the eye, saturated and monounsaturated VLC-FA are found in meibomian glands and their secreted meibum as well as in secretions from Harderian glands ( 1,3,(83)(84)(85)(86)(87). The FA in steer and human meibum contain a group of long-chain ␣ and omega-diols (containing two hydroxyl groups) ( 88,89 ). The omega-hydroxyl acids constituted 85% of straight-chain monounsaturated FAs, while 13% were branched-chain saturated and the remainder were branched-chain monounsaturated FAs ( 88 ). The major FA in meibomian gland secretions are mostly saturated and monounsaturated, with only trace amounts of VLC-PUFA ( 88 ). The absence of VLC-PUFA in such secretions that are exposed to the environment and the damaging effects of the UV rays from the sun is not surprising, because the double bonds of VLC-PUFA are particularly susceptible to oxidative damage by environmental factors, singlet oxygen, and UV radiation (90)(91)(92). Thus, enhanced susceptibility of the double bonds in VLC-PUFA to oxidative damage may account for their exclusion from the skin and meibomian secretions that are in constant contact with the environment. While myelin and the meibomian and Harderian glands and their secretions are rich sources of saturated and monounsaturated VLC-FA, the retina has relatively higher levels of VLC-PUFA ( 3,4,6 ). For example, in cod retina, 32:6n3 alone accounted for 15% of the PC FA, and the LC-PUFA 22:6n3 is 65% of the total retinal FAs ( 4 ). Chicken, rat, rabbit, and bovine retinas have greater amounts of C26-C36 n3 and n6 VLC-PUFA than toad retina, which contains only 24:6n3 ( 4, 6 ). VLC-PUFA constitute about 2% of bovine total retinal FA and 13% of PC in bovine ROS membranes ( 4,6 ). The fi rst analysis of VLC-PUFA in human retina by Bernstein et al. ( 93 ), using GC-MS, found n3 and n6 C26-C34 VLC-PUFA containing four to six double bonds; our laboratory has recently confi rmed their results (R.E. Anderson, unpublished observations).
The biosynthesis of LC-PUFA and VLC-PUFA has been demonstrated in testis, spermatocytes, spermatids, skin fibroblasts, human endothelial cells, retinoblastoma cells, and the retina ( 51-53, 74, 94, 95 ). The ability of the retina to synthesize VLC-PUFA was fi rst reported by Rotstein et al. ( 5,56,96,97 ), who used radiolabeled precursors of LC-PUFA and VLC-PUFA or radiolabeled acetate or glycerol to show that the retina has the metabolic machinery necessary for biosynthesis of both LC-PUFA and VLC-PUFA from short-chain precursors. When they incubated bovine retinas with [1-14 C] eicosatetraenoate (20:4n6), docosapentaenoate (22:5n3), or docosahexaenoate (22:6n3), there was effi cient uptake and active esterifi cation of these FA into different phospholipid classes ( 96,97 ). The selectivity of uptake and esterifi cation of the FA into the different phospholipids was 22:6 > 22:5 > 20:4 ( 97 ). The most active synthesis and turnover of PUFA were observed in the PC fraction of retinal phospholipids ( 97 ). Subcellular fractionation of the retinas showed that the highest proportion of incorporation into dipolyunsaturated PC was in the ROS; lesser amounts were found in the mitochondria, microsomes, and a postmicrosomal supernatant ( 97 ).
Using [1-14 C] acetate, Rotstein et al. ( 5 ) demonstrated that the greatest amount of label was incorporated in is a rare and fatal autosomal recessive inherited disorder characterized ultrastructurally by the marked defi ciency of peroxisomes and biochemically by the reduction of 22:6n3 and the accumulation of VLC-PUFA in the brain ( 16,20,59,67 ), plasma, and cultured fi broblasts from the skin of these patients ( 68 ). Other peroxisomal disorders are also associated with an increase in VLC-FA and VLC-PUFA in brain and plasma (69)(70)(71)(72)(73)(74)(75)(76)(77). Postmortem analyses of 4 day-to 5 monthold whole brains of Zellweger patients showed higher concentrations of VLC-PUFA than those found in normal brains ( 16 ). The predominant VLC-PUFA in Zellweger brains contains fi ve and six double bonds, whereas C32-C38 VLC-PUFA with four and fi ve double bonds are the major FA in normal brains ( 16 ). Zellweger brains had trace amounts of C40 VLC-PUFA of the n6 family, which were not found in normal brains ( 16 ). The presence of elevated levels of VLC-FA and VLC-PUFA in specifi c ratios (mostly 28:5/22:0) is used as one of the bases of diagnosis of the disease ( 1,59 ). Interestingly, the levels of 22:6n3 are drastically reduced in peroxisomal disorders, refl ecting its synthesis in the peroxisomes.
Recently, a knockout mouse model of human straightchain acyl-CoA oxidase (AOX) defi ciency (pseudo-neonatal adrenoleukodystrophy) was generated ( 44,78,79 ). AOX is a peroxisomal enzyme that is regulated by peroxisome proliferator activated receptor-␣ ( 80, 81 ) and catalyzes the rate-limiting step in peroxisomal ␤ -oxidation of saturated and polyunsaturated FA with 22 or more carbons ( 44,80,81  Ϫ / Ϫ mice than in controls. While the accumulation of VLC-PUFA in these mice underlies the functional role of AOX in ␤ -oxidation of LC/VLC-PUFA and VLC-FA, it also suggests that these lipids are probably normal cellular lipids that may be metabolized through the peroxisomal ␤ -oxidation pathway. The presence of 28:7n3 and 28:7n6 has been identifi ed in Baltic herring ( Clupea harengus ), while 28:7n6 and 28:3n3 have also been found in several species of marine dinofl agellates in which VLC-PUFA accounted for <2.3% of the total FA ( 11,12 ). For example, 28:8n3 has been reported in commercial fi sh oil concentrates ( 9 ). FA with 34 carbons and containing nine double bonds (all in the cis or Z confi guration) have also been reported in the freshwater crustacean, Bathylnella natans ( 10 ). The tetratriacontanonaenoic acid (34:9n6) is found in diacyl PC, with 16:0, 18:0, and 16:1 as the other acyl chains ( 10 ). Presence of mycolic acid (complex VLC-FA containing FA with diverse functional groups and branched-chain hydroxylated C28-C90 saturated or monounsaturated double bonds) in cell envelope of Mycobacterium such as Mycobacterium tuberculosis , promotes survival and resistance of the bacteria to the hosts' immune system and to antibiotic treatment regimes ( 9, 82 ). zymes called ELOVLs; there are currently seven known members of this family in mammals (ELOVL1-7).
All of the ELOVLs share similar characteristic features, which include the presence of multiple hydrophobic transmembrane domains, a histidine box motif, and endoplasmic reticulum targeting/retrieval signals ( 104,118 ). They catalyze the condensation of malonyl-CoA with an acyl (n) -CoA to form the intermediate product called ␤ -ketoacyl-CoA ( Fig. 2 , step 1) ( 119 ). Reduction of the ␤ -ketoacyl-CoA to ␤ -hydroxyacyl-CoA is mediated by ␤ -ketoacyl reductase in the presence of NAD(P)H ( Fig. 2 , step 2). Dehydration by ␤ -hydroxyacyl-CoA dehydratase yields trans -2,3-acyl-CoA ( Fig. 2 , step 3), and subsequent reduction of the enoyl-CoA by enoyl-CoA reductase in the presence of NAD(P)H ( Fig. 2 , step 4) generates the elongated fatty acyl (n+2) -CoA ( 114 ). Whether the elongated product is released for use elsewhere in the cell or is retained to undergo another round of elongation depends largely on the specifi c needs of the organism ( 117,(119)(120)(121). Many of the elongases found in cells have overlapping functions ( 124 ), and more than one may act on the same substrate.
While there are seven ELOVL proteins identifi ed so far that have specifi c substrates (usually based on FA chain length), the three other enzymes involved in the elongation reaction appear to be the same ( 104,115 ). Thus, tissues or cells that do not normally express a particular elongase can still produce predicted elongation products if an appropriate exogenous elongase is introduced in those tissues or cells through viral transduction ( 39,123 ) or by transfection with plasmids ( 124,125 ). Even in heterologous systems, when provided with the proper precursor, an elongase from a different species can use the other three endogenous enzymes and make the elongated FA products ( 116,126,127 ).

TISSUE DISTRIBUTION, SUBSTRATE SPECIFICITY, AND FUNCTION OF MAMMALIAN FA ELONGASES
The fi rst elongase enzymes were identifi ed in Saccharomyces cerevisiae and named ELO1, ELO2, and ELO3 ( 37,128 ). ELO1 was the fi rst FA elongase to be identifi ed as a defective gene in S. cerevisiae mutants ( 128 ), which were not able to grow normally on FA shorter than palmitic acid (16:0). The defective ELO1 gene was eventually cloned and found to encode a 310 amino acid protein that elongates C14-C16 FAs ( 38,128,129 ). ELO2 and ELO3 genes were later found in the yeast genome based on their similarity to the ELO1 gene ( 37 ). The ELO2 protein elongates both saturated and monounsaturated FA up to C24 ( 37 ). ELO3 elongates a wider group of saturated and monounsaturated FA and is essential for the conversion of C24:0 to C26:0, which is necessary for sphingolipid biosynthesis ( 37,122,128,130,131 ). Although all three ELO proteins catalyze the fi rst critical step of condensation in FA biosynthesis, each has different substrate specifi cities with resultant distinct chain length-specifi c end products ( 40,115,122 ).
Orthologs of the yeast ELO genes have been found in mammals. Mouse Elovl3 was the fi rst mammalian FA elon-24:5n3, 24:5n6, 26:5n3, 30:6n3, 32:5n3, and 32:6n3, most of which was associated with PC. Labeling of LC-PUFA (C20-C24) was much less than that of VLC-PUFA ( 1,5 ). These results led to the conclusion that there is an active local synthesis of VLC-PUFA in retinal cells ( 1 ). As will be discussed later, we now know that the enzyme responsible for the condensation reaction in the synthesis of VLC-PUFA is expressed only in those cells that have VLC-PUFA. It is not expressed in the liver. So, unlike what occurs with 20:4n6 and 22:6n3, which are synthesized in the liver and transported to target tissues like the retina and brain, VLC-PUFA are most likely synthesized from available C20 and C22 PUFA precursors in the tissues in which they are found.
In a study to determine which LC-PUFA (C22-C24) is the primary precursor for VLC-PUFA biosynthesis in the retina, rats were fed a semisynthetic, nutritionally complete diet containing 20% (w/w) fat with 3% (w/w) 22 ( 5,99,100 ). It also demonstrated that the retina has the ability to synthesize VLC-PUFA in situ through successive elongation and desaturation of the essential FA 20:5n3 and 22:6n3. The authors concluded that 22:6n3 is an end-product of LC-PUFA biosynthesis and is not a preferred substrate for further elongation to VLC-PUFA ( 98,101 ). However, an alternative explanation is that the injected radiolabeled 22:6n3 was diluted by a large endogenous pool of 22:6n3, which lowered its specifi c activity compared with that of 20:5n3, and resulted in a relatively small amount of radioactivity being incorporated into VLC-PUFA. In recent studies in our laboratory, human embryonic kidney cells and pheochromocytoma cells (PC12 cells) transduced with ELOVL4 elongated 22:6n3 to VLC-PUFA, as it did 20:5n3 and 22:5n3 ( 39,102 ).

THE ROLE OF FA ELONGASE COMPLEX IN VLC-FA AND VLC-PUFA BIOSYNTHESIS
In eukaryotes, saturated and monounsaturated C14-C18 FA are synthesized de novo by the cytosolic FA synthase complex ( 103 ), whereas C18 n3 and n6 essential FA must be obtained from the diet (104)(105)(106)(107)(108)(109)(110)(111)(112)(113)(114). Subsequent elongation and desaturation of these FA occur in the endoplasmic reticulum by a membrane-bound, multi-enzyme complex called the elongase complex and result in the accretion of VLC-FA, LC-PUFA, and VLC-PUFA ( 103,104,(114)(115)(116)(117). The fatty acyl-CoA chain elongation cycle mediated by the elongase complex involves the addition of two carbons from malonyl-CoA to an existing fatty acyl-CoA to form an acyl-CoA that is two carbons longer ( 103,116,117 ). The initial condensation reaction, which is the ratelimiting step in the elongation process, is catalyzed by en-not seem to be involved in elongations beyond C22 ( 104,124,136,138 ).
The ELOVL4 gene was discovered as a mutation associated with the cause of autosomal dominant STGD3 ( 118,(140)(141)(142)(143). On the basis of its expression patterns, it was proposed to be involved in elongation of PUFA ( 118,141 ). Using a gain-of-function approach, we found that the mouse ELOVL4 protein is involved in the elongation of C26-C28 saturated FA and PUFA and in the elongation of C28-C38 FA ( 39 ).
Inagakit et al. ( 144 ) identifi ed two FA elongases in rats: rELO1 and rELO2. The human ELOVL5 and rELO1 are homologous and elongate C18 to C20 monounsaturated FA and PUFA ( 104,136,145,146 ). When the Elovl5 gene was deleted in mice, the C18 substrates of ELOVL5 protein accumulated with a resultant decrease in 22:6n3 and 20:4n6. ( 146 ). As a result, the Elovl5 Ϫ / Ϫ mice developed fatty livers due to activation of sterol-regulatory element binding protein-1c and its target genes, which are negatively regulated by 22:6n3 and 20:4n6 ( 146 ). The mouse ELOVL6 protein elongates saturated FA from C12-C16 to C18 ( 104 ). When the human ELOVL6 protein was expressed in yeast cells, 16:0 levels decreased and 18:0, 18:1, and 20:0 levels increased ( 136 ). Also, levels of C20 and C22 FA were increased in yeast cells expressing human ELOVL6 ( 136 ). With the exception of Elovl7 , Elovl 1-6 messages have been shown to be present in different combinations in the mouse liver, skin, retina, and brain ( 31 ). Human ELOVL7 is the most recent member of the elongase family of proteins reported ( 147 ). It is expressed at high levels in adrenal glands, kidney, pancreas, and the prostate gland; lower gase gene identifi ed ( 132 ) and was originally called coldinducible glycoprotein of 30 kDa ( Cig30 ) but was later renamed Elovl3 ( 125,132,133 ). The Elovl3 gene was proposed to encode an enzyme involved in biosynthesis of LC-FA in brown adipose tissue of mice exposed to cold stress. The ELOVL3 protein was proposed to be responsible for elongation of C24-C26 saturated FA and PUFA ( 125,134,135 ), based on studies from Elovl3 Ϫ / Ϫ mice. Mouse Elovl1 and Elovl2 were identifi ed later based on sequence homology to Cig30 and were initially named Ssc1 and Ssc 2 (sequence similarity to Cig 30 ), respectively ( 104,133 ). The ubiquitously expressed and proposed "housekeeping elongase" mouse ELOVL1 protein is involved in elongation of a broad range of saturated and monounsaturated FAs up to C26, which is used in sphingolipid formation ( 40,122,136 ). The protein has high expression levels between postnatal days 15 and 20 when 22:0 elongation is at its peak and synthesis of sphingolipids and myelin formation is taking place ( 40,137 ). Thus, the function of the mouse ELOVL1 protein is similar to the yeast ELO3 protein ( 37,104,136 ). Vasireddy et al. ( 31 ) did not fi nd signifi cant message levels of Elovl3 in the retina. This suggests that ELOVL1 and ELOVL3 may act on the same substrates in VLC-FA and VLC-PUFA biosynthesis.
ELOVL5 (HELO1) was the fi rst human ELOVL protein to be identifi ed ( 138 ) and, like mouse ELOVL2, elongates C18 to C20 and C20 to C22 ( 104,124,139 ) as well as monounsaturated 18:1, 20:1, and 22:1 ( 136 ). Both mouse and human ELOVL2 also elongates C22 to C24 PUFA of the n3 and n6 families, whereas the human ELOVL5 does Step 1 involves condensation of malonyl-CoA with the acyl-CoA substrate and is catalyzed by the elongase enzyme (ELOVL). Enzymes in this initial condensation step determine chain length and degree of unsaturation of the substrate; hence, this is the rate-limiting step of the elongation system. The product of the condensation reaction, the 3-keto-acyl-CoA, then undergoes a reduction catalyzed by a ␤ -ketoacyl-CoA reductase (step 2) to produce 3-hydroxyacyl-CoA. Dehydration of the 3-hydroxyacyl-CoA by ␤ -hydroxyacyl-CoA dehydratase (step 3) results in formation of trans -2,3-acyl-CoA, which is then reduced by enoyl-CoA reductase (step 4). Depending on the need of the specifi c cell or the organism at any particular time, the product is either utilized or undergoes additional round(s) of elongation. lustrating the typical phenotype and longitudinal followup of family members with the disease gene. Through the use of linkage analysis, the chromosomal loci were identifi ed on 6q14 for STGD3 ( 151,(156)(157)(158)(159). In 2001, two groups working independently used a positional candidate approach to identify a single 5-bp deletion (797-801 del AACTT) in exon 6 of the ELOVL4 gene, which was associated with the disease in all affected members of STGD3/ adMD families in independent North American kindreds ( Fig. 4A ) ( 118, 141 ). Also in 2001, Bernstein and his coworkers identifi ed two mutations comprising 1-bp deletions separated by four nucleotides (790 ⌬ T+794 ⌬ T) within the same exon of the ELOVL4 gene in a large, unrelated pedigree from Utah ( Fig. 4B ) ( 140 ). Another mutation (ELOVL4 p.Tyr270×) has also been identifi ed in a European family with STGD3/adMD ( 162 ). It is interesting to note that these mutations occur within the same location in the exon 6 of the ELOVL4 gene ( 142,143 ). All of the mutations cause a frameshift that results in the introduction of a premature stop codon in the ELOVL4 message, and hence premature termination of the protein with a resultant loss of the C-terminal endoplasmic reticulum retention/retrieval signal in the mutant protein. These strongly suggest that a loss of function of wild-type protein or mistargeting of the mutant protein underlies the pathology of the disease ( 118,140 ). The exon 6 mutations in the ELOVL4 gene and the subsequent truncation and loss of the last 45-51 amino acids at the carboxyl terminal end in the mutant protein ( 118,(141)(142)(143)160 ) have been associated with STGD3 ( 140 ).
The ELOVL4 protein seems to be expressed only in those tissues that have VLC-PUFA ( 149 ). Thus the retina, which has the highest expression level of the ELOVL4 protein, has relatively higher VLC-PUFA levels of any organ so far examined. The highest protein expression was detected in the rod and cone photoreceptor inner segments and the outer nuclear layer of the retinas from different mammalian species ( 39,149,(161)(162)(163)(164). It is expressed to some extent in ganglion cell layers in human retinas ( 161,163 ) and also in the brain ( 31,149 ), testis ( 151 ), skin ( 31,149 ), and lens ( 149 ). However, it is not expressed in the liver, kidney ( 141,149 ), lung, or spleen ( 149 ).
The ELOVL4 transcript was detected by Northern blot analysis, in situ hybridization, and qRT-PCR on embryonic days 11-17 in whole mouse embryos; expression peaked at day 15 and decreased by day 17 ( 143,149,161 ). Expression levels of the Elovl4 mRNA in the brain and retina during postnatal development were also studied ( 149,161 ). The highest level of expression was detected in the brain at postnatal day 1 (P1) and then declined gradually until P30, at which time it plateaued and remained constant throughout adult life ( 149 ). Signifi cant expression of Elovl4 was found in the eye at P1 ( 149,161 ), doubled at P7 when photoreceptor outer segment development commenced, and increased gradually up to P30 ( 149,161 ). A constant level of expression of Elovl4 is found in the mouse retina from P45 to almost two years of age. In the adult retina, expression of the Elovl4 mRNA and protein is mostly restricted to the outer nuclear layer and to the in-levels of expression occur in brain, placenta, and bone marrow ( 147 ). ELOVL7 has been reported to be upregulated in prostate cancer cells and tissues, and the ELOVL7 protein produced saturated C20-C24 FA that promoted prostate cancer growth in vivo in animals fed high-fat diets ( 147 ). Androgen was shown to stimulate the expression of ELOVL7, possibly through regulation by sterol-regulatory element binding protein-1 ( 147 ). Tumors in animals fed a high-fat diet were signifi cantly increased in saturated C20-C24 FAs, testosterone, dihydrotestosterone, and sphingosine 1-phosphate receptor 3 gene ( 147 ). ELOVL1-7 transcripts are found in mouse, rat, bovine, porcine, monkey, and human. Mouse Elovl1 is ubiquitously expressed, with the highest expression in the liver ( 31 ). Similarly, Elovl2 is highly expressed in the mouse liver, testis, and retina ( 133,148 ), but the retina has a relatively lower level of expression and the brain and skin have no detectable levels of the message ( 31 ). Elovl3 expression occurs mainly in the liver, skin, and brown adipose tissues ( 133,134 ), with no detectable mRNA expression found in the retina or brain ( 31,149 ). Elovl3 is also expressed in sebocytes of skin sebaceous glands and in the inner layer of the outer root sheath of hair follicles ( 104,125 ). The liver has the highest expression of Elovl5 and Elovl6 , whereas Elovl6 is expressed at low levels in the brain and retina and is not expressed in the skin ( 31 ). The tissue distribution of the Elovl4 gene is discussed later in this review. Thus, differential expression of the Elovl genes exists in mammalian tissues, which refl ects the different biosynthetic patterns of the variable chain lengths of FA found in these tissues. How the expression of each of these ELOVL enzymes is regulated is not yet completely understood.

STGD3 AND THE ELOVL4 GENE
The recent interest in understanding the role of VLC-PUFA stems from the discovery that mutations in the ELOVL4 gene are associated with STGD3, a rare form of Stargardt macular dystrophy ( 142,143,(150)(151)(152). Clinically, it is very similar to the more common autosomal recessive Stargardt's disease (STGD1) to the extent that fundus (the inner interior surface of the eye) examination alone is not enough to distinguish between the two disorders ( 153 ). Donoso et al. ( 153 ) reported that STGD3 patients have a milder phenotype of the disease, have relatively good visual function, and minimal color vision defects without signifi cant abnormalities in their electroocculogram or electroretinogram (ERG) ( 154 ). Similar to STGD1, the onset of loss of vision in patients ranges from 3 to 50 years with a mean age of 14 years, while on the average, Snellen acuity of 20/200 occurred at an average age of 22 years. ( 155 ). Over decades, the macular lesion enlarges and visual acuity decreases to 20/300 to 20/800 ( 155 ). The typical phenotype usually seen in patients is a well-circumscribed homogenous atrophy of the retinal pigment epithelium, (RPE) and choriocapillaris in the macula surrounded by yellow fl ecks and temporal optic nerve pallor ( 155 ). Figure 3 shows fundus photographs il-died perinatally ( 28,30,31 ). Close examination and investigation into the cause of the neonatal lethality in these mice revealed that they died of severe dehydration due to loss of skin permeability barrier (28)(29)(30)(31). Analysis of the skin lipids revealed that they had signifi cantly lower or absent levels of acyl-ceramides that contain long-chain saturated FAs beyond C26 (28)(29)(30)(31). Also, McMahon et al. ( 32 ) found reduced retinal levels of PC-containing VLC-PUFA in their knockin Elovl4 heterozygous mice ( 45 ). Using a direct gain-of-function approach, we showed that the mouse ELOVL4 protein is a component of an elongase system that elongates both saturated FAs and LC-PUFA from C26 to C28 and C28 to C30 FAs ( 39 ). When the ELOVL4 protein was expressed in rat neonatal cardiomyocytes and human ARPE-19 cells; supplementation with lignoceric acid (24:0), a precursor of VLC-FA ( 74,169 ), led to its internalization and elongation to 28:0 and 30:0, indicating the involvement of ELOVL4 in the conversion of 26:0 to 28:0 and 28:0 to 30:0.

ELOVL4 IS A COMPONENT OF AN ELONGASE SYSTEM INVOLVED IN BIOSYNTHESIS OF VLC-PUFA
Studies in animal models indicated involvement of ELOVL4 in the biosynthesis of VLC-FA-containing ceramides in the skin (28)(29)(30)(31). However, in the retina, sphin-ner segments of both rod and cone photoreceptors ( 39,(161)(162)(163). Little expression of the message and protein is found in the inner retina. However, persistent expression occurs in postnatal whole lens without any dynamic changes ( 149 ).

ELOVL4 PROTEIN IS INVOLVED IN VLC-PUFA BIOSYNTHESIS
Until recently, the specifi c enzymes responsible for biosynthesis of VLC-PUFA remained elusive. To study the mechanism(s) of retinal degeneration in STGD3 patients, fi ve independent transgenic mouse lines were developed. These include one transgenic, two knockout and two knockin lines ( 28,30,31,143,(165)(166)(167)(168). These mouse lines, to a large extent, contributed to our understanding of the function of the ELOVL4 protein as well as the disease mechanism of Elovl4 mutations. The fi rst evidence of the functional role of the ELOVL4 protein came from transgenic mice suggesting that the ELOVL4 protein could be involved in the elongation of FA chains > C26. When the Elovl4 gene was deleted in mice (knockout), the homozygous pups died at birth ( 29,166,167 ). Similarly, animals that were homozygous for the mutations that cause macular degeneration in humans (knockin) also dent of ELOVL4 expression) ( Fig. 5 ). However, only Elovl4 -transduced cells were able to further elongate each of these precursors to 28:5n3, 30:5n3, 32:5n3, 34:5n3, 36:5n3, and 38:5n3 ( Fig. 5B, C ). The major VLC-PUFA products in the Elovl4 -transduced cells were 34:5n3 and 36:5n3 ( 39 ). We therefore proposed a pathway of VLC-PUFA biosynthesis in the retina and involvement of ELOVL4 protein in that scheme ( Fig. 6 ). In addition, the products such as 34:6n3 and 36:6n3 could be the result of activity of desaturase enzymes ( Fig. 6 ).
To determine whether VLC-PUFA formed from Elovl4transduced cardiomyocytes treated with 20:5n3 were incorporated into ceramides, sphingomyelin, and PC, or remain as free FAs, we separated the total lipids into individual lipid classes by two-dimensional thin layer chromatography ( 39 ). The FA methyl esters from each class of golipids and ceramides are minor components of the lipid pool ( 33 ), whereas the retina contains higher amount of n3 and n6 VLC-PUFA esterifi ed into PC molecular species ( 4 ). The retina also has the ability to synthesize VLC-PUFA from LC-PUFA precursors and acetate, although the elongase(s) responsible for their biosynthesis was not identifi ed ( 5,97,98 ). We hypothesized that ELOVL4 protein is involved in the biosynthesis of the VLC-PUFA found in the retina, brain, and sperm since all of these tissues express ELOVL4 protein in higher quantities. We tested this hypothesis with Elovl4 -transduced cardiomyocytes supplemented with eicosapentaenoic acid (20:5n3) and docosapentaenoic acid (22:5n3), which are precursors of VLC-PUFA. Nontransduced cells and cells transduced with Green Fluorescent Protein ( GFP ) or Elovl4 gene elongated both precursors up to C24 and C26 n3 PUFA (indepen-  Elovl4 gene, reduction of VLC-PUFA content has been noted ( 32 ). Unfortunately, no homozygous mutation in human is known and therefore the pathological outcome of complete absence of ELOVL4 and therefore absence of VLC-PUFA in retina or any other tissues is not known.
Compared with Elovl3 and Elovl5 ablated mice that grew normally and were fertile ( 125,135 ), the genetic mouse models with complete removal of functional ELOVL4 protein died at birth (28)(29)(30)(31). This has so far been attributed to the abnormalities in the skin as they cannot form a proper permeability barrier due to lack of VLC-FA (mostly saturates) and die from dehydration (28)(29)(30)(31). This establishes the role of VLC-FA in skin barrier permeability in that absence of these FAs results in neonatal lethality. The retinas of mice are not developed at the time they are born, so the effect of absence of VLC-PUFA in the retina has not been determined. Also, the retina contains higher levels of VLC-PUFA than VLC-FA and each may have different physiological roles. Very recently, McMahon et al., (2010) reported in an abstract the generation of transgenic mice expressing a wild-type Elovl4 transgene under the control of an epidermis-specifi c involucrin promoter, which allowed skin-specifi c ELOVL4 expression. When bred into a homozygous Elovl4 knockin background, the mice survived up to one month of age. This not only establishes the suggested hypothesis of neonatal death of ELOVL4 ablated mice, but also emphasizes its role in skin development (28)(29)(30)(31)170 ). The retinas of these mice were reported to have developed normally with properly organized multilayer structures of the retina. However, their ERG responses were half those of wild-type mice and the distal disks of the photoreceptor outer segments were disrupted with signifi cant changes in RPE ( 171,172 ). There was a complete absence of C28-C36-PC in a month-old retina. This suggests that VLC-PUFA may not be required for the development of the retina, but are important for its maintenance and function. However, the effect of the presence of two copies of the mutant ELOVL4 protein cannot be ignored in this model, since a dominant negative effect of mutant ELOVL4 protein has been shown in transgenic mouse lines ( 167 ) and in tissue culture studies. ( 152,163,(173)(174)(175). It is still not clear if the retinal phenotype in mouse models of STGD3 is due to mislocalization of the mutant protein, generation of toxic products by the mutant protein, or the reduction in VLC-PUFA.
It is unlikely that VLC-PUFA redundantly serve the same purposes as the more common LC-PUFA such as docosahexaenoic acid (DHA) and arachidonic acid, which are already present in large amounts and are not reduced in the retina of heterozygote ELOVL4 knockout or knockin mice ( 28-31, 166, 167 ). We have shown that increasing DHA content of photoreceptor membranes of ELOVL4 transgenic mice (TG2 mice), which express one of the mutations identifi ed in STGD3 ( 165 ) and recapitulate some aspects of the human disease, did not prevent retinal degeneration ( 176 ). To test the hypothesis that increasing DHA content of photoreceptor membranes of TG2 mice may prevent retinal degeneration, we bred TG2 mice to mice expressing the Fat-1 transgene, which can convert n6 lipids were analyzed by GC-MS. We showed that the VLC-PUFA synthesized by ELOVL4 were present in PC, ceramides, sphingomyelin, and free FAs, but no VLC-PUFA were detectable in phosphatidylinositol, PE, or PS ( 39 ).

THE ROLE OF VLC-PUFA IN DISEASE
ELOVL4 is the elongase responsible for VLC FA biosynthesis and is present only in those tissues where the VLC-PUFA and VLC-FA are detected (28)(29)(30)(31). The level of expression of ELOVL4 is highest in the retina and heterozygous mutations in the ELOVL4 gene cause STGD3 in humans, but no other abnormalities in other ELOVL4 expressing tissues have been detected or reported in STGD3 patients. This could imply that VLC-PUFA and/or VLC-PUFA play a special role in the retina or that the quantity needed in retina is much higher than other tissues and the retinal cells with a heterozygous mutation in ELOVL4 do not produce the required quantity of VLC-PUFAs. Indeed, in mouse models of heterozygous mutation in the Although some elongases are specifi c for a single step, others are nonspecifi c or multifunctional and act at several steps (e.g., human ELOVL5 and murine ELOVL2) ( 126 ). We propose that ELOVL4 is essential for elongation of saturated 26:0 to 28:0 and of 26:5n3 to 28:5n3. It is also possible that ELOVL4 is necessary for generating (C30-C38):5n3, because these FAs are formed only in ELOVL4expressing cells. However, other ELOVL proteins may be responsible for elongations of some of these VLC-PUFA (C30-C38) by using products generated by the ELOVL4 elongase activity. The synthesis of 34:6n3 and 36:6n3 in our study suggests desaturase activity on their shorter chain precursors. However, the specifi c desaturase(s) involved is not known. Reprinted from Agbaga et al. ( 39 ) with permission from publishers. to n3 PUFA ( 123,177,178 ). After genotyping, Fat1 + /TG2 + , Fat1 -/TG2 + , Fat1 + /TG2 -, and Fat1 -/TG2 mice were maintained on a diet defi cient in n3 FAs but containing 10% saffl ower oil for 4 to 16 weeks. Although there were significantly higher levels of n3 PUFA (especially DHA) in liver, plasma, and retinas of mice expressing the fat-1 transgene compared with controls, there was no protection against retinal degeneration in the Fat1 + /TG2 + animals ( 176 ). By 16 weeks of age, despite having twice the amount of retinal DHA in Fat-1 transgene-expressing mice compared with controls, the Fat1 + /TG2 + mice had reduced a-wave and b-wave ERG amplitudes, lower rhodopsin levels, and a signifi cantly greater loss of photoreceptor cells compared with controls ( 176 ). These studies, coupled with the fi ndings by McMahon et al. ( 32 ) showing reduced levels of VLC-PUFA in retinas of Elovl4 knockin mice that gradually accumulate A2E and lipofuscin in the retina ( 30 ), suggest that VLC-PUFA may be playing some uniquely important roles in the tissues where they are found and that these roles cannot be replaced by the more common LC-PUFAs. A therapeutic strategy of delivering VLC-PUFA to the retina could therefore have a promising outcome.
Besides their role in retinal physiology and diseases, VLC-PUFA may also have a role in neuroendocrine tumors, chronic pancreatitis, and adenocarcinoma metastases ( 179 ). By using methylation specifi c PCR, Omura et al, (2008) recently reported 68% methylation of ELOVL4 in pancreatic cancers compared with 9% methylation in normal pancreas ( 180 ). Aberrant methylation that alters expression of a gene is the underlying cause of many human cancers and this important fi nding of methylation of the ELOVL4 gene suggests possible involvement of VLC-FA or VLC-PUFA in cancer ( 180 ).

THE ROLE OF VLC-PUFA IN MEMBRANE STRUCTURE AND FUNCTION
It is known that retinal outer segment membranes and other neural tissues contain high levels of n3 and n6 classes of LC-PUFA, which are essential membrane components and precursors of signaling molecules such as phosphatidylinositol, eicosanoids, and docosanoids ( 33,(186)(187)(188)(189). These LC-PUFA-containing phospholipids mediate membrane fl uidity, thereby modulating activities of ion chan-nels and membrane-associated proteins or enzymes that require specifi c biophysical properties of lipid membranes for their normal function (190)(191)(192). For example, the whole phototransduction cascade from rhodopsin activation to opening and closing of nucleotide gated channels has been shown to be modulated by membrane LC-PUFA ( 43,(193)(194)(195)(196)(197). They also play important roles in the infl ammatory response, growth, and development of neural tissues (198)(199)(200) and have exhibited anti-angiogenic, anti-vasoproliferative, and neuroproctective functions ( 34,201,202 ). Some classes of LC-PUFA are precursors of potent eicosanoids and docosanoids such as prostaglandins, leukotrienes, thromboxanes, neuroprotectins, and resolvins, which act as signaling molecules and serve other functions. Like LC-PUFA, the VLC-PUFA could also be the precursor of bioactive signaling molecules.
However, there are distinct structural differences between LC-PUFA and VLC-PUFA. Although retinal VLC-PUFA contain a similar number of double bonds with an n3 or n6 confi guration, their carboxy-terminus has 12-20 additional carbons linked in single bonds. In a phospholipid structure, this would appear as a saturated stem followed by a bulky unsaturated tail ( Fig. 1A-C ). Such FAs may have a special function in forming membrane microdomains and in movement and activity of membrane proteins by forming pockets to bind cholesterol and proteins. It has been shown that sphingomyelin with FA lengths of C14-C24 interacted more strongly with cholesterol than a similar but monounsaturated series ( 203 ). If the VLC-PUFA span the bilayer, which they could due to their chain lengths, or even if they do not span the lipid bilayer of biological membrane as demonstrated in reconstituted pure lipid bilayers ( 43 ), the fl uidity and packing density of each half of the bilayer would be quite different. This difference could be important for membranes that fold back on themselves, such as the rims of rod and cone outer segments. VLC-PUFA may have some role in forming those specialized structures in retinal photoreceptors and in the membranes of other cell types such as sperm and brain cells, which also contain VLC-PUFA. Similarly, cell structure and remodeling of membranes as pertains during retinal outer segment shedding may be dependent on coordinated interactions between lipid bilayers of the retinal outer segments and RPE. Thus the infl uence of plasma membrane lipids on biophysical properties of membrane curvature and elasticity cannot be underestimated ( 204,205 ). Interestingly, Elovl4 expression in the mouse retina accelerates at P7, which coincides with onset of rod outer segment morphogenesis ( 149 ). The PC-containing VLC-PUFA remain with the photo-inducible G-protein coupled receptor rhodopsin after repeated hexane extractions ( 206 ), implying that a tighter binding exists between VLC-PUFA and integral membrane proteins of rod outer segments. Aveldano et al. ( 206 ) proposed that the presence of VLC-PUFA at sn-1 position in photoreceptor membrane PC may be responsible for binding rhodopsin in a way that makes the VLC-PUFA resistant to being separated from rhodopsin ( 206 ). They also hypothesized that the unusually long VLC-PUFA might partially surround the ␣ -helical loss of VLC-PUFA in the retina of rats that are more than two years old ( 56 ). In addition to the decrease in VLC-PUFA in the retina with aging, a reduction in the degree of unsaturation also occurred. Rotstein et al. ( 56 ) also showed that the decrease in VLC-PUFA levels with aging was not due to an impaired activity of the enzymes involved in the synthesis and turnover of phospholipids, but was due to a decrease in the availability of these FAs in the retina. It is intriguing to speculate the functional relationship of this decrease in LC-PUFA and VLC-PUFA content in the human retina with a noted decline in the amplitude of ganzfeld-evoked ERG with age ( 226,227 ). A study on 269 normal subjects by Birch et al. ( 226 ) showed an exponential decrease in rod and cone amplitudes, which declined by 50% by ages 69 to 70 years compared with the young adults aged 15-24 years. Naash et al. ( 228 ) showed that rod-and cone-mediated ERG amplitudes were lower in older mice than in younger mice. Considering our knowledge of the role of LC-PUFA in phototransduction ( 196,197,(229)(230)(231)(232)(233)(234)(235), it is possible that apart from other age-related changes that may affect retina function, there may be an association between the decline in VLC-PUFA content with age and the decrease in ERG amplitudes.

CONCLUSION
At this point, we know very little about the function of VLC-PUFA in tissues and cells in which they are found. However, studies on the role of LC-PUFA in retina over the years have provided some insights for us to better defi ne as well as speculate on the function of VLC-PUFA in the retina. We think that VLC-PUFA, similar to LC-PUFA in the retina, have the capability of modulating four broad targets, none of which are independent of the other ( 236,237 ). These targets include photoreceptor membrane organization ( 238 ) and function, cellular signaling (194)(195)(196)209 ), gene expression, and possibly generation of a potent class of novel molecules that can act in an autocrine or paracrine function in maintaining the structure and function of the retina ( 201,202,239,240 ).
It is likely that reduction or lack of VLC-PUFA products in the retinas of STGD3 patients contributes to STGD3 pathology. However, we do not rule out the possibility of toxic effects exerted by the mutant protein or its products in contributing to the retinal phenotype. Because ELOVL4 is involved in an important retinal disease and is currently the only known enzyme involved in biosynthesis of VLC-PUFA, the need exists to take a closer look at the roles of these FA in disease and health, exploring and elucidating the functional and physiological roles of VLC-PUFA in the tissues where they are found.
We apologize for not being able to cite all publications relevant to LC-PUFA and VLC-PUFA function in the various tissues. We thank Steve Brush for his comments and suggestions in preparation of this work. segments of rhodopsin. Li et al. ( 207 ) recently demonstrated the existence of two acyl chains of an unknown phospholipid molecule bound tightly to the transmembrane loops H6 and H7 in the cytoplasmic half of rhodopsin crystal. From the studies of Brown et al. ( 208 ), Mitchell and Niu ( 43,196,197,209 ) and others (210)(211)(212)(213)(214)(215), we also know that membrane lipid bilayer has a direct infl uence on the energetics of the conformational states of rhodopsin in visual excitation. More recently Soubias et al. ( 213 ) used nuclear magnetic resonance and molecular dynamic simulations to provide evidence that there are specifi c sites on rhodopsin that bind the acyl chains of DHA. The binding was shown to be mainly in the grooves between the helixes of rhodopsin, thereby confi rming previous studies ( 206,207 ). Thus the fi ndings that transgenic mice completely devoid of retinal C28-C36 acyl PC had impaired retinal function although the animals have normal retinal formation ( 172 ) suggest that VLC-PUFA together with LC-PUFA seem to play important roles in photoreceptor membrane function and possibly in other biological systems and that these roles cannot be replaced by the more common shorter chain FAs (C16-C18) or even the C20-C22 PUFA alone ( 214 ).
The FA composition of the membrane infl uences the transbilayer (fl ip-fl op) motion of lipids ( 215 ) and may also be important in allowing the plasma membrane deformation for supple invagination during cleavage-furrow ingression ( 205 ) and in stabilizing membranes that are highly curved ( 216 ). This is especially important for retinal outer segments because their highly curved outer segments membranes recycle retinal that is released from rhodopsin apoprotein in the form of n-retinylidene-phosphatidylethanolamine (n-ret-PE). N-ret-PE transports retinal from the disk to the outer leafl et of photoreceptor membranes by a fl ip-fl op mechanism with the aid of a large protein called ABCA4 ( 217,218 ). Mutation in ABCA4 gene is involved in the classical STGD1 ( 219-223 ) in humans. Interestingly, the pathology of STGD3 is very similar to STGD1. Like the ABCA4 mutation-mediated pathology, the retinas of Elovl4 transgenic ( 165 ) and knockin mice ( 30,224 ) have been shown to have increased levels of lipofuscin and its precursor A2E (formed from condensation of PE and two molecules of all-trans -retinal) ( 225 ). We therefore speculate that VLC-PUFA produced by the ELOVL4 enzyme may be involved in the process of fl ipfl op activity of the membrane lipids and also in the activity of ABCA4 protein.

VLC-PUFA IN THE AGING RETINA
The amounts of VLC-PUFA containing lipids were found to be lower in the retina of older donor eyes (60-80 years) than in younger donor eyes ( 93 ). This decrease in VLC-PUFA content with age found in human donor eyes supports the earlier work of Rotstein et al. ( 56 ), which showed a decrease in VLC-PUFA content of phospholipids in the rat retina with increasing age. While 1.6 mol % VLC-PUFA were present in 2-3 month old rats, only 1.0% remained by age 26-27 months. This represents a 37%