The ABCA4 gene codes for the retina-specific ATP-binding cassette transporter. This protein is expressed in the outer segment of the rod and cone photoreceptor cells in the retina and is involved in clearance from photoreceptor cells of all-trans-retinal aldehyde (atRAL), a byproduct of the retinoid cycle of vision.
Protein misfolding, decreased functioning, and mislocalization due to ABCA4 mutations were originally recognized as genetic background for the autosomal recessive disorders Stargardt disease and fundus flavimaculatus, but have expanded to embrace a diversity of retinal diseases, giving rise to the new diagnostic term, ABCA4-related retinopathy.