Pathologic roles of prorenin and (pro)renin receptor in the eye

Shingo Satofuka1, Atsuhiro Ichihara, Norihiro Nagai

  • 1Laboratory of Retinal Cell Biology, Keio University School of Medicine, Tokyo, Japan.

Insights

A novel peptide targeting the (pro)renin receptor (PRR) suppressed ocular inflammation and neovascularization by inhibiting nonproteolytic prorenin activation. This highlights PRR

Area of Science:

  • Ophthalmology
  • Renal Physiology
  • Molecular Biology

Background:

  • Tissue renin-angiotensin system (RAS) is implicated in ocular inflammation and neovascularization.
  • The precise mechanism for activating tissue RAS, particularly nonproteolytic activation of prorenin, remained undefined.
  • The (pro)renin receptor (PRR) is a newly identified molecule that activates tissue RAS.

Purpose of the Study:

  • To investigate the role of nonproteolytic prorenin activation via PRR in ocular inflammation and neovascularization.
  • To evaluate the therapeutic potential of targeting PRR using a handle region peptide (HRP).

Main Methods:

  • Systemic administration of HRP, a decoy peptide targeting PRR.
  • Assessment of retinal inflammation and neovascularization in rodent models.
  • Measurement of retinal expression of RAS-related inflammatory and angiogenic molecules.

Main Results:

  • HRP treatment suppressed retinal inflammation and neovascularization in rodent models.
  • HRP inhibited the nonproteolytic activation of prorenin by binding to PRR.
  • Retinal expression of intercellular adhesion molecule-1, monocyte chemotactic protein-1, and vascular endothelial growth factor was reduced by HRP.

Conclusions:

  • Nonproteolytically activated prorenin plays a significant role in ocular inflammation and neovascularization.
  • Targeting the (pro)renin receptor with HRP is a promising therapeutic strategy for ocular inflammatory and neovascular diseases.

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