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Updated: Jul 4, 2026

A Modified Two Kidney One Clip Mouse Model of Renin Regulation in Renal Artery Stenosis
Published on: October 26, 2020
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.
Abstract:
Recent reports indicated that tissue renin-angiotensin system (RAS) was upregulated and angiotensin II type 1 receptor signaling plays crucial roles in ocular inflammation and neovascularization; however, the precise mechanism for activating tissue RAS had not been defined until recently. (Pro)renin receptor, a recently identified molecule existing in the major organs but not in the circulation, has attracted growing attention as an activator of tissue RAS. When the handle region of the prorenin prosegment binds to (pro)renin receptor, prorenin undergoes a conformational change to its enzymatically active state without the conventional proteolysis of the prorenin prosegment. Systemic treatment with a peptide with the structure of the handle region (handle region peptide; HRP), which competitively binds to (pro)renin receptor as a decoy peptide and inhibit the nonproteolytic activation of prorenin, resulted in the suppression of retinal inflammation and neovascularizaion in the rodent models. Retinal expression of RAS-related inflammatory and angiogenic molecules, such as intercellular adhesion molecule-1, monocyte chemotactic protein-1, and vascular endothelial growth factor, was also suppressed with application of HRP. These findings demonstrate that nonproteolytically activated prorenin plays a significant role in the ocular inflammation and neovascularization.
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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