(Pro)renin receptor promotes choroidal neovascularization by activating its signal transduction and tissue

Shingo Satofuka1, Atsuhiro Ichihara, Norihiro Nagai

  • 1Laboratory of Retinal Cell Biology, Inaida Endowed Department of Anti-Aging Ophthalmology, Keio University School of Medicine, Tokyo, Japan.

Insights

The receptor-associated prorenin system (RAPS) significantly contributes to choroidal neovascularization (CNV). Blocking the (pro)renin receptor suppressed CNV and related inflammatory markers, highlighting RAPS as a therapeutic target for vision-threatening conditions.

Area of Science:

  • Ophthalmology
  • Cardiovascular Biology
  • Cell Signaling

Background:

  • The receptor-associated prorenin system (RAPS) involves prorenin binding to its receptor, activating tissue renin-angiotensin system (RAS) and RAS-independent pathways.
  • Choroidal neovascularization (CNV), a key feature of age-related macular degeneration, involves inflammation mediated by angiotensin II type 1 receptor (AT1-R).
  • The specific role of RAPS in CNV pathogenesis remained undefined.

Purpose of the Study:

  • To investigate the association of the receptor-associated prorenin system (RAPS) with choroidal neovascularization (CNV).
  • To elucidate the role of signal transduction via the (pro)renin receptor in CNV development.
  • To assess the therapeutic potential of (pro)renin receptor blockade in a murine model of CNV.

Main Methods:

  • Laser-induced CNV model in mice.
  • Pharmacological blockade of AT1-R with losartan and genetic ablation of AT1-R or angiotensinogen to deactivate the RAS.
  • Assessment of CNV volume, macrophage infiltration, and expression of inflammatory markers (ICAM-1, MCP-1, VEGF, VEGFR-1, VEGFR-2) and ERK activation.

Main Results:

  • (Pro)renin receptor blockade significantly suppressed CNV, macrophage infiltration, and the expression of ICAM-1, MCP-1, VEGF, VEGFR-1, and VEGFR-2 in a murine CNV model.
  • Mice with deactivated RAS (losartan-treated or genetically modified) showed reduced CNV and macrophage infiltration, further suppressed by (pro)renin receptor blockade.
  • (Pro)renin receptor blockade inhibited ERK activation and MCP-1 and VEGF production in AT1-R-deficient conditions, indicating a RAPS-specific effect.

Conclusions:

  • The receptor-associated prorenin system (RAPS) significantly contributes to the pathogenesis of choroidal neovascularization (CNV).
  • (Pro)renin receptor blockade effectively suppresses CNV and associated inflammatory processes.
  • RAPS represents a potential therapeutic target for treating CNV and related vision-threatening diseases.

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