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Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
(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.
Abstract:
The receptor-associated prorenin system (RAPS) refers to pathogenic mechanisms whereby prorenin binding to its receptor activates both the tissue renin-angiotensin system (RAS) and RAS-independent intracellular signaling pathways. Although we found significant involvement of angiotensin II type 1 receptor (AT1-R)-mediated inflammation in choroidal neovascularization (CNV), a central abnormality of vision-threatening age-related macular degeneration, the association of receptor-associated prorenin system with CNV has not been defined. Here, (pro)renin receptor blockade in a murine model of laser-induced CNV led to the significant suppression of CNV together with macrophage infiltration and the up-regulation of intercellular adhesion molecule-1, (ICAM-1) monocyte chemotactic protein-1, (MCP-1) vascular endothelial growth factor (VEGF), VEGF receptor (VEGFR)-1, and VEGFR-2. To clarify the role of signal transduction via the (pro)renin receptor in CNV, we used mice in which renin-angiotensin system was deactivated by either the pharmacological blockade of AT1-R with losartan or the genetic ablation of AT1-R or angiotensinogen. Compared with wild-type controls, these mice exhibited significant reduction of CNV and macrophage infiltration, both of which were further suppressed by (pro)renin receptor blockade. The (pro)renin receptor and phosphorylated extracellular signal-regulated kinases (ERK) were co-localized in vascular endothelial cells and macrophages in CNV. (Pro)renin receptor blockade suppressed ERK activation and the production of MCP-1 and VEGF, but not ICAM-1, VEGFR-1, or VEGFR-2, in AT1-R-deficient mice with CNV and in losartan-treated microvascular endothelial cells and macrophages. These results indicate the significant contribution of RAPS to CNV pathogenesis.
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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