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Published on: June 13, 2013
[Role of (pro)renin receptor in diabetic retinopathy]
1Department of Ophthalmology, Teikyo University School of Medicine, Tokyo, Japan. satofuka@med.teikyo-u.ac.jp
Abstract:
The renin-angiotensin system (RAS), or circulating RAS, is a hormone system that regulates systemic blood pressure. Although several types of organ damage are known to result from the activation of the tissue RAS, the precise mechanism of this activation is not fully understood. The recent discovery of the (pro)renin receptor elucidates the pathogenic mechanism whereby prorenin, by binding to its receptor, dually activates the tissue RAS and RAS-independent intracellular signaling via the receptor. We propose a nomenclature receptor-associated prorenin system (RAPS) for these two major pathways, triggered by the (pro)renin receptor. Recently we showed the association of the RAPS with diabetes-induced retinal inflammation, indicating the possibility of the (pro) renin receptor being a novel molecular target for the treatment of diabetic retinopathy.
Insights
The newly discovered (pro)renin receptor activates tissue renin-angiotensin system (RAS) and other signaling pathways. This receptor-associated prorenin system (RAPS) is linked to diabetic retinopathy, offering a new therapeutic target.
Area of Science:
- Endocrinology and Molecular Biology
- Cardiovascular Physiology
Context:
- The renin-angiotensin system (RAS) regulates blood pressure, but its tissue-specific activation mechanisms remain unclear.
- Organ damage is linked to activated tissue RAS, necessitating a deeper understanding of its molecular underpinnings.
Purpose:
- To elucidate the pathogenic mechanism of tissue RAS activation.
- To introduce the nomenclature receptor-associated prorenin system (RAPS) for pathways involving the (pro)renin receptor.
- To explore the role of RAPS in diabetes-induced retinal inflammation.
Summary:
- The (pro)renin receptor activates both the tissue RAS and RAS-independent intracellular signaling pathways.
- Prorenin binding to its receptor triggers these dual activation mechanisms.
- The receptor-associated prorenin system (RAPS) encompasses these two major signaling cascades.
Impact:
- The discovery of the (pro)renin receptor clarifies a key mechanism in tissue RAS activation.
- RAPS provides a framework for understanding prorenin's diverse signaling roles.
- The association of RAPS with diabetic retinopathy suggests the (pro)renin receptor as a potential therapeutic target for this condition.
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