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Updated: May 20, 2026

A Modified Two Kidney One Clip Mouse Model of Renin Regulation in Renal Artery Stenosis
Published on: October 26, 2020
Inhibition of renin and the (pro)renin receptor system
Cuie Guang1, Bo Jiang, Robert D Phillips
1State Key Laboratory of Food Science and Technology, Jiangnan University , 1800 Lihu Avenue, Wuxi, Jiangsu 214122, China. guang1226@hotmail.com
Abstract:
Renin is the rate-limiting step of the renin-angiotensin system (RAS) and can induce hypertension and cardiovascular diseases (CVDs) through the over-activated renin-angiotensin-converting enzyme (ACE)-angiotensin (Ang) II-Ang II type 1 receptor (AT(1)R) axis. Prorenin and renin bound to the (pro)renin receptor [(P)RR] not only increase the catalytic conversion of angiotensinogen (AGT) to Ang I, but also upregulate the expression of profibrotic genes. This review will discuss the inhibition of renin and the (P)RR system pharmacologically and nutritionally.
Insights
This review explores inhibiting renin and the (pro)renin receptor [(P)RR] system to combat hypertension and cardiovascular diseases (CVDs). It covers pharmacological and nutritional strategies targeting the renin-angiotensin system (RAS).
Area of Science:
- Cardiovascular Science
- Endocrinology
- Pharmacology
Background:
- The renin-angiotensin system (RAS) plays a critical role in regulating blood pressure.
- Overactivation of the renin-angiotensin-converting enzyme (ACE)-angiotensin (Ang) II-Ang II type 1 receptor (AT(1)R) axis is linked to hypertension and cardiovascular diseases (CVDs).
- Renin is the rate-limiting enzyme in this cascade, and its activity, along with the (pro)renin receptor [(P)RR], contributes to profibrotic gene expression.
Purpose of the Study:
- To review the mechanisms by which renin and the (P)RR system contribute to cardiovascular pathology.
- To discuss current and potential therapeutic strategies for inhibiting renin and the (P)RR system.
- To explore both pharmacological and nutritional approaches for managing hypertension and CVDs by targeting these pathways.
Main Methods:
- Literature review of studies on the renin-angiotensin system (RAS) and (pro)renin receptor [(P)RR].
- Analysis of research on pharmacological inhibitors of renin and (P)RR.
- Examination of nutritional factors influencing RAS and (P)RR activity.
Main Results:
- Renin and (P)RR activation exacerbate hypertension and cardiovascular diseases (CVDs).
- Inhibition of renin and (P)RR shows potential in managing these conditions.
- Both pharmacological agents and nutritional interventions can modulate the RAS and (P)RR system.
Conclusions:
- Targeting renin and the (P)RR system offers a promising therapeutic avenue for hypertension and cardiovascular diseases (CVDs).
- A dual approach combining pharmacological and nutritional strategies may provide comprehensive management.
- Further research is warranted to optimize these interventions for clinical application.
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