Expression of (pro)renin receptor and its effect on endothelial cell proliferation in infantile hemangioma

Bede van Schaijik1, Swee T Tan2,3, Reginald W Marsh1,4

  • 1Gillies McIndoe Research Institute, Wellington, New Zealand.

Pediatric Research
|May 16, 2019
PubMed

Insights

Renin activates the (pro)renin receptor (PRR) to promote infantile hemangioma (IH) cell proliferation via the wnt signaling pathway. This finding offers a new therapeutic target for IH treatment.

Area of Science:

  • Vascular Biology
  • Oncology
  • Endocrinology

Background:

  • Infantile hemangioma (IH) proliferation is linked to the renin-angiotensin system (RAS).
  • The (pro)renin receptor (PRR) is a key RAS component involved in wnt signaling.
  • PRR activation by renin is hypothesized to drive IH growth.

Purpose of the Study:

  • To investigate the expression and role of PRR in infantile hemangioma.
  • To determine if renin directly stimulates IH cell proliferation.
  • To elucidate the signaling pathway involved in renin-induced IH growth.

Main Methods:

  • Immunohistochemical (IHC) staining and NanoString analysis to assess PRR expression in IH tissues and cells.
  • MTT assay to evaluate the effect of renin on IH cell viability.
  • RT-qPCR to analyze stem cell gene expression.
  • Utilized wnt receptor blocker dickkopf-1 to assess pathway involvement.

Main Results:

  • PRR was confirmed to be expressed at both transcriptional and translational levels in IH endothelial and non-endothelial cells.
  • Renin administration significantly increased the number of viable IH cells.
  • The proliferative effect of renin was blocked by dickkopf-1, indicating wnt pathway activation.

Conclusions:

  • Renin-induced PRR activation promotes IH cell proliferation through the wnt signaling pathway.
  • This mechanism may explain cell accumulation during the proliferative phase of IH.
  • Targeting the renin-PRR-wnt axis presents a potential therapeutic strategy for problematic IH.
Abstract

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