期刊
JOURNAL OF CLINICAL INVESTIGATION
卷 114, 期 8, 页码 1128-1135出版社
AMER SOC CLINICAL INVESTIGATION INC
DOI: 10.1172/JCI200421398
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资金
- NHLBI NIH HHS [R01 HL058205, R37 HL058205] Funding Source: Medline
We found that when a site-specific binding protein interacts with the handle region of the prorenin prosegment, the prorenin molecule undergoes a conformational. change to its enzymatically active state. This nonproteolytic activation is completely blocked by a decoy peptide with the handle region structure, which competitively binds to such a binding protein. Given increased plasma prorenin in diabetes, we examined the hypothesis that the nonproteolytic activation of prorenin plays a significant role in diabetic organ damage. Streptozotocin-induced diabetic rats were treated with subcutaneous administration of handle region peptide. Metabolic and renal histological changes and the renin-Ang system components in the plasma and kidneys were determined at 8, 16, and 24 weeks following streptozotocin treatment. Kidneys of diabetic rats contained increased Ang I and II without any changes in renin, Ang-converting enzyme, or angiotensinogen synthesis. Treatment with the handle region peptide decreased the renal content of Ang I and II, however, and completely inhibited the development of diabetic nephropathy without affecting hyperglycemia. We propose that the nonproteolytic activation of prorenin may be a significant mechanism of diabetic nephropathy. The mechanism and substances causing nonproteolytic activation of prorenin may serve as important therapeutic targets for the prevention of diabetic organ damage.
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