Why the study?
Does (P)RR-PshRNA reduce ocular inflammation in models of uveitis and diabetic retinopathy?
Does (P)RR-PshRNA reduce ocular inflammation in models of uveitis and diabetic retinopathy?
A novel single-strand RNAi agent targeting the (pro)renin receptor effectively reduces ocular inflammation in mouse models of uveitis and diabetic retinopathy without apparent adverse effects.
Hypothesis-generating for (P)RR-PshRNA in ocular inflammation; human trials required before clinical consideration.
The receptor-associated prorenin system (RAPS) refers to the pathogenic mechanism whereby prorenin binding to the (pro)renin receptor [(P)RR] dually activates the tissue renin-angiotensin system (RAS) and RAS-independent intracellular signaling. Here we revealed significant upregulation of prorenin and soluble (P)RR levels in the vitreous fluid of patients with uveitis compared to non-inflammatory controls, together with a positive correlation between these RAPS components and monocyte chemotactic protein-1 among several upregulated cytokines. Moreover, we developed a novel single-strand RNAi agent, proline-modified short hairpin RNA directed against human and mouse (P)RR [(P)RR-PshRNA], and we determined its safety and efficacy in vitro and in vivo. Application of (P)RR-PshRNA in mice caused significant amelioration of acute (uveitic) and chronic (diabetic) models of ocular inflammation with no apparent adverse effects. Our findings demonstrate the significant implication of RAPS in the pathogenesis of human uveitis and the potential usefulness of (P)RR-PshRNA as a therapeutic agent to reduce ocular inflammation.
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Kanda et al. (2017) studied this question.
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