Evidence map›Paper›PMID 15489960›Full record

ArticleThe Journal of clinical investigation2004

Inhibition of diabetic nephropathy by a decoy peptide corresponding to the "handle" region for nonproteolytic activation of prorenin.

Atsuhiro Ichihara, Matsuhiko Hayashi, Yuki Kaneshiro, Fumiaki Suzuki, Tsutomu Nakagawa, Yuko Tada, Yukako Koura, Akira Nishiyama, Hirokazu Okada, M Nasir Uddin and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed
12.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 436 citations in OpenAlex.

  1. Article
  2. Article
  3. Renal tubular (pro)renin receptor deletion exacerbates kidney injury inAmerican journal of physiology. Renal physiology · 2025
    Article
  4. Article
  5. RAAS in diabetic retinopathy: mechanisms and therapies.Archives of endocrinology and metabolism · 2024
    Review
  6. Review
  7. Article
  8. The (pro)renin receptor as a pharmacological target in cardiorenal diseaes.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  9. The Renin Angiotensin System as a Therapeutic Target in Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Plasma and serum prorenin concentrations in diabetes, hypertension, and renal disease.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 3 countries.

Atsuhiro IchiharaDepartment of Internal Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan. atzichi@sc.itc.keio.ac.jp
Matsuhiko Hayashi
Yuki Kaneshiro
Fumiaki Suzuki
Tsutomu Nakagawa
Yuko Tada
Yukako Koura
Akira Nishiyama
Hirokazu Okada
M Nasir Uddin
A H M Nurun Nabi
Yuichi Ishida
Tadashi Inagami
Takao Saruta
Keio University · JPFracture Analysis Consultants (United States) · USGifu University · JPPrevas (Norway) · NOSaitama Medical University · JPVanderbilt University · US

Funding

Angiotensin Receptor AT1 in Vascular Cell Control.R37HL058205 · NHLBI · VANDERBILT UNIVERSITY · PI INAGAMI, TADASHI · 2001 to 2010
$3.6M
ANGIOTENSIN RECEPTOR AT1 IN VASCULAR CELL CONTROLR01HL058205 · NHLBI · VANDERBILT UNIVERSITY · PI INAGAMI, TADASHI · 1997 to 2000
$437k
NHLBI NIH HHS R01 HL058205NHLBI NIH HHS R37 HL058205
6 · The paper itself

Abstract

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.

Indexed as

Angiotensin IAngiotensin IIAngiotensinogenAnimalsAntibodiesDiabetes Mellitus, ExperimentalDiabetic NephropathiesEnzyme ActivationKidneyPeptidesProtein ConformationProtein PrecursorsProtein Structure, TertiaryRatsReninRenin-Angiotensin SystemAngiotensin IAngiotensin IIAngiotensinogenAntibodiesPeptidesProtein PrecursorsRenin

Identifiers

PMID15489960
PMCPMC522242
OpenAlexW2146227799

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.