Molecular Vision 2019; 25:902-911 <>
Received 21 December 2018 | Accepted 30 December 2019 | Published 31 December 2019

Potential effects of progranulin and granulins against retinal photoreceptor cell degeneration

Miruto Tanaka, Yoshiki Kuse, Shinsuke Nakamura, Hideaki Hara, Masamitsu Shimazawa

Molecular Pharmacology, Department of Biofunctional Evaluation, Gifu Pharmaceutical University, Gifu, Japan

Correspondence to: Masamitsu Shimazawa, Department of Biofunctional Evaluation, Molecular Pharmacology, Gifu Pharmaceutical University, 1-25-4 Daigaku-nishi, Gifu 501-1196, Japan; Phone: +81-58-230-8126; FAX: +81-58-230-8126; email:


Purpose: The authors previously reported that progranulin attenuated retinal degeneration. The present study focused on the role of progranulin and its cleavage products, granulins, in the pathogenesis of photoreceptor degeneration.

Methods: Photoreceptor degeneration was induced with excessive exposure of murine photoreceptor cells and the retinas of albino mice to white fluorescent light. Damaged photoreceptor cells and retinas were examined using a cell death assay, western blotting, and immunostaining.

Results: Even after proteolytic cleavage, treatment with progranulin or its cleavage products or both exerted protective effects on photoreceptors against light exposure. In the murine retina, the expression levels of granulins and the macrophage and microglia marker Iba-1 were increased at 48 h after light exposure. Additionally, progranulin+ and Iba-1+ double-positive cells had accumulated in the outer nuclear layer, the primary location of photoreceptor cells.

Conclusions: These results suggest that progranulin or its cleavage products, granulins, or both may be therapeutic targets for age-related macular degeneration and other neurodegenerative diseases.


It has been established that excessive exposure to light can cause degeneration of photoreceptor cells through apoptotic and necrotic processes. Visual function relies heavily on photoreceptor cells, the loss of which is a leading cause of blindness in developed countries. An epidemiological study demonstrated that light exposure may be an important risk factor for progression of retinal degeneration during age-related macular degeneration (AMD) [1-3].

Progranulin (PGRN), also known as granulin-epithelin precursor (GEP) [4], proepithelin (PEPI) [5], acrogranin [6], and GP88/PC-cell derived growth factor (PCDGF) [7], is a multifunctional growth factor expressed by many cell types, including neurons and microglia in the central nervous system (CNS) [8]. It has been reported that PGRN is involved in multiple physiologic functions, such as wound healing [9], inflammation [10,11], tumorigenesis [12], and insulin resistance [13]. In 2006, mutations in the PGRN gene (GRN; Gene ID: 2896, OMIM: 138945) were discovered to be a cause of frontotemporal lobar degeneration (FTLD) with TAR DNA-binding protein 43 (TDP-43)-positive inclusions [14,15]. Several studies have shown that PGRN has a neuroprotective effect by promoting neurite outgrowth and cell survival [16], and protects against amyloid-β deposition and toxicity [17]. Another study reported that dysregulation of Wnt signaling may be a major pathway in Grn-deficient neuronal death [18].

Structurally, PGRN is a cysteine-rich protein consisting of 593 amino acids, with a molecular weight of 68.5 kDa, and is typically secreted in a highly glycosylated 88 kDa form. Notably, PGRN is composed of seven-and-a-half granulin domains, namely, p (paragranulin, a granulin half-domain); and granulins G, F, B, A, C, D, and E. After secretion, PGRN undergoes proteolytic cleavage at the linker domain. Neutrophil elastase (NE) [10], proteinase-3 (PR3) [11], matrix metalloproteinase 9 (MMP-9) [19], MMP-12 [20], MMP-14 [21], and a disintegrin-like and metalloproteinase domain 7 (ADAMTS-7) [22] can release individual granulin peptides. Additionally, secretory leukocyte protease inhibitor (SLPI) and high-density lipoprotein apolipoprotein A-I (HDL/Apo A-I) block PGRN from proteolytic conversion by elastase [10,23]. These reports highlighted the importance of the balance between PGRN and granulins controlled by SLPI or elastase.

As described above, PGRN and granulins have biologic effects, whereas the role of granulins in the CNS remains unclear. It has been reported that PGRN and granulins have opposing effects in some situations, including anti- and proinflammatory, growth promoting and inhibiting [10], and neuroprotective and neurotoxic effects [24]. Conversely, some studies have reported that PGRN and granulins exert similar effects (e.g., granulin E rescues neuronal cell survival similar to PGRN [16]). Thus, it remains controversial whether granulins contribute to pathogenesis, inert or protective, especially in the CNS.

In the present study, using a model of light-induced retinal damage, we focused on the effect of granulins on photoreceptor degeneration. We previously reported that PGRN has a protective effect on photoreceptor cells in in vivo and in vitro models [25], which mimics the degenerative pathology of AMD or retinitis pigmentosa (RP). Although this finding is consistent with PGRN as a neuroprotective agent, it remains unclear whether granulins are capable of exerting protective effects similar to those of full-length PGRN. We examined whether PGRN and its cleavage products, granulins, have the same or opposite effects with regard to photoreceptor cell damage.


Cell culture

The murine cone photoreceptor cell line 661W was a generous gift from Dr. Muayyad R. Al-Ubaidi (University of Houston, Houston, TX). The cells were cultured in Dulbecco’s modified Eagle medium (Nacalai Tesque, Inc., Kyoto, Japan) supplemented with 10% fetal bovine serum (FBS; Biosera, Kansas City, MO), 100 U/ml penicillin (Meiji Seika Pharma Co., Ltd., Tokyo, Japan), and 100 µg/ml streptomycin (Meiji Seika) in a humidified atmosphere of 5% CO2 at 37 °C. Cultured adherent cells were trypsinized and passaged every 2–3 days.

STR analysis

The 661W cells were authenticated with short tandem repeats (STR) profile and interspecies contamination testing (IDEXX BioResearch, Ludwigsburg, Germany). The sample was confirmed to be of mouse origin, and no mammalian interspecies contamination was detected. The genetic profile was verified to be consistent with a mixed FVB and C57BL/6J mouse stain of origin, and to carry this cell line’s unique transgene, HIT1 (Appendix 1) [26].

In vitro light-induced cell death assay

The 661W cells were seeded on 3 × 103 cells/well in 96-well plates and subsequently incubated for 24 h at 37 °C; the medium was then replaced with 1% FBS. After incubation for 1 h, 500 ng/ml recombinant mouse PGRN, cleaved PGRN, phenylmethylsulfonyl fluoride (PMSF), or elastase + PMSF were added. The cells were then exposed to 2,500 lux of white fluorescent light (Nikon, Tokyo, Japan) for 24 h under 5% CO2 at 37 °C. Cell death was measured using Hoechst 33,342 (Invitrogen, Carlsbad, CA) and propidium iodide (PI; Invitrogen). At the end of the light exposure, Hoechst 33342 and PI were added to the medium to final concentrations of 8.1 and 1.5 µM, respectively, for 15 min. Images of stained cells were captured with an All-in-One BZ-X710 fluorescence microscope (Keyence, Osaka, Japan). The percentage of PI-positive cells was determined by distinguishing Hoechst 33342 and PI fluorescence.

In vitro proteolytic reaction (for western blotting)

Recombinant mouse PGRN (R&D systems, Minneapolis, MN) was cleaved using elastase (Type I porcine pancreatic elastase; Sigma-Aldrich, St. Louis, MO), diluted in 100 mM Tris-HCl and 960 mM NaCl. Recombinant PGRN (5 µg/ml) was mixed with elastase (0.1, 0.5, and 1.0 U/ml) and incubated for 1 h at 37 °C. Sample buffer (Wako Pure Chemical Corporation, Osaka, Japan) was added (sample:sample buffer = 3:1) and boiled for 5 min. All samples were analyzed with western blotting using polyclonal anti-mouse PGRN antibody (R&D Systems; dilution, 1:100).

Reagents for cell death assay

Recombinant mouse PGRN was cleaved using Type I porcine elastase. For the in vitro cell death assay, recombinant PGRN (10 μg/ml) was mixed with elastase (2.0 U/ml) and incubated for 1 h at 37 °C. An equal amount of PMSF (Nacalai Tesque, Kyoto, Japan), a protease inhibitor, at 1 mM (dissolved in dimethyl sulfoxide [DMSO], 0.1% final concentration) was added to the mixture to inhibit the activity of elastase, and the mixture was incubated for 15 min. The combination of PGRN (500 ng/ml) with elastase (0.1 U/ml), and PMSF (0.1 mM) was added to the culture medium, and the cell death assay was performed.

Removal of full-length PGRN

To remove full-length PGRN, 400 µl of cleaved PGRN (treated with PMSF) was directly applied to centrifugal filter devices (Amicon Ultra-15; 50,000 MW cutoff; Millipore, Billerica, MA). The mixture was centrifuged at 7,000 ×g for 20 min at 4 °C. Flow-through fractions were collected, and PBS (1X; 136.9 mM NaCl, 2.68 mM KCl, 10.14 mM Na2HPO4•12H2O, 1.76 mM KH2PO4, pH 7.3) was added to attain a volume of 400 µl.


Male adult ddY mice were purchased from Japan SLC, Inc. (Hamamatsu, Japan), and housed under controlled lighting conditions (12 h:12 h light-dark). Eight-week-old ddY mice were used in the experiments, which were performed in accordance with the Association for Research in Vision and Ophthalmology Statement for the Use of Animals in Ophthalmic and Vision Research, and were approved and monitored by the Institutional Animal Care and Use Committee of Gifu Pharmaceutical University (Gifu, Japan).

Light-induced retinal damage in vivo

Before the mice were exposed to light, they were adapted to the dark for 24 h. Their pupils were dilated using 1% cyclopentolate hydrochloride (Santen Pharmaceuticals Co., Ltd., Osaka, Japan) 30 min before light exposure. Non-anesthetized mice were exposed to 8,000 lux of white fluorescent light (Toshiba, Tokyo, Japan) for 3 h in cages with a reflective interior. The temperature during the light exposure was maintained at 25 °C ± 1.5 °C. After light exposure, all mice were returned to darkness for 24 h and then placed in a normal light-dark cycle. At 24 and 48 h after light exposure, the eyes were enucleated, and the tissues were used for western blotting or immunostaining.

Western blotting

Retinas were rapidly frozen at −80 °C. Samples were then homogenized in radioimmunoprecipitation (RIPA) buffer containing protease inhibitor cocktail (Sigma-Aldrich) and phosphatase inhibitor cocktail 2 and 3 (Sigma-Aldrich). Lysates were centrifuged at 12,000 ×g for 10 min at 4 °C; the supernatants were used for the western blotting. Protein concentrations were measured by comparison with a known concentration of bovine serum albumin (BSA) using a bicinchoninic acid protein assay kit (1:2,000; Thermo Fisher Scientific, Waltham, MA). Sample buffer (Wako) was added (sample:sample buffer = 3:1) and boiled for 5 min.

The samples were separated with sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) using 5–15% gradient gels (Wako), and transferred to polyvinylidene difluoride membranes (Immobilon-P; Millipore). Membranes were incubated in blocking One P (Nacalai Tesque) for 30 min at room temperature. The membranes were then washed in TBS (Tris-buffered saline) containing 0.05% Tween-20, and incubated overnight with primary antibodies (sheep anti-PGRN, 1:100, R&D Systems; mouse anti-SLPI, 1:100, Santa Cruz, Dallas, TX; rabbit anti-Iba-1, Wako, 1:200; and mouse anti-β-actin, 1:2,000, Sigma-Aldrich) at 4 °C. All primary antibodies were diluted in Can Get Signal Solution 1 (TOYOBO, Osaka, Japan). Following primary antibody incubation, membranes were washed in TBS containing 0.05% Tween-20 three times, and incubated with secondary antibodies diluted in Can Get Signal Solution 2 (TOYOBO; horseradish peroxidase [HRP]-conjugated rabbit anti-sheep immunoglobulin [IgG; Thermo Fisher Scientific]; HRP-conjugated goat anti-rabbit IgG, 1:2,000, Thermo Fisher Scientific; HRP-conjugated goat anti-mouse antibody, 1:2,000, Thermo Fisher Scientific) for 1 h at room temperature. After incubation with secondary antibodies, the membranes were washed three times, and proteins were visualized using an imaging reagent (ImmunoStar LD, Wako) and device (LAS-4000, FUJIFILM, Tokyo, Japan).

Preparation of cryosections

Eyes were enucleated at 24 and 48 h after light exposure and fixed in 4% paraformaldehyde (PFA; Wako) in 0.1 M phosphate buffer (pH 7.4; Wako) overnight at 4 °C. Following fixation, the eyes were cryoprotected with 25% sucrose in 0.1 M phosphate buffer (pH 7.4) for 48 h at 4 °C. The eyes were then embedded in optimal cutting temperature (OCT) compound (Sakura Fine Technical Co., Ltd., Tokyo, Japan) and rapidly frozen on dry ice. Sections (10 µm thick) were sliced on a cryostat and placed on glass slides (MAS COAT; Matsunami Glass Ind., Ltd., Osaka, Japan).


After washing with PBS, the sections were blocked with 10% horse serum (Vector Labs, Burlingame, CA) for 1 h at room temperature, and then incubated overnight with primary antibodies (sheep anti-PGRN antibody, 1:50, R&D Systems; rabbit anti-Iba-1, 1:200, Wako) at 4 °C. The sections were washed with PBS and incubated with secondary antibodies (Alexa Fluor®647 donkey anti-sheep IgG, Thermo Fisher Scientific; Alexa Fluor®546 donkey anti-rabbit IgG, Thermo Fisher Scientific) for 1 h at room temperature. The sections were treated with Hoechst 33342 (1:2,000; Invitrogen) to stain nuclei, and were mounted in Fluoromount (Diagnostic BioSystems, Pleasanton, CA). A confocal microscope (LSM700; Zeiss, Oberkochen, Germany) or FLUOVIEW FV10i (Olympus, Tokyo, Japan) was used to capture representative data or for quantification analysis, respectively. For quantitative analysis, images were captured at 250 and 750 µm from the optic nerve head. The number of PGRN+ and Iba-1+ double-positive cells was counted within the area of the image (500 × 500 µm), and density was expressed as the number of PGRN+ and Iba-1+ double-positive cells per millimeter.

Statistical analysis

Data are expressed as mean ± standard error of the mean (SEM). Statistical comparisons were performed using one-way analysis of variance (ANOVA) followed by Tukey’s test, or Dunnett’s test (SPSS version 24, IBM Corporation, Armonk, NY). A p value of less than 0.05 was considered statistically significant.


Cleaved PGRN exerts a protective effect against light-induced photoreceptor cell death

To investigate the effect of granulins, PGRN was proteolytically cleaved into granulins in vitro (Figure 1A). PGRN was converted into granulins by elastase in a concentration-dependent manner. The pattern of the lower molecular weight cleavage product was consistent with a previous report [20].

Light-induced photoreceptor cell death was then induced to investigate whether cleaved PGRN demonstrated a neuroprotective effect. Light exposure induced death in murine photoreceptor (i.e., 661W) cells. In this experiment, enzymatic activities of elastase were inhibited by PMSF after cleavage (Appendix 2), and then it was confirmed that any combination of elastase and PMSF, including PMSF and elastase + PMSF treatments, had no effect on the photoreceptor protective effects. Treatment with cleaved PGRN ([P+E] +PMSF) statistically significantly attenuated cell death, as did full-length PGRN (Figure 1B,C).

Granulins and intermediate poly-granulins, without full-length PGRN, also exert a protective effect on photoreceptors

Although the protective effect of cleaved PGRN was confirmed, it remained a concern that the elastase-treated PGRN may have residual full-length proteins. To demonstrate the effect of granulins in the absence of full-length PGRN, full-length PGRN was first separated from this mixture using centrifuge filters (50 kDa cutoff), with separation confirmed with western blotting (Figure 2A), followed by investigation of the protective effect of granulins against photoreceptor cell damage. Intermediate poly-granulins and granulins attenuated photoreceptor cell death induced by excess light exposure, as well as full-length PGRN (Figure 2B). These data suggested that granulins and intermediate poly-granulins retained the active site that conferred protective action.

Expression and cleavage of PGRN in the retina after light exposure

Because the biologic function and cleavage of PGRN during photoreceptor degeneration are unclear, expression patterns in the retina after light exposure were examined (Figure 3A). Although western blotting revealed that the protein levels of the granulins were increased in the retina after light exposure compared with the non-irradiated control retinas, the levels of PGRN were not statistically significantly altered (Figure 3B–D). The specificity of the bands of PGRN and granulins were confirmed with Grn knockout (KO) mice [27-29] (Appendix 3).

Light irradiation also increased the ratio of granulins to PGRN (Figure 3E), and the expression level of SLPI at 48 h after exposure (Figure 3F). Moreover, we examined PGRN expression in the macrophages and microglia because PGRN is mainly secreted by macrophages, microglia, or neurons in the CNS [8]. In accordance with these data, time-dependent changes in the expression level of Iba-1 (a macrophage and microglia marker) was observed (Figure 3G). Taken together, these data suggested that PGRN and its cleavage product (i.e., granulins) are expressed in degenerative retinas after light exposure.

PGRN is expressed by macrophages and microglia in the outer nuclear layer

We previously reported that apoptotic cells were statistically significantly increased in the outer nuclear layer (ONL) at 48 h after excessive light exposure [30]. To investigate the localization of PGRN and granulins in the degenerative retina, retinal sections were immunostained with anti-PGRN antibody that can detect PGRN and granulins (Figure 3B) at the same time after light exposure (see Figure 4A). In the normal retina, the expression of PGRN and Iba-1 positive cells was not observed in the ganglion cell layer, inner nuclear layer, and ONL (Figure 4A,C). The number of PGRN+ Iba-1+ double-positive cells, however, was statistically significantly increased in the ONL at 24 or 48 h after light exposure (Figure 4A,B,D). Collectively, these data suggested that accumulated Iba-1+ macrophages and microglia in the ONL express PGRN or granulins or both in the degenerative retina.


Retinal degeneration, as observed in AMD and RP, primarily affects photoreceptor cells, and is a leading cause of blindness; however, there are few effective therapeutic strategies for these disorders. In the present study, we demonstrated that PGRN exerts a protective effect against photoreceptor cell damage, even after undergoing proteolytic cleavage into granulins. These findings support the therapeutic effects of PGRN and granulins in AMD or RP.

Potential roles for PGRN in the CNS have been proposed. PGRN exerts a neuroprotective effect in some diseases, including brain injury and neurodegeneration [18,31-34], and is known to be implicated as the primary genetic cause of FTLD [14,15]. Recently, it has been reported that complete loss of PGRN leads to neuronal ceroid lipofuscinosis, a lysosomal storage disorder [35], which highlights the importance of PGRN in the brain.

However, granulins do not always exhibit the same effect as PGRN. Granulin E and PGRN promote neurite outgrowth and survival [16,36]. In contrast, expression of nematode granulin 2 and 3, most closely homologous to human granulins B and E, respectively, increase the levels of TDP-43, which has been implicated in the pathogenesis of amyotrophic lateral sclerosis (ALS) or FTLD, and exacerbate its toxicity [37]. These reports indicated that it is unclear whether individual granulins confer protective effects or lead to harmful effects in the CNS. Data from the present study demonstrated that PGRN and its cleavage products possess neuroprotective properties (Figure 1 and Figure 2). In addition, Tang et al. demonstrated that an engineered molecule consisting of three granulin fragments exhibited interaction with tumor necrosis factor receptor 2 (TNFR2) and suppressed TNF-α-mediated inflammation (an effect similar to PGRN) [38]. Therefore, it appears that granulins and intermediate poly-granulins may still retain the necessary active sites essential for their neuroprotective effects. Results from the present study suggest the potential for clinical applications of PGRN in neurodegenerative or inflammatory diseases by engineering smaller molecular weight derivatives.

Two types of cell surface receptors have been proposed as targets for PGRN: TNFR1/TNFR2 and sortilin [38,39]. PGRN blocks the binding of TNF-α to TNFR1 and TNFR2, and may regulate extracellular PGRN levels by interaction with sortilin. Despite its pleiotropic effects, it remains controversial whether these receptors truly have the ability to mediate signal transduction for its neurotropic actions [40]. We previously suggested hepatocyte growth factor (HGF) receptor as a novel target for PGRN, given that treatment with PGRN promotes phosphorylation of the HGF receptor in 661W cells [25]. Moreover, the differentiation of retinal precursor cells induced by PGRN was attenuated by SU11274, an HGF receptor inhibitor in primary retinal cells [27]. Neonatal (postnatal day 9) Grn−/− mice exhibited decreased phosphorylation of the HGF receptor [28]. These data suggest that the HGF receptor may be a pivotal target for PGRN in photoreceptor cell protection.

The balance between intact PGRN and granulins appears to be regulated by SLPI, which binds to PGRN or elastase, or both, and prevents cleavage [10]. In this study, we observed a statistically significant increase in granulin levels after light exposure (Figure 3B–E); the protein levels of SLPI were also increased after light exposure (Figure 3F). Other studies have demonstrated that PGRN and granulins act as anti- or proinflammatory cytokines, respectively, during peripheral inflammation [10,11]. Therefore, we hypothesized that SLPI may regulate the ratio of PGRN to granulins, and that a disruption in the control of this balance leads to tissue damage and inflammation related to AMD pathology. Light exposure causes retinal inflammation that involves the complement system [41]. The enhancement of SLPI and the increased tendency of PGRN at 48 h after light exposure may show that SLPI protects newly secreted PGRN from proteolytic conversion and results in recovery from inflammatory conditions. This concept is supported in mice lacking SLPI [10,42], or NE and PR-3 [11], which resulted in enhanced or decreased inflammation, respectively. However, details regarding the modulation of the “PGRN-granulin axis” remain largely unknown. A better understanding of the switching mechanism for the conversion of PGRN into granulins may lead to the identification of potential therapeutic targets in treating inflammation-related disorders.

Results of the present study suggested that PGRN plays a potentially crucial role in converting to granulins in progressive retinal degeneration in conditions such as AMD and RP. Further studies are needed to determine which active sites exert protective effects and whether granulins are also protective in vivo. In conclusion, the present results fill an important information gap in the literature and may contribute to the development of promising new therapeutic strategies targeting PGRN or studying the action of PGRN and granulins.

Appendix 1. STR analysis.

Appendix 2. Inhibition of elastase's cytotoxic activities by PMSF.

Appendix 3. Comparison of the observed PGRN/GRN bands of retina between light-damaged albino mice and Grn KO mice.


  1. Taylor HR, Muñoz B, West S, Bressler NM, Bressler SB, Rosenthal FS. Visible light and risk of age-related macular degeneration. Trans Am Ophthalmol Soc. 1990; 88:163-73.-, discussion 173–8.. [PMID: 2095019]
  2. Taylor HR, West S, Muñoz B, Rosenthal FS, Bressler SB, Bressler NM. The Long-term Effects of Visible Light on the Eye. Arch Ophthalmol. 1992; 110:99-104. [PMID: 1731731]
  3. Sui G-Y, Liu G-C, Liu G-Y, Gao Y-Y, Deng Y, Wang W-Y, Tong S-H, Wang L. Is sunlight exposure a risk factor for age-related macular degeneration? A systematic review and meta-analysis. Br J Ophthalmol. 2013; 97:389-94. [PMID: 23143904]
  4. Zanocco-Marani T, Bateman A, Romano G, Valentinis B, He ZH, Baserga R. Biological activities and signaling pathways of the granulin/epithelin precursor. Cancer Res. 1999; 59:5331-40. [PMID: 10537317]
  5. Shoyab M, McDonald VL, Byles C, Todaro GJ, Plowman GD. Epithelins 1 and 2: isolation and characterization of two cysteine-rich growth-modulating proteins. Proc Natl Acad Sci USA. 1990; 87:7912-6. [PMID: 2236009]
  6. Anakwe OO, Gerton GL. Acrosome biogenesis begins during meiosis: evidence from the synthesis and distribution of an acrosomal glycoprotein, acrogranin, during guinea pig spermatogenesis. Biol Reprod. 1990; 42:317-28. [PMID: 1692485]
  7. Zhou J, Gao G, Crabb JW, Serrero G. Purification of an autocrine growth factor homologous with mouse epithelin precursor from a highly tumorigenic cell line. J Biol Chem. 1993; 268:10863-9. [PMID: 8496151]
  8. Petkau TL, Neal SJ, Orban PC, MacDonald JL, Hill AM, Lu G, Feldman HH, Mackenzie IRA, Leavitt BR. Progranulin expression in the developing and adult murine brain. J Comp Neurol. 2010; 518:3931-47. [PMID: 20737593]
  9. He Z, Ong CHP, Halper J, Bateman A. Progranulin is a mediator of the wound response. Nat Med. 2003; 9:225-9. [PMID: 12524533]
  10. Zhu J, Nathan C, Jin W, Sim D, Ashcroft GS, Wahl SM, Lacomis L, Erdjument-Bromage H, Tempst P, Wright CD, Ding A. Conversion of proepithelin to epithelins: Roles of SLPI and elastase in host defense and wound repair. Vol. 111 Cell. 2002; •••:867-78. [PMID: 12526812]
  11. Kessenbrock K, Fröhlich L, Sixt M, Lämmermann T, Pfister H, Bateman A, Belaaouaj A, Ring J, Ollert M, Fässler R, Jenne DE. Proteinase 3 and neutrophil elastase enhance inflammation in mice by inactivating antiinflammatory progranulin. J Clin Invest. 2008; 118:2438-47. [PMID: 18568075]
  12. He Z, Bateman A. Progranulin (granulin-epithelin precursor, PC-cell-derived growth factor, acrogranin) mediates tissue repair and tumorigenesis. J Mol Med (Berl). 2003; 81:600-12. [PMID: 12928786]
  13. Matsubara T, Mita A, Minami K, Hosooka T, Kitazawa S, Takahashi K, Tamori Y, Yokoi N, Watanabe M, Matsuo EI, Nishimura O, Seino S. PGRN is a key adipokine mediating high fat diet-induced insulin resistance and obesity through IL-6 in adipose tissue. Cell Metab. 2012; 15:38-50. [PMID: 22225875]
  14. Baker M, Mackenzie IR, Pickering-Brown SM, Gass J, Rademakers R, Lindholm C, Snowden J, Adamson J, Sadovnick AD, Rollinson S, Cannon A, Dwosh E, Neary D, Melquist S, Richardson A, Dickson D, Berger Z, Eriksen J, Robinson T, Zehr C, Dickey CA, Crook R, McGowan E, Mann D, Boeve B, Feldman H, Hutton M. Mutations in progranulin cause tau-negative frontotemporal dementia linked to chromosome 17. Nature. 2006; 442:916-9. [PMID: 16862116]
  15. Cruts M, Gijselinck I, Van Der Zee J, Engelborghs S, Wils H, Pirici D, Rademakers R, Vandenberghe R, Dermaut B, Martin JJ, Van Duijn C, Peeters K, Sciot R, Santens P, De Pooter T, Mattheijssens M, Van Den Broeck M, Cuijt I, Vennekens K, De Deyn PP, Kumar-Singh S, Van Broeckhoven C. Null mutations in progranulin cause ubiquitin-positive frontotemporal dementia linked to chromosome 17q21. Nature. 2006; 442:920-4. [PMID: 16862115]
  16. Van Damme P, Van Hoecke A, Lambrechts D, Vanacker P, Bogaert E, Van Swieten J, Carmeliet P, Van Den Bosch L, Robberecht W. Progranulin functions as a neurotrophic factor to regulate neurite outgrowth and enhance neuronal survival. J Cell Biol. 2008; 181:37-41. [PMID: 18378771]
  17. Minami SS, Min SW, Krabbe G, Wang C, Zhou Y, Asgarov R, Li Y, Martens LH, Elia LP, Ward ME, Mucke L, Farese RV, Gan L. Progranulin protects against amyloid β 2 deposition and toxicity in Alzheimer’s disease mouse models. Nat Med. 2014; 20:1157-64. [PMID: 25261995]
  18. Rosen EY, Wexler EM, Versano R, Coppola G, Gao F, Winden KD, Oldham MC, Martens LH, Zhou P, Farese RV, Geschwind DH. Functional Genomic Analyses Identify Pathways Dysregulated by Progranulin Deficiency, Implicating Wnt Signaling. Neuron. 2011; 71:1030-42. [PMID: 21943601]
  19. Xu D, Suenaga N, Edelmann MJ, Fridman R, Muschel RJ, Kessler BM. Novel MMP-9 Substrates in Cancer Cells Revealed by a Label-free Quantitative Proteomics Approach. Mol Cell Proteomics. 2008; 7:2215-28. [PMID: 18596065]
  20. Suh HS, Choi N, Tarassishin L, Lee SC. Regulation of progranulin expression in human microglia and proteolysis of progranulin by matrix metalloproteinase-12 (mmp-12). PLoS One. 2012; 7:e35115 [PMID: 22509390]
  21. Butler GS, Dean RA, Tam EM, Overall CM. Pharmacoproteomics of a Metalloproteinase Hydroxamate Inhibitor in Breast Cancer Cells: Dynamics of Membrane Type 1 Matrix Metalloproteinase-Mediated Membrane Protein Shedding. Mol Cell Biol. 2008; 28:4896-914. [PMID: 18505826]
  22. Bai X-H, Wang D-W, Kong L, Zhang Y, Luan Y, Kobayashi T, Kronenberg HM, Yu X-P, Liu C-j. ADAMTS-7, a Direct Target of PTHrP, Adversely Regulates Endochondral Bone Growth by Associating with and Inactivating GEP Growth Factor. Mol Cell Biol. 2009; 29:4201-19. [PMID: 19487464]
  23. Okura H, Yamashita S, Ohama T, Saga A, Yamamoto-Kakuta A, Hamada Y, Sougawa N, Ohyama R, Sawa Y, Matsuyama A. HDL/apolipoprotein A-I binds to macrophage-derived progranulin and suppresses its conversion into proinflammatory granulins. J Atheroscler Thromb. 2010; 17:568-77. [PMID: 20215705]
  24. Laird AS, van Hoecke A, De Muynck L, Timmers M, van den Bosch L, Van Damme P, Robberecht W. Progranulin is neurotrophic in vivo and protects against a mutant TDP-43 induced axonopathy. PLoS One. 2010; 5:1-7. [PMID: 20967127]
  25. Tsuruma K, Yamauchi M, Sugitani S, Otsuka T, Ohno Y, Nagahara Y, Ikegame Y, Shimazawa M, Yoshimura S, Iwama T, Hara H. Progranulin, a Major Secreted Protein of Mouse Adipose-Derived Stem Cells, Inhibits Light-Induced Retinal Degeneration. Stem Cells Transl Med. 2014; 3:42-53. [PMID: 24233842]
  26. al-Ubaidi MR, Font RL, Quiambao AB, Keener MJ, Liou GI, Overbeek PA, Baehr W. Bilateral retinal and brain tumors in transgenic mice expressing simian virus 40 large T antigen under control of the human interphotoreceptor retinoid-binding protein promoter. J Cell Biol. 1992; 119:1681-7.
  27. Kuse Y, Tsuruma K, Sugitani S, Izawa H, Ohno Y, Shimazawa M, Hara H. Progranulin promotes the retinal precursor cell proliferation and the photoreceptor differentiation in the mouse retina. Sci Rep. 2016; 6:23811 [PMID: 27030285]
  28. Kuse Y, Tsuruma K, Mizoguchi T, Shimazawa M, Hara H. Progranulin deficiency causes the retinal ganglion cell loss during development. Sci Rep. 2017; 7:1679 [PMID: 28490764]
  29. Kayasuga Y, Chiba S, Suzuki M, Kikusui T, Matsuwaki T, Yamanouchi K, Kotaki H, Horai R, Iwakura Y, Nishihara M. Alteration of behavioural phenotype in mice by targeted disruption of the progranulin gene. Behav Brain Res. 2007; 185:110-8. [PMID: 17764761]
  30. Ojino K, Shimazawa M, Ohno Y, Otsuka T, Tsuruma K, Hara H. Protective Effect of SUN N8075, a Free Radical Scavenger, against Excessive Light-Induced Retinal Damage in Mice. Biol Pharm Bull. 2014; 37:424-30. [PMID: 24583861]
  31. Egashira Y, Suzuki Y, Azuma Y, Takagi T, Mishiro K, Sugitani S, Tsuruma K, Shimazawa M, Yoshimura S, Kashimata M, Iwama T, Hara H. The growth factor progranulin attenuates neuronal injury induced by cerebral ischemia-reperfusion through the suppression of neutrophil recruitment. J Neuroinflammation. 2013; 10:105
  32. Van Kampen JM, Baranowski D, Kay DG. Progranulin gene delivery protects dopaminergic neurons in a mouse model of Parkinson’s disease. PLoS One. 2014; 9:e97032 [PMID: 24804730]
  33. Tao J, Ji F, Wang F, Liu B, Zhu Y. Neuroprotective effects of progranulin in ischemic mice. Brain Res. 2012; 1436:130-6. [PMID: 22221732]
  34. Ryan CL, Baranowski DC, Chitramuthu BP, Malik S, Li Z, Cao M, Minotti S, Durham HD, Kay DG, Shaw CA, Bennett HPJ, Bateman A. Progranulin is expressed within motor neurons and promotes neuronal cell survival. BMC Neurosci. 2009; 10:130 [PMID: 19860916]
  35. Smith KR, Damiano J, Franceschetti S, Carpenter S, Canafoglia L, Morbin M, Rossi G, Pareyson D, Mole SE, Staropoli JF, Sims KB, Lewis J, Lin WL, Dickson DW, Dahl HH, Bahlo M, Berkovic SF. Strikingly different clinicopathological phenotypes determined by progranulin-mutation dosage. Am J Hum Genet. 2012; 90:1102-7. [PMID: 22608501]
  36. Beel S, Moisse M, Damme M, De Muynck L, Robberecht W, Van Den Bosch L, Saftig P, Van Damme P. Progranulin functions as a cathepsin D chaperone to stimulate axonal outgrowth in vivo. Hum Mol Genet. 2017; 26:2850-63. [PMID: 28453791]
  37. Salazar DA, Butler VJ, Argouarch AR, Hsu T-Y, Mason A, Nakamura A, McCurdy H, Cox D, Ng R, Pan G, Seeley WW, Miller BL, Kao AW. The Progranulin Cleavage Products, Granulins, Exacerbate TDP-43 Toxicity and Increase TDP-43 Levels. J Neurosci. 2015; 35:9315-28. [PMID: 26109656]
  38. Tang W, Lu Y, Tian QY, Zhang Y, Guo FJ, Liu GY, Muzaffar Syed N, Lai Y, Alan Lin E, Kong L, Su J, Yin F, Ding AH, Zanin-Zhorov A, Dustin ML, Tao J, Craft J, Yin Z, Feng JQ, Abramson SB, Yu XP, Liu CJ. The growth factor progranulin binds to tnf receptors and is therapeutic against inflammatory arthritis in mice. Science. 2011; 332:478-84.
  39. Hu F, Padukkavidana T, Vægter CB, Brady OA, Zheng Y, Mackenzie IR, Feldman HH, Nykjaer A, Strittmatter SM. Sortilin-mediated endocytosis determines levels of the frontotemporal dementia protein, progranulin. Neuron. 2010; 68:654-67. [PMID: 21092856]
  40. Kao AW, McKay A, Singh PP, Brunet A, Huang EJ. Progranulin, lysosomal regulation and neurodegenerative disease. Vol. 18 Nat Rev Neurosci. 2017; 18:325-33. [PMID: 28435163]
  41. Rohrer B, Guo Y, Kunchithapautham K, Gilkeson GS. Eliminating complement factor D reduces photoreceptor susceptibility to light-induced damage. Invest Ophthalmol Vis Sci. 2007; 48:5282-9. [PMID: 17962484]
  42. Ashcroft GS, Lei K, Jin W, Longenecker G, Kulkarni AB, Greenwell-Wild T, Hale-Donze H, McGrady G, Song XY, Wahl SM. Secretory leukocyte protease inhibitor mediates non-redundant functions necessary for normal wound healing. Nat Med. 2000; 6:1147-53. [PMID: 11017147]