id: MODULE:renin_angiotensin_cascade
title: Renin-angiotensin cascade — renin (with the (pro)renin receptor) cleavage of angiotensinogen, ACE or chymase/cathepsin G formation of angiotensin II, the ACE2/neprilysin/PRCP angiotensin-(1-7) arm acting on MAS1, and the ENPEP/ANPEP aminopeptidase arm to angiotensin III and IV
description: >-
  The renin-angiotensin cascade is the extracellular proteolytic pathway that generates
  the family of angiotensin peptide hormones from a single precursor, angiotensinogen
  (AGT), a liver-secreted serpin-fold glycoprotein that does none of the cleaving itself.
  Renin (REN), an aspartic endopeptidase released by the juxtaglomerular cells of the
  kidney, cleaves the N-terminal Leu-Val bond of angiotensinogen and releases the inactive
  decapeptide angiotensin I; this is the rate-limiting step. On tissue surfaces renin and
  its zymogen prorenin bind the (pro)renin receptor ATP6AP2, which raises renin's catalytic
  efficiency and lets prorenin act without proteolytic activation. The zinc
  peptidyl-dipeptidase angiotensin-converting enzyme (ACE), anchored on endothelial cells
  and also shed into plasma, removes the C-terminal His-Leu dipeptide of angiotensin I to
  give the octapeptide angiotensin II, the principal effector, which acts on the AT1 and
  AT2 receptors. In tissues, angiotensin II is also formed independently of ACE by the
  mast-cell serine protease chymase (CMA1) and by neutrophil cathepsin G (CTSG). A
  counter-regulatory arm converts the pressor peptides into angiotensin-(1-7): the
  monocarboxypeptidase ACE2 removes the C-terminal phenylalanine of angiotensin II (its
  preferred substrate) and the C-terminal leucine of angiotensin I to give
  angiotensin-(1-9); neprilysin (MME) cleaves angiotensin I and angiotensin-(1-9) to
  angiotensin-(1-7), as ACE also does for angiotensin-(1-9); and the lysosomal
  prolylcarboxypeptidase PRCP releases the C-terminal phenylalanine of angiotensin II and
  III. Angiotensin-(1-7) is the agonist of the G protein-coupled receptor MAS1 and opposes
  angiotensin II with vasodilator and antiproliferative actions. A third arm trims
  angiotensin II from the N terminus: glutamyl aminopeptidase (aminopeptidase A, ENPEP)
  removes Asp1 to give angiotensin III, which still acts on the AT1 and AT2 receptors and
  dominates in the brain renin-angiotensin system, and alanyl aminopeptidase
  (aminopeptidase N, ANPEP) removes Arg1 of angiotensin III to give angiotensin IV.
status: DRAFT
scope: CONCRETE
evidence:
  - source_id: PW:0000492
    title: renin-angiotensin cascade pathway
    statement: >-
      The module boundary, members and topology follow the RGD Pathway Ontology record and
      interactive diagram for this term. The record states that "The inactive
      angiotensinogen precursor Agt is the sole substrate of renin aspartyl protease", that
      "Receptor-bound renin has a higher catalytic activity than renin in solution", that
      "The product of renin is the inactive peptide AgtI, in turn the substrate of Ace",
      that AgtIII results "from the cleavage of AgtII by the aminopeptidase Enpep", that
      Anpep "generates AgtIV from AgtIII", and that "the Agt1-7 peptide can be generated
      from AgtII through the action of Ace2 or from AgtI through the action of the neutral
      endopeptidease Mme" and "signals through its own receptor Mas1". The diagram draws
      Agt->AgtI->AgtII->AgtIII->AgtIV, AgtI and AgtII->Agt(1-7), Agt(1-7) with Mas1,
      Atp6ap2 and Igf2r associated with Ren, Renbp -| Ren, AgtII and AgtIII with
      Agtr1a/Agtr1b/Agtr2 and AgtIV with Lnpep. Derived through
      projects/RGD_PATHWAY_ONTOLOGY (pathways/PW_0000492.yaml). Human genes RGD curates to
      PW:0000492: ACE ACE2 AGT AGTR1 AGTR2 ANPEP ATP6AP2 CMA1 CPA3 CTSA CTSG ENPEP IGF2R
      LNPEP MAS1 MME NLN REN RENBP RNPEP THOP1.
  - source_id: GO:0002003
    title: angiotensin maturation
    statement: >-
      The GO process mapped to PW:0000492 (skos:closeMatch) in the project's curated
      mappings (projects/RGD_PATHWAY_ONTOLOGY/data/pw_go_curated.sssom.yaml), verified
      in go-basic 2026-07-26 as current (not obsolete), defined as conversion of
      angiotensinogen into mature angiotensin in the blood, is_a GO:0016486 peptide
      hormone processing and part_of GO:0002002 regulation of angiotensin levels in blood.
      It is the module concept and is placed on the protease annotons (and on the
      (pro)renin receptor cofactor), never on AGT.
  - source_id: gomodel:6246724f00000549
    title: Renin-angiotensin pathway (Human)
    statement: >-
      Production human GO-CAM (cached under gocams/6246724f00000549/) and the RGD triage's
      best-overlap model for PW:0000492. It models REN aspartic-type endopeptidase activity
      (GO:0004190) and ACE peptidyl-dipeptidase activity (GO:0008241), each part_of
      GO:0002003 angiotensin maturation and each with has_input AGT (UniProtKB:P01019);
      REN directly positively regulates ACE, ACE is causally upstream of AGT hormone
      activity (GO:0005179), and AGT hormone activity is upstream of AGTR1 angiotensin type
      I receptor activity. This module's REN and ACE annotons carry its activities as
      gocam_associations; AGT appears in it as the protease input and as the hormone,
      exactly the two roles AGT has here, and the AGT and AGTR1 activities are already
      linked from modules/angiotensin_ii_receptor_signaling.yaml.
  - source_id: PMID:12045255
    title: Pivotal role of the renin/prorenin receptor in angiotensin II production and cellular responses to renin.
    statement: >-
      Expression cloning of the (pro)renin receptor (ATP6AP2): receptor binding increases
      renin's catalytic efficiency on angiotensinogen. The basis for the ATP6AP2 annoton.
    supporting_text: The binding of renin induced a fourfold increase of the catalytic efficiency of angiotensinogen conversion to angiotensin I
  - source_id: PMID:15283675
    title: Evaluation of angiotensin-converting enzyme (ACE), its homologue ACE2 and neprilysin in angiotensin peptide metabolism.
    statement: >-
      Kinetic comparison of ACE, ACE2 and neprilysin on the angiotensin peptides; frames
      the angiotensin-(1-7) part as a set of competing routes whose balance depends on
      enzyme levels.
    supporting_text: with the levels of ACE, ACE2 and NEP dictating whether vasoconstriction or vasodilation will predominate
  - source_id: PMID:12829792
    title: Angiotensin-(1-7) is an endogenous ligand for the G protein-coupled receptor Mas.
    statement: Identifies MAS1 as the angiotensin-(1-7) receptor, the basis for part 5.
    supporting_text: these findings identify Mas as a functional receptor for Ang-(1-7)
notes: >-
  Derived from the RGD Pathway Ontology term PW:0000492 (renin-angiotensin cascade
  pathway) through the RGD_PATHWAY_ONTOLOGY project (seed in
  projects/RGD_PATHWAY_ONTOLOGY/data/module_seeds.yaml), mapped to GO:0002003 angiotensin
  maturation. PW:0000492 is the only PW evidence source_id: the module covers the
  proteolytic cascade. The diagram's receptor-signalling sub-pathways (PW:0000244,
  PW:0000527, PW:0000528 and the angiotensin III branches PW:0000457, PW:0000530,
  PW:0000531) and the angiotensin IV and angiotensin-(1-7) signalling pathways
  (PW:0000458, PW:0000529) are mentioned in prose but are not evidence here; the
  angiotensin II ones are the evidence of modules/angiotensin_ii_receptor_signaling.yaml.

  (1) BOUNDARY WITH ANGIOTENSIN II RECEPTOR SIGNALLING. This module is the part that
  modules/angiotensin_ii_receptor_signaling.yaml deliberately left out (its note 1). The
  receptor step is part 3, a module_ref to that module, and is not re-modelled; the AGT
  Angiotensin-2 hormone annoton, AGTR1 and AGTR2 live there. Angiotensin III is routed to
  the same module because it acts on the same two receptors.

  (2) AGT IS THE SUBSTRATE, NOT A PARTICIPANT (CLAUDE.md worked example, PR #2972).
  GO:0002003 is_a GO:0016486 peptide hormone processing, so the term names whatever does
  the cleaving. Angiotensinogen supplies no residue beyond the bond that is cut,
  positions nothing and catalyses nothing; renin, ACE and the other peptidases perform
  every step. AGT therefore appears (a) as the substrate (has_input) of every protease
  annoton, matching the has_input AGT edges on REN and ACE in gomodel:6246724f00000549,
  and (b) as the hormone source of angiotensin-(1-7) acting on MAS1 in part 5,
  paralleling the Angiotensin-2 hormone annoton of the receptor module. It carries no
  GO:0002003 process anywhere in this file. QuickGO (November 2026) confirms human AGT
  has no GO:0002003 row; its gene review records protease binding and hormone activity as
  core functions. The substrate peptides are named by AGT residue range in
  preferred_term (angiotensin I 25-34, angiotensin-(1-9) 25-33, angiotensin II 25-32,
  angiotensin-(1-7) 25-31, angiotensin III 26-32, angiotensin IV 27-32, the PEPTIDE
  features of the AGT UniProt entry) and grounded to the AGT accession.

  (3) THE (PRO)RENIN RECEPTOR. ATP6AP2 is included in the renin step as a cofactor
  annoton, not as a protease: it binds renin and prorenin, raises renin's catalytic
  efficiency about fourfold and makes prorenin active without proteolysis
  (PMID:12045255; Reactome R-HSA-2022403, R-HSA-2065357). Unlike AGT it does contribute
  to the work of the step, which is why GOA's two IDA rows placing it in GO:0002003 are
  kept (the ATP6AP2 gene review accepts both) and why the comparator logic of note 2
  does not exclude it. Its function here is GO:0016504 peptidase activator activity on
  renin, the capacity the cascade uses, rather than the GO:0004888 transmembrane
  signaling receptor activity of its gene review's core function, which is the
  out-of-scope ERK signalling. GOA has no experimental MF row for it other than bare
  protein binding, which is not used. Its renin-triggered ERK signalling
  and its V-ATPase accessory role are outside the module. Whether receptor binding is
  physiologically important for angiotensin generation in vivo is debated, which is
  recorded as a knowledge gap.

  (4) MOLECULAR FUNCTIONS. Chosen from each protein's experimental GOA rows in QuickGO
  (November 2026): REN GO:0004190 (EXP/IDA PMID:12045255 and older kinetic papers); ACE
  GO:0008241 (EXP, IDA PMID:11432860, PMID:1320019); ACE2 GO:0004180 (IDA
  PMID:10924499, PMID:10969042, PMID:15283675; its single IDA GO:0008241 row was not
  used because on the angiotensins it acts only as a carboxypeptidase; the zinc
  metallo- child GO:0004181 was considered, but its only human ACE2 row is an IEA
  transfer from the mouse ortholog, so the IDA-supported parent is kept); MME GO:0004222
  (EXP/IDA); CMA1 GO:0004252 (IDA, IBA; EXP rows are to the parent terms endopeptidase
  and serine-type peptidase activity); CTSG GO:0004252 (EXP/IDA); ENPEP GO:0004230 (EXP
  PMID:23888046); ANPEP GO:0070006 (IBA; experimental rows only TAS aminopeptidase
  activity); PRCP GO:0004185 (TAS PMID:28321); MAS1 GO:0001595 angiotensin receptor
  activity (IBA/ISS, supported here by PMID:12829792), in preference to its TAS row for
  angiotensin type II receptor activity (PMID:3419518), a 1988 row that predates the
  identification of angiotensin-(1-7) as its ligand and looks like a possible upstream
  error worth checking; it is not used. GO:0005515 protein binding is never used.

  (5) GO:0002003 ON THE ARMS. GOA places GO:0002003 on ACE2 (IBA, IC), MME, PRCP and
  PREP (IEA), ENPEP and ANPEP (IBA), and CMA1 and CTSG (TAS, Reactome). The term's
  definition (conversion of angiotensinogen into mature angiotensin) covers each active
  angiotensin, so it is used on every protease annoton. Some of these enzymes also
  degrade angiotensins (neprilysin and ACE on angiotensin II and angiotensin-(1-7)), and
  that catabolic side is mentioned in role descriptions but not modelled as a separate
  step; GO has no angiotensin catabolic process term.

  (6) ALTERNATIVE PROTEASES AND WHAT WAS LEFT OUT. Chymase and cathepsin G are modelled
  as variants of the angiotensin II step (Reactome R-HSA-2022383, R-HSA-2022411); CMA1
  and CTSG are on RGD's gene list. Neprilysin, PRCP and ACE are variants of the
  angiotensin-(1-7) step. PRCP is not on RGD's list but is the classical
  "angiotensinase C" with direct biochemical evidence (PMID:28321). Prolyl endopeptidase
  (PREP) was requested as a candidate but is left out: its only GO:0002003 row is IEA by
  orthology and no cached source documents its action on human angiotensins, so it stays
  context. Cathepsin D (CTSD) has renin-like activity on angiotensinogen in vitro but
  is not on RGD's list and no cached source was checked for it, so it is not a variant
  of the renin step. Other RGD-listed genes left out, by symbol: CTSA (cathepsin A; its gene review
  models a lysosomal serine carboxypeptidase and deamidase with no angiotensin-specific
  evidence cached), CPA3 (mast-cell carboxypeptidase A3, Reactome R-HSA-2028294
  angiotensin I to angiotensin-(1-9), a minor side reaction with no human experimental GO
  row checked), cathepsin Z (Reactome R-HSA-2022381, not on RGD's list), NLN, THOP1 and
  RNPEP (oligopeptidases and arginyl aminopeptidase that RGD inherits from KEGG
  map04614 by IEA, with no reaction drawn on the RGD diagram), IGF2R (a renin and
  prorenin clearance receptor, which removes rather than performs the step), RENBP
  (renin-binding protein, now known to be N-acylglucosamine 2-epimerase; renin
  inhibition is a historical in vitro observation), LNPEP (IRAP, drawn by RGD as the
  angiotensin IV receptor; its gene review models it as a metalloaminopeptidase acting
  on peptide hormones, the angiotensin IV receptor claim is contested, and angiotensin
  IV signalling PW:0000458 is a separate pathway), and MRGPRD with the decarboxylated
  peptides angiotensin A and alamandine (Reactome R-HSA-9944540, R-HSA-9944473; the
  decarboxylase is unknown). AGTR1 and AGTR2 are in the referenced receptor module.

  (7) GO-CAM LINKS. gomodel:6246724f00000549 is linked on the REN and ACE (angiotensin
  II step) annotons. No production GO-CAM in gocams/index.tsv models ATP6AP2, CMA1, CTSG,
  MME, PRCP, ENPEP or ANPEP. ACE2 appears only in SARS-CoV-2 entry models
  (virus receptor activity) and MAS1 only in a CXCL17 chemokine model
  (gomodel:68fac5ed00003102); neither concerns angiotensin processing, so they are not
  linked. ACE's bradykinin-degradation activity (gomodel:6246724f00000632) belongs to
  modules/kallikrein_kinin_cascade.yaml.

  (8) GROUNDING. UniProt accessions come from genes/human/<GENE>/<GENE>-uniprot.txt for
  AGT and ATP6AP2 and from UniProt REST (reviewed human entries) for the rest. GO ids and
  labels were checked against .cache/rgd_pw/go-basic.obo (2026-07-26). Gene reviews
  exist for AGT, ATP6AP2, CTSA, CTSD and LNPEP only; REN, ACE, ACE2, CMA1, CTSG, MME,
  PRCP, ENPEP, ANPEP and MAS1 have none yet, which is curation follow-up for the project
  plan. PANTHER ids are omitted: every participant is a concrete human gene product and
  no family id was checked.
module:
  id: renin_angiotensin_cascade
  label: Renin-angiotensin cascade
  module_type: BIOLOGICAL_PROCESS
  concepts:
    - preferred_term: angiotensin maturation
      term:
        id: GO:0002003
        label: angiotensin maturation
      description: >-
        Conversion of angiotensinogen into mature angiotensin peptides in the blood; a
        child of GO:0016486 peptide hormone processing. The GO term mapped to PW:0000492
        (skos:closeMatch).
  context:
    taxa:
      - preferred_term: Homo sapiens
        term:
          id: NCBITaxon:9606
          label: Homo sapiens
    cellular_components:
      - preferred_term: extracellular region
        term:
          id: GO:0005576
          label: extracellular region
      - preferred_term: plasma membrane
        term:
          id: GO:0005886
          label: plasma membrane
        description: >-
          ACE, ACE2, neprilysin and the two aminopeptidases are ectoenzymes whose active
          sites face the extracellular space, and the (pro)renin receptor and MAS1 are
          plasma-membrane receptors; all act on peptides in the same extracellular
          compartment as soluble renin, chymase and cathepsin G.
  parts:
    - order: 1
      role: angiotensin I formation from angiotensinogen
      node:
        id: ras_renin_cleavage
        label: Renin cleavage of angiotensinogen to angiotensin I, enhanced by the (pro)renin receptor
        module_type: REACTION
        description: >-
          The rate-limiting, committed step. Renin cleaves angiotensinogen (AGT), the
          substrate, to release the decapeptide angiotensin I (AGT residues 25-34). On
          cell surfaces the (pro)renin receptor ATP6AP2 binds renin and prorenin and
          increases the efficiency of the same cleavage; it is a cofactor and receptor,
          not a second protease.
        annotons:
          - id: ren_angiotensinogen_cleavage
            label: Renin aspartic-type endopeptidase activity on angiotensinogen
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: REN
                term:
                  id: UniProtKB:P00797
                  label: Renin
            function:
              preferred_term: aspartic-type endopeptidase activity
              term:
                id: GO:0004190
                label: aspartic-type endopeptidase activity
              substrates:
                - preferred_term: angiotensinogen (releasing angiotensin I, AGT 25-34)
                  term:
                    id: UniProtKB:P01019
                    label: Angiotensinogen
            processes:
              - preferred_term: angiotensin maturation
                term:
                  id: GO:0002003
                  label: angiotensin maturation
            locations:
              - preferred_term: extracellular region
                term:
                  id: GO:0005576
                  label: extracellular region
            role_description: >-
              Circulating renin from the juxtaglomerular cells performs the only cleavage
              that angiotensinogen itself undergoes; angiotensinogen is the input, not a
              participant. This is the has_input relation of the REN activity in
              gomodel:6246724f00000549.
            evidence:
              - source_id: Reactome:R-HSA-2022412
                statement: Circulating renin cleaves angiotensinogen to angiotensin I.
                supporting_text: Renin in the bloodstream hydrolyzes angiotensinogen to yield angiotensin-(1-10) (angiotensin I).
              - source_id: PMID:12045255
                statement: >-
                  Receptor-bound renin converts angiotensinogen to angiotensin I with
                  fourfold higher catalytic efficiency, showing renin as the catalyst.
                supporting_text: The binding of renin induced a fourfold increase of the catalytic efficiency of angiotensinogen conversion to angiotensin I
            gocam_associations:
              - model: gomodel:6246724f00000549
                activity: gomodel:6246724f00000549/6246724f00000562
                title: REN aspartic-type endopeptidase activity (GO:0004190), has_input AGT, part of GO:0002003
          - id: atp6ap2_renin_receptor
            label: (Pro)renin receptor binding renin and prorenin and enhancing angiotensin I generation
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ATP6AP2
                term:
                  id: UniProtKB:O75787
                  label: Renin receptor
            function:
              preferred_term: peptidase activator activity
              term:
                id: GO:0016504
                label: peptidase activator activity
              targets:
                - preferred_term: renin and prorenin (REN), the peptidase it activates
                  term:
                    id: UniProtKB:P00797
                    label: Renin
            processes:
              - preferred_term: angiotensin maturation
                term:
                  id: GO:0002003
                  label: angiotensin maturation
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Cell-surface receptor for renin and prorenin. Binding raises renin's
              catalytic efficiency about fourfold and makes prorenin catalytically active
              without removal of its prosegment, so it contributes to the cleavage that
              renin performs. It also signals to ERK1/2 independently of angiotensin II,
              which is outside this module. The function asserted here is the work it
              does in the cascade, peptidase activator activity on renin (PMID:12045255),
              not the GO:0004888 transmembrane signaling receptor activity that is the core
              function in the ATP6AP2 gene review (genes/human/ATP6AP2/): that capacity is
              the out-of-scope ERK signalling. GOA has no experimental row for either
              term (only bare protein binding by IPI and an IEA receptor row), so this is
              an authored function. Its larger housekeeping role
              as a V-ATPase accessory subunit is not part of this cascade.
            evidence:
              - source_id: PMID:12045255
                statement: Cells expressing the cloned receptor bind renin and prorenin specifically.
                supporting_text: Transfected cells stably expressing the receptor showed renin- and prorenin-specific binding
              - source_id: PMID:12045255
                statement: The receptor places angiotensin II generation at the cell surface.
                supporting_text: This discovery emphasizes the role of the cell surface in angiotensin II generation
              - source_id: Reactome:R-HSA-2065357
                statement: Prorenin acquires protease activity only when bound to the receptor.
                supporting_text: Prorenin is inactive when not bound to the (pro)renin receptor.
    - order: 2
      role: angiotensin II formation from angiotensin I
      node:
        id: ras_angiotensin_ii_formation
        label: Conversion of angiotensin I to angiotensin II by ACE, or by chymase or cathepsin G in tissues
        module_type: REACTION
        description: >-
          Angiotensin I is cleaved at its Phe8-His9 bond to the octapeptide angiotensin
          II (AGT 25-32). ACE, a dipeptidyl carboxypeptidase that removes His-Leu, is the
          canonical and ACE-inhibitor-sensitive route; the mast-cell chymase CMA1 and
          neutrophil cathepsin G (CTSG) are serine endopeptidases that make the same
          product at the same bond in tissues, independently of ACE.
        variant_sets:
          - id: ras_angiotensin_ii_forming_proteases
            label: Angiotensin II-forming proteases
            axis: protease and tissue context
            selection: ONE_OR_MORE
            notes: >-
              ACE is the systemic enzyme, at the endothelial surface and shed into plasma.
              Chymase and cathepsin G are released from mast-cell and neutrophil granules
              and form angiotensin II locally, notably in the human heart and vessel wall,
              which is why ACE inhibitors do not abolish tissue angiotensin II. Each
              variant alone satisfies the step.
            variants:
              - id: ras_ace_variant
                label: ACE (angiotensin-converting enzyme)
                module_type: REACTION
                annotons:
                  - id: ace_angiotensin_i_conversion
                    label: ACE peptidyl-dipeptidase activity converting angiotensin I to angiotensin II
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: ACE
                        term:
                          id: UniProtKB:P12821
                          label: Angiotensin-converting enzyme
                    function:
                      preferred_term: peptidyl-dipeptidase activity
                      term:
                        id: GO:0008241
                        label: peptidyl-dipeptidase activity
                      substrates:
                        - preferred_term: angiotensin I (AGT 25-34)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: plasma membrane
                        term:
                          id: GO:0005886
                          label: plasma membrane
                      - preferred_term: extracellular region
                        term:
                          id: GO:0005576
                          label: extracellular region
                    role_description: >-
                      Both catalytic domains (N and C) are zinc peptidyl-dipeptidases that
                      remove the C-terminal His-Leu of angiotensin I; the enzyme acts
                      membrane-bound on endothelium and as the shed soluble form in plasma.
                      The same activity inactivates bradykinin, which is modelled in
                      modules/kallikrein_kinin_cascade.yaml.
                    evidence:
                      - source_id: PMID:11432860
                        statement: Both ACE domains are peptidyl dipeptidases that hydrolyse angiotensin I.
                        supporting_text: Both the N- and C-terminal domains are peptidyl dipeptidases.
                      - source_id: PMID:11432860
                        statement: Angiotensin I is ACE's decapeptide substrate.
                        supporting_text: Hydrolysis by ACE of its decapeptide substrate Ang I is increased by Cl(-)
                      - source_id: Reactome:R-HSA-2022405
                        statement: ACE is located at the plasma membrane of endothelial cells.
                        supporting_text: ACE is found at the plasma membrane of endothelial cells.
                    gocam_associations:
                      - model: gomodel:6246724f00000549
                        activity: gomodel:6246724f00000549/6246724f00000550
                        title: ACE peptidyl-dipeptidase activity (GO:0008241), has_input AGT, part of GO:0002003
              - id: ras_chymase_variant
                label: Chymase (CMA1), mast-cell route
                module_type: REACTION
                annotons:
                  - id: cma1_angiotensin_i_conversion
                    label: Chymase serine-type endopeptidase activity converting angiotensin I to angiotensin II
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: CMA1
                        term:
                          id: UniProtKB:P23946
                          label: Chymase
                    function:
                      preferred_term: serine-type endopeptidase activity
                      term:
                        id: GO:0004252
                        label: serine-type endopeptidase activity
                      substrates:
                        - preferred_term: angiotensin I (AGT 25-34)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: extracellular region
                        term:
                          id: GO:0005576
                          label: extracellular region
                    role_description: >-
                      ACE-independent tissue route: chymase released from degranulating
                      mast cells cleaves angiotensin I at the same Phe8-His9 bond, faster
                      than ACE. CMA1 carries serine-type endopeptidase activity by IDA and
                      GO:0002003 by TAS from this Reactome reaction.
                    evidence:
                      - source_id: Reactome:R-HSA-2022383
                        statement: Chymase converts angiotensin I to angiotensin II faster than ACE.
                        supporting_text: Chymase hydrolyzes angiotensin-(1-10) (angiotensin) to yield angiotensin-(1-8) (angiotensin II) at a higher rate than does angiotensin-converting enzyme
              - id: ras_cathepsin_g_variant
                label: Cathepsin G (CTSG), neutrophil route
                module_type: REACTION
                annotons:
                  - id: ctsg_angiotensin_i_conversion
                    label: Cathepsin G serine-type endopeptidase activity converting angiotensin I to angiotensin II
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: CTSG
                        term:
                          id: UniProtKB:P08311
                          label: Cathepsin G
                    function:
                      preferred_term: serine-type endopeptidase activity
                      term:
                        id: GO:0004252
                        label: serine-type endopeptidase activity
                      substrates:
                        - preferred_term: angiotensin I (AGT 25-34)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: extracellular region
                        term:
                          id: GO:0005576
                          label: extracellular region
                    role_description: >-
                      Neutrophil granule serine protease that forms angiotensin II from
                      angiotensin I at inflammatory sites, more actively when bound to the
                      neutrophil surface. CTSG carries serine-type endopeptidase activity
                      by EXP/IDA and GO:0002003 by TAS from this Reactome reaction.
                    evidence:
                      - source_id: Reactome:R-HSA-2022411
                        statement: Cathepsin G converts angiotensin I to angiotensin II.
                        supporting_text: Cathepsin G hydrolyzes angiotensin-(1-10) (angiotensin I) to yield angiotensin-(1-8)
                      - source_id: Reactome:R-HSA-2022411
                        statement: Membrane-bound cathepsin G on neutrophils is more active than the soluble enzyme.
                        supporting_text: Cathepsin bound to the plasma membrane of neutrophils has a higher activity than does soluble cathepsin G
    - order: 3
      role: angiotensin II and angiotensin III receptor signalling (by reference)
      node:
        id: ras_angiotensin_receptor_signaling
        label: Angiotensin II (and angiotensin III) action on AT1 and AT2 receptors (by reference)
        description: >-
          Included by reference to the angiotensin II receptor signalling module, which
          models the Angiotensin-2 peptide (AGT hormone activity) as the ligand of AGTR1
          and AGTR2 and both receptor branches. Angiotensin III engages the same two
          receptors with broadly similar effects (RGD PW:0000457, PW:0000530, PW:0000531),
          so it is routed into the same referenced module rather than re-modelled.
        module_ref: angiotensin_ii_receptor_signaling
    - order: 4
      role: angiotensin-(1-7) formation (counter-regulatory arm)
      node:
        id: ras_angiotensin_1_7_formation
        label: Formation of angiotensin-(1-7) and angiotensin-(1-9) by ACE2, neprilysin, ACE and prolylcarboxypeptidase
        module_type: REACTION
        description: >-
          The counter-regulatory arm converts the pressor peptides into
          angiotensin-(1-7) (AGT 25-31). ACE2 removes the C-terminal Phe of angiotensin II
          (its best substrate) and, much less efficiently, the C-terminal Leu of
          angiotensin I to give angiotensin-(1-9) (AGT 25-33). Neprilysin cleaves
          angiotensin I and angiotensin-(1-9) directly to angiotensin-(1-7), and ACE also
          converts angiotensin-(1-9) to angiotensin-(1-7). The lysosomal
          prolylcarboxypeptidase PRCP releases the C-terminal Phe of angiotensin II and
          III. Which enzyme dominates depends on the tissue and on their relative levels.
        variant_sets:
          - id: ras_angiotensin_1_7_forming_enzymes
            label: Angiotensin-(1-7)-forming peptidases
            axis: peptidase and substrate route
            selection: ONE_OR_MORE
            notes: >-
              Three routes: from angiotensin II by ACE2 (dominant; kcat/Km 2.2e6 M-1 s-1
              in PMID:15283675) or PRCP; from angiotensin I directly by neprilysin; and
              from angiotensin I via angiotensin-(1-9) by ACE2 followed by neprilysin or
              ACE. Each route alone yields angiotensin-(1-7).
            variants:
              - id: ras_ace2_variant
                label: ACE2 (from angiotensin II, and angiotensin I to angiotensin-(1-9))
                module_type: REACTION
                annotons:
                  - id: ace2_angiotensin_ii_cleavage
                    label: ACE2 carboxypeptidase activity converting angiotensin II to angiotensin-(1-7)
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: ACE2
                        term:
                          id: UniProtKB:Q9BYF1
                          label: Angiotensin-converting enzyme 2
                    function:
                      preferred_term: carboxypeptidase activity
                      term:
                        id: GO:0004180
                        label: carboxypeptidase activity
                      substrates:
                        - preferred_term: angiotensin II (AGT 25-32) and angiotensin I (AGT 25-34)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: plasma membrane
                        term:
                          id: GO:0005886
                          label: plasma membrane
                    role_description: >-
                      Captopril-insensitive zinc monocarboxypeptidase. Its efficient
                      reaction is angiotensin II to angiotensin-(1-7); the reaction on
                      angiotensin I to angiotensin-(1-9) is several hundred-fold weaker.
                      Both are one activity (single C-terminal residue removal) and are
                      kept on one annoton. Its separate role as the SARS-CoV-2 receptor is
                      outside this module.
                    evidence:
                      - source_id: PMID:15283675
                        statement: ACE2 efficiently cleaves angiotensin II to angiotensin-(1-7).
                        supporting_text: Ang II was cleaved efficiently by ACE2 to Ang (1-7)
                      - source_id: PMID:10969042
                        statement: ACE2 removes the C-terminal Leu of angiotensin I to give angiotensin-(1-9).
                        supporting_text: Recombinant ACE2 hydrolyzes the carboxy terminal leucine from angiotensin I to generate angiotensin 1-9
                      - source_id: PMID:10924499
                        statement: On the angiotensins ACE2 acts only as a carboxypeptidase.
                        supporting_text: In the hydrolysis of the angiotensins, ACEH functions exclusively as a carboxypeptidase.
                      - source_id: PMID:10969042
                        statement: ACE2 is insensitive to ACE inhibitors.
                        supporting_text: ACE2 is not inhibited by lisinopril or captopril.
              - id: ras_neprilysin_variant
                label: Neprilysin (MME) (from angiotensin I or angiotensin-(1-9))
                module_type: REACTION
                annotons:
                  - id: mme_angiotensin_cleavage
                    label: Neprilysin metalloendopeptidase activity converting angiotensin I and angiotensin-(1-9) to angiotensin-(1-7)
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: MME
                        term:
                          id: UniProtKB:P08473
                          label: Neprilysin
                    function:
                      preferred_term: metalloendopeptidase activity
                      term:
                        id: GO:0004222
                        label: metalloendopeptidase activity
                      substrates:
                        - preferred_term: angiotensin I (AGT 25-34) and angiotensin-(1-9) (AGT 25-33)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: plasma membrane
                        term:
                          id: GO:0005886
                          label: plasma membrane
                    role_description: >-
                      Neutral endopeptidase 24.11 cuts the Pro7-Phe8 bond of angiotensin I
                      and angiotensin-(1-9), bypassing angiotensin II. It also degrades
                      angiotensin II to smaller fragments, so it is both a source of
                      angiotensin-(1-7) and an angiotensinase. MME carries
                      metalloendopeptidase activity by EXP/IDA; its GO:0002003 row is IEA.
                    evidence:
                      - source_id: PMID:15283675
                        statement: Neprilysin efficiently cleaves angiotensin I to angiotensin-(1-7).
                        supporting_text: Ang I was effectively cleaved by NEP to Ang (1-7)
                      - source_id: PMID:15283675
                        statement: Angiotensin-(1-9) is a better neprilysin substrate than an ACE substrate.
                        supporting_text: Ang (1-9) was a better substrate for NEP than ACE
              - id: ras_prcp_variant
                label: Prolylcarboxypeptidase (PRCP) (from angiotensin II and III)
                module_type: REACTION
                annotons:
                  - id: prcp_angiotensin_ii_cleavage
                    label: Prolylcarboxypeptidase serine-type carboxypeptidase activity on angiotensin II and III
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: PRCP
                        term:
                          id: UniProtKB:P42785
                          label: Lysosomal Pro-X carboxypeptidase
                    function:
                      preferred_term: serine-type carboxypeptidase activity
                      term:
                        id: GO:0004185
                        label: serine-type carboxypeptidase activity
                      substrates:
                        - preferred_term: angiotensin II (AGT 25-32) and angiotensin III (AGT 26-32)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: lysosome
                        term:
                          id: GO:0005764
                          label: lysosome
                    role_description: >-
                      "Angiotensinase C": cleaves the Pro7-Phe8 bond of angiotensin II and
                      III. Its acid pH optimum places it chiefly in lysosomes, although it
                      retains half its activity on angiotensin III at neutral pH, and it
                      is also found on the endothelial surface where it activates
                      prekallikrein (modules/kallikrein_kinin_cascade.yaml). Not on RGD's
                      PW:0000492 gene list; included as an alternative angiotensin-(1-7)
                      source on this biochemical evidence. Its GO:0002003 row is IEA only.
                      Lysosome is its only location here because the cited angiotensin
                      cleavage was characterised at the acid optimum; the endothelial-surface
                      pool is noted but no cached source shows angiotensin cleavage there.
                    evidence:
                      - source_id: PMID:28321
                        statement: Purified human kidney PRCP cleaves the C-terminal Pro-Phe bond of angiotensin II.
                        supporting_text: The enzyme cleaved benzyloxycarbonyl (Cbz)-Pro-Phe, representing the COOH-terminal end of angiotensin II
                      - source_id: PMID:28321
                        statement: PRCP has an acid pH optimum but keeps half its activity at neutral pH.
                        supporting_text: The enzyme had an acid pH optimum (4.5 to 5.5), but hydrolyzed angiotensin III at pH 7 at 50% of the optimal rate.
              - id: ras_ace_angiotensin_1_9_variant
                label: ACE (from angiotensin-(1-9))
                module_type: REACTION
                annotons:
                  - id: ace_angiotensin_1_9_cleavage
                    label: ACE peptidyl-dipeptidase activity converting angiotensin-(1-9) to angiotensin-(1-7)
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: ACE
                        term:
                          id: UniProtKB:P12821
                          label: Angiotensin-converting enzyme
                    function:
                      preferred_term: peptidyl-dipeptidase activity
                      term:
                        id: GO:0008241
                        label: peptidyl-dipeptidase activity
                      substrates:
                        - preferred_term: angiotensin-(1-9) (AGT 25-33)
                          term:
                            id: UniProtKB:P01019
                            label: Angiotensinogen
                    processes:
                      - preferred_term: angiotensin maturation
                        term:
                          id: GO:0002003
                          label: angiotensin maturation
                    locations:
                      - preferred_term: plasma membrane
                        term:
                          id: GO:0005886
                          label: plasma membrane
                    role_description: >-
                      The same ACE dipeptidyl-carboxypeptidase activity as in the angiotensin
                      II step, here removing Phe8-His9 from angiotensin-(1-9) produced by
                      ACE2. ACE also degrades angiotensin-(1-7) further, so it both makes and
                      removes the heptapeptide.
                    evidence:
                      - source_id: Reactome:R-HSA-2022398
                        statement: ACE converts angiotensin-(1-9) to angiotensin-(1-7).
                        supporting_text: Angiotensin-converting enzyme (ACE) hydrolyzes angiotensin-(1-9) to yield angiotensin-(1-7)
    - order: 5
      role: angiotensin-(1-7) action on the MAS1 receptor
      node:
        id: ras_angiotensin_1_7_mas_signaling
        label: Angiotensin-(1-7) activation of the MAS1 G protein-coupled receptor
        module_type: REGULATORY_STEP
        description: >-
          Angiotensin-(1-7) is the endogenous agonist of the G protein-coupled receptor
          MAS1, through which it opposes angiotensin II (vasodilation, natriuresis and
          antiproliferative effects). No separate module exists for Mas signalling, so the
          ligand-receptor step is modelled here; its downstream effectors are not.
        annotons:
          - id: agt_angiotensin_1_7_hormone
            label: Angiotensin-(1-7) peptide hormone (MAS1 ligand)
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: AGT (Angiotensin 1-7 peptide)
                term:
                  id: UniProtKB:P01019
                  label: Angiotensinogen
            function:
              preferred_term: hormone activity
              term:
                id: GO:0005179
                label: hormone activity
              targets:
                - preferred_term: MAS1
                  term:
                    id: UniProtKB:P04201
                    label: Proto-oncogene Mas
            locations:
              - preferred_term: extracellular region
                term:
                  id: GO:0005576
                  label: extracellular region
            role_description: >-
              The active species is the Angiotensin 1-7 peptide (AGT residues 25-31),
              cleaved from angiotensinogen by the enzymes of the previous part. This is
              the only activity attributed to AGT in this module: it is the hormone
              source, as in modules/angiotensin_ii_receptor_signaling.yaml for
              Angiotensin-2, and it is otherwise only the input (substrate) of the
              protease annotons. It carries no angiotensin maturation process term.
            evidence:
              - source_id: PMID:12829792
                statement: Angiotensin-(1-7) binds Mas-expressing cells and elicits a cellular response.
                supporting_text: Ang-(1-7) binds to Mas-transfected cells and elicits arachidonic acid release
          - id: mas1_angiotensin_1_7_receptor
            label: MAS1 angiotensin receptor activity (angiotensin-(1-7) receptor)
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: MAS1
                term:
                  id: UniProtKB:P04201
                  label: Proto-oncogene Mas
            function:
              preferred_term: angiotensin receptor activity
              term:
                id: GO:0001595
                label: angiotensin receptor activity
            processes:
              - preferred_term: G protein-coupled receptor signaling pathway
                term:
                  id: GO:0007186
                  label: G protein-coupled receptor signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              The angiotensin-(1-7) receptor. Mas deletion abolishes angiotensin-(1-7)
              binding in kidney and its antidiuretic and aortic relaxant actions. GOA
              carries GO:0001595 for MAS1 by IBA and ISS and GPCR activity by IDA; the
              process is left at GPCR signalling because GO:0038166 is defined by
              angiotensin II, not angiotensin-(1-7).
            evidence:
              - source_id: PMID:12829792
                statement: Mas deletion abolishes angiotensin-(1-7) binding in mouse kidney.
                supporting_text: genetic deletion of the G protein-coupled receptor encoded by the Mas protooncogene abolishes the binding of Ang-(1-7) to mouse kidneys
              - source_id: PMID:12829792
                statement: Mas is a functional receptor for angiotensin-(1-7).
                supporting_text: these findings identify Mas as a functional receptor for Ang-(1-7)
    - order: 6
      role: angiotensin III formation
      node:
        id: ras_angiotensin_iii_formation
        label: Aminopeptidase A (ENPEP) removal of Asp1 from angiotensin II to give angiotensin III
        module_type: REACTION
        description: >-
          Glutamyl aminopeptidase (aminopeptidase A) removes the N-terminal Asp of
          angiotensin II to give angiotensin III (AGT 26-32), which still activates the AT1
          and AT2 receptors and is the main pressor angiotensin in the brain.
        annotons:
          - id: enpep_angiotensin_ii_cleavage
            label: ENPEP glutamyl aminopeptidase activity on angiotensin II
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ENPEP
                term:
                  id: UniProtKB:Q07075
                  label: Glutamyl aminopeptidase
            function:
              preferred_term: glutamyl aminopeptidase activity
              term:
                id: GO:0004230
                label: glutamyl aminopeptidase activity
              substrates:
                - preferred_term: angiotensin II (AGT 25-32)
                  term:
                    id: UniProtKB:P01019
                    label: Angiotensinogen
            processes:
              - preferred_term: angiotensin maturation
                term:
                  id: GO:0002003
                  label: angiotensin maturation
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Calcium-modulated zinc ectopeptidase specific for acidic N-terminal residues;
              it removes Asp1 but not the following Arg2. ENPEP carries glutamyl
              aminopeptidase activity by EXP (PMID:23888046) and GO:0002003 by IBA.
            evidence:
              - source_id: PMID:23888046
                statement: Aminopeptidase A removes the N-terminal Asp, not the adjacent Arg, of angiotensin II.
                supporting_text: zinc-dependent aminopeptidase A (APA) up-regulates blood pressure by specifically cleaving the N-terminal aspartate, but not the adjacent arginine, from angiotensin II
              - source_id: Reactome:R-HSA-2022399
                statement: ENPEP converts angiotensin II to angiotensin III.
                supporting_text: Aminopeptidase A (APA, ENPEP) hydrolyzes the N-terminal amino acid of angiotensin-(1-8) (angiotensin II) to yield angiotensin-(2-8) (angiotensin III)
    - order: 7
      role: angiotensin IV formation
      node:
        id: ras_angiotensin_iv_formation
        label: Aminopeptidase N (ANPEP) removal of Arg1 from angiotensin III to give angiotensin IV
        module_type: REACTION
        description: >-
          Alanyl aminopeptidase (aminopeptidase N, CD13) removes the N-terminal Arg of
          angiotensin III to give the hexapeptide angiotensin IV (AGT 27-32), which has
          little AT1/AT2 activity.
        annotons:
          - id: anpep_angiotensin_iii_cleavage
            label: ANPEP metalloaminopeptidase activity on angiotensin III
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ANPEP
                term:
                  id: UniProtKB:P15144
                  label: Aminopeptidase N
            function:
              preferred_term: metalloaminopeptidase activity
              term:
                id: GO:0070006
                label: metalloaminopeptidase activity
              substrates:
                - preferred_term: angiotensin III (AGT 26-32)
                  term:
                    id: UniProtKB:P01019
                    label: Angiotensinogen
            processes:
              - preferred_term: angiotensin maturation
                term:
                  id: GO:0002003
                  label: angiotensin maturation
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Broad-specificity zinc ectopeptidase. The direct evidence for this reaction
              is on the rabbit renal enzyme (Reactome R-NUL-2022369); human ANPEP carries
              metalloaminopeptidase activity and GO:0002003 by IBA, and aminopeptidase
              activity by TAS, with no human experimental row for the angiotensin
              reaction itself.
            evidence:
              - source_id: Reactome:R-NUL-2022369
                statement: Renal aminopeptidase N converts angiotensin III to angiotensin IV (rabbit enzyme).
                supporting_text: ANPEP from rabbit renal membranes hydrolyzes angiotensin III to yield angiotensin IV.
  connections:
    - source: ras_renin_cleavage
      target: ras_angiotensin_ii_formation
      connection_type: PROVIDES_INPUT_FOR
      description: >-
        Angiotensin I made by renin is the substrate of ACE (or chymase or cathepsin G).
        In gomodel:6246724f00000549 the REN activity directly positively regulates the ACE
        activity.
    - source: ras_renin_cleavage
      target: ras_angiotensin_1_7_formation
      connection_type: PROVIDES_INPUT_FOR
      description: >-
        Angiotensin I is also the substrate of neprilysin (to angiotensin-(1-7)) and of
        ACE2 (to angiotensin-(1-9)).
    - source: ras_angiotensin_ii_formation
      target: ras_angiotensin_receptor_signaling
      connection_type: PROVIDES_INPUT_FOR
      description: >-
        Angiotensin II is the agonist of AT1 and AT2; in gomodel:6246724f00000549 the ACE
        activity is causally upstream of AGT hormone activity, which is upstream of AGTR1.
    - source: ras_angiotensin_ii_formation
      target: ras_angiotensin_1_7_formation
      connection_type: PROVIDES_INPUT_FOR
      description: >-
        Angiotensin II is the preferred substrate of ACE2 and a substrate of PRCP, which
        divert it into angiotensin-(1-7).
    - source: ras_angiotensin_ii_formation
      target: ras_angiotensin_iii_formation
      connection_type: PROVIDES_INPUT_FOR
      description: Angiotensin II is the substrate of aminopeptidase A.
    - source: ras_angiotensin_1_7_formation
      target: ras_angiotensin_1_7_mas_signaling
      connection_type: PROVIDES_INPUT_FOR
      description: Angiotensin-(1-7) is the agonist of MAS1.
    - source: ras_angiotensin_iii_formation
      target: ras_angiotensin_receptor_signaling
      connection_type: PROVIDES_INPUT_FOR
      description: >-
        Angiotensin III engages the same AT1 and AT2 receptors (RGD PW:0000530 and
        PW:0000531).
    - source: ras_angiotensin_iii_formation
      target: ras_angiotensin_iv_formation
      connection_type: PROVIDES_INPUT_FOR
      description: Angiotensin III is the substrate of aminopeptidase N.
knowledge_gaps:
  - gap_statement: >-
      Whether the (pro)renin receptor ATP6AP2 contributes measurably to angiotensin
      generation in vivo is unresolved. It increases renin's catalytic efficiency and
      activates prorenin in cell systems, but the plasma concentrations of renin and
      prorenin are far below the receptor's binding affinity, and its essential
      V-ATPase role confounds loss-of-function experiments, so the angiotensin-dependent
      contribution has not been separated from its other functions.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: >-
      It decides whether tissue angiotensin II generation is a receptor-scaffolded
      surface process or simply soluble renin acting locally.
    provenance:
      - reference_id: PMID:12045255
        supporting_text: This discovery emphasizes the role of the cell surface in angiotensin II generation
  - gap_statement: >-
      The relative in vivo flux of angiotensin I and angiotensin II through ACE,
      chymase, ACE2, neprilysin and prolylcarboxypeptidase in a given tissue is not
      known. Kinetic constants are measured on purified enzymes, but the outcome depends
      on local enzyme amounts, membrane localisation and competition for the same
      peptides, which current measurements do not resolve in intact tissue.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: >-
      It determines whether vasoconstrictor or vasodilator angiotensins predominate
      locally and why ACE inhibition leaves residual tissue angiotensin II.
    provenance:
      - reference_id: PMID:15283675
        supporting_text: the flux of peptides through the RAS is complex
