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Corin, serine peptidase (atrial natriuretic peptide-converting enzyme) (CORIN)

Target
CORIN
Molecular classification
Enzyme (Serine protease), Type II transmembrane serine protease, Member of the trypsin superfamily
01

Overview

Corin is a type II transmembrane serine protease primarily expressed in cardiac myocytes, where it is essential for the conversion of the precursor pro-atrial natriuretic peptide (pro-ANP) into active atrial natriuretic peptide (ANP)[1][2][3][4][5]. ANP is a key hormone that promotes sodium excretion, vasodilation, and regulation of blood pressure and volume. Dysfunctional corin activity—due to genetic variants, mutations, or altered expression—is implicated in hypertensive disorders, heart failure, preeclampsia, and other cardiovascular and pregnancy-related diseases[2][3][5]. Soluble forms of corin, released into circulation, are being investigated as biomarkers for cardiovascular diseases and preeclampsia[3]. While corin is not currently the direct target of approved pharmacological interventions, its central role in cardiac and vascular homeostasis makes it a focus of basic and translational research, especially regarding the natriuretic peptide axis and cardiovascular risk stratification[3][5].

Other names
Atrial natriuretic peptide-converting enzymePro-ANP-converting enzymeTransmembrane protease serine 10 (TMPRSS10)Heart-specific serine proteinase ATC2CRNPRSCATC2CMH30PEE5
02

Mechanism of action

Augmentation of natriuretic peptide signaling (by increasing bioavailable ANP/BNP, not by directly acting on corin). - Inhibition of neprilysin to prevent natriuretic peptide degradation (indirectly increases the clinical effect of corin activity).

03

Biological functions

Conversion of pro-atrial natriuretic peptide (pro-ANP) to active atrial natriuretic peptide (ANP)Regulation of blood volume and pressureNatriuresis (sodium excretion)VasodilationCardiac and renal homeostasisRegulation of fluid and electrolyte balanceUterine spiral artery remodeling and trophoblast invasion (in pregnancy)Possible role in pro-brain-type natriuretic peptide (pro-BNP) activationRegulation of cardiac conductionCoat color determination in mouse (Agouti-dependent pathway)
04

Disease associations

Cardiovascular disease (particularly hypertension, heart failure, cardiac hypertrophy, myocardial infarction)PreeclampsiaStrokeFamilial cardiomyopathyOther pregnancy-related disordersSalt-sensitive hypertensionCongenital heart disease (as candidate gene for total anomalous pulmonary venous return)
05

Safety considerations

Corin enzyme deficiency or dysfunctional variants may increase the risk of hypertension, heart failure, and adverse pregnancy outcomes[3]Genetic variants or mutations known to impair function are associated with increased cardiovascular disease, but direct therapeutic modulation is not currently available.The clinical utility of circulating soluble corin as a routine biomarker is hindered by technical challenges in plasma quantification and preanalytical variability[3]
06

Interacting drugs

Neprilysin inhibitors (like sacubitril)

1 more in the full profile.

07

Biomarkers

Soluble corin levels in plasma/serum are explored as sensitive and specific biomarkers for cardiovascular risk, heart failure prognosis, hypertension risk, and preeclampsia prediction[1][3]

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