Bradykinin
Names | |
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IUPAC name
Bradykinin
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Systematic IUPAC name
(2S)-2-{(12S,32S,9S,12S,142S,17S)-11-[(2S)-2-Amino-5-(carbamimidoylamino)pentanoyl]-9-benzyl-12-(hydroxymethyl)-2,4,7,10,13,15-hexaoxo-5,8,11,16-tetraaza-1(2),3,14(1,2)-tripyrrolidina-19-benzenanonadecaphane-17-carboxamido}-5-(carbamimidoylamino)pentanoic acid | |
Identifiers | |
3D model (
JSmol ) |
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ChEBI | |
ChEMBL | |
ChemSpider | |
ECHA InfoCard
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100.000.362 |
IUPHAR/BPS |
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MeSH | Bradykinin |
PubChem CID
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UNII | |
CompTox Dashboard (EPA)
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Properties | |
C50H73N15O11 | |
Molar mass | 1060.228 g·mol−1 |
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
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Chr. 3 q21-qter | |||||||
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Bradykinin | |||||||||
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Identifiers | |||||||||
Symbol | Bradykinin | ||||||||
Pfam | PF06753 | ||||||||
InterPro | IPR009608 | ||||||||
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Bradykinin (BK) (Greek brady-, slow; -kinin, kīn(eîn) to move) is a
A class of drugs called
Structure
Bradykinin, sometimes referred to as BK, is a 9–amino acid
50H
73N
15O
11.
Metabolism
The kinin–kallikrein system makes bradykinin by proteolytic cleavage of its kininogen precursor, high-molecular-weight kininogen (HMWK or HK), by the enzyme kallikrein. Moreover, there is compelling evidence that plasmin, a fibrinolytic enzyme, is able to generate bradykinin after HMWK cleavage.[2]
In humans, bradykinin is broken down by many different kininases: angiotensin-converting enzyme (ACE, kininase II), neprilysin,[3] NEP2, aminopeptidase P (APP), carboxypeptidase N (CPN, kininase I), Carboxypeptidase M, Neutral endopeptidase 24.15, Endothelin converting enzyme-1, Endothelin converting enzyme-2.[4]
Function
Effects
Bradykinin is a potent endothelium-dependent vasodilator and mild diuretic, which may cause a lowering of the blood pressure. It also causes contraction of non-vascular smooth muscle in the bronchus and gut, increases vascular permeability and is also involved in the mechanism of pain.[5]
During inflammation, it is released locally from mast cells and basophils during tissue damage.[6] Specifically in relation to pain, bradykinin has been shown to sensitize TRPV1 receptors, thus lowering the temperature threshold at which they activate, thus presumably contributing to allodynia.[7]
Initial secretion of bradykinin post-natally causes constriction and eventual atrophy of the ductus arteriosus, forming the ligamentum arteriosum between the pulmonary trunk and aortic arch. It also plays a role in the constriction and eventual occlusion of a number of other fetal vessels, including the umbilical arteries and vein. The differential vasoconstriction of these fetal vessels compared to the vasodilator response of other vessels suggests that the walls of these fetal vessels are different from other vessels.[8]
Receptors
- The B1 receptor (also called endothelial cells have been described as a potential source for this B1 receptor-CXCL5 pathway.[10]
- The B2 receptor is constitutively expressed and participates in bradykinin's vasodilatory role.
The kinin B1 and B2 receptors belong to G protein coupled receptor (
Disorders
Bradykinin is also thought to be the cause of the dry cough in some patients on widely prescribed angiotensin-converting enzyme (ACE) inhibitor drugs. It is thought that bradykinin is converted to inactive metabolites by ACE, therefore inhibition of this enzyme leads to increased levels of bradykinin; increased bradykinin sensitizes somatosensory fibers and thus causes hyperalgesia. Bradykinin may mediate this via pro-inflammatory peptides (e.g. substance P, neuropeptide Y) and a local release of histamine.[11][12]
In severe cases, the elevation of bradykinin may result in angioedema, a medical emergency.[13] People of African descent have up to five times increased risk of ACE inhibitor induced angioedema due to hereditary predisposing risk factors such as hereditary angioedema.[14] This refractory cough is a common cause for stopping ACE inhibitor therapy.
Overactivation of bradykinin is thought to play a role in a rare disease called hereditary angioedema.[15]
Low levels of bradykinin in the body correlate to with obesity in adolescents; it has been proposed that bradykinin can be used as a biomarker for metabolic syndrome.[16]
Bradykinins have been implicated in a number of cancer progression processes.[17] Increased levels of bradykinins resulting from ACE inhibitor use have been associated with increased lung cancer risks.[18] Bradykinins have been implicated in cell proliferation and migration in gastric cancers,[19] and bradykinin antagonists have been investigated as anti-cancer agents.[20]
Bradykinin has been proposed as an explanation for many symptoms associated with COVID-19, including dry coughs, myalgia, fatigue, nausea, vomiting, diarrhea, anorexia, headaches, decreased cognitive function, arrhythmia and sudden cardiac death.[21]
Therapeutic implications
A
Currently, bradykinin inhibitors (antagonists) are being developed as potential therapies for hereditary angioedema. Icatibant is one such inhibitor. Additional bradykinin inhibitors exist. It has long been known in animal studies that bromelain, a substance obtained from the stems and leaves of the pineapple plant, suppresses trauma-induced swelling caused by the release of bradykinin into the bloodstream and tissues.[23] Other substances that act as bradykinin inhibitors include aloe[24][25] and polyphenols, substances found in red wine and green tea.[26]
History
Bradykinin was discovered in 1948 by three
See also
References
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- ^ "MME membrane metalloendopeptidase [Homo sapiens (human)]". www.ncbi.nlm.nih.gov. Retrieved 2022-02-06.
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- ^ Li HH (2018-05-22). "Angioedema: Practice Essentials, Background, Pathophysiology". Medscape.
- ^ Guyer AC, Banerji A. "ACE inhibitor-induced angioedema". UpToDate. Retrieved 2018-06-03.
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