Therapeutic Targeting of the Bradykinin B2 Receptor in Immunological and Vascular Diseases: Insights from Kinin Biology to Clinical Outcomes.

IF 11.5 2区 医学 Q1 ALLERGY
Marc A Riedl, Danny M Cohn, Markus Magerl, Henriette Farkas, Emel Aygören-Pürsün, Aleena Banerji, Jonathan A Bernstein, Alvin H Schmaier, Evangelia Pardali, Anne Lesage, Peng Lu, David E Newby
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引用次数: 0

Abstract

Bradykinin is a nonapeptide of the kinin family with vasoactive and proinflammatory activities. While generation of kinins is mainly driven by activation of the contact system and plasma or tissue kallikreins, additional independent cascades contribute to their formation. Kinins mediate their effects through the constitutively expressed bradykinin B2 receptor and the inducible bradykinin B1 receptor. Bradykinin is the most studied kinin peptide mainly due to its potential role in the vascular system and exerts its effects mainly via the bradykinin B2 receptor. Kinins have been implicated in the pathogenesis of multiple types of angioedema as well as of various conditions, such as allergic mast cell-mediated skin diseases, cardiovascular and respiratory pathologies. This review summarizes our current knowledge of the biology, regulation, and functions of kinins and their receptors as well the emerging evidence on the various mechanisms involved in bradykinin formation and their relevance in disease pathogenesis. The review focuses on the clinical evidence on the roles of bradykinin and of the bradykinin B2 receptor in various conditions, and the potential to develop novel strategies targeting the bradykinin B2 receptor for management of bradykinin-mediated diseases.

慢激肽B2受体在免疫和血管疾病中的靶向治疗:从慢激肽生物学到临床结果的见解。
缓激肽是激肽家族的一种非肽,具有血管活性和促炎活性。虽然激肽的产生主要由接触系统和血浆或组织激肽的激活驱动,但其他独立的级联也有助于它们的形成。缓激肽通过组成性表达的缓激肽B2受体和可诱导的缓激肽B1受体介导其作用。缓激肽是研究最多的缓激肽,主要是由于其在血管系统中的潜在作用,主要通过缓激肽B2受体发挥作用。激肽与多种类型的血管性水肿以及各种疾病的发病机制有关,如过敏性肥大细胞介导的皮肤病、心血管和呼吸系统疾病。本文综述了目前我们对缓激肽及其受体的生物学、调控和功能的了解,以及有关缓激肽形成的各种机制及其与疾病发病机制的新证据。本文综述了缓激肽和缓激肽B2受体在各种疾病中的作用的临床证据,以及开发针对缓激肽B2受体的新策略来治疗缓激肽介导的疾病的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
22.30
自引率
1.10%
发文量
58
审稿时长
6-12 weeks
期刊介绍: Clinical Reviews in Allergy & Immunology is a scholarly journal that focuses on the advancement of clinical management in allergic and immunologic diseases. The journal publishes both scholarly reviews and experimental papers that address the current state of managing these diseases, placing new data into perspective. Each issue of the journal is dedicated to a specific theme of critical importance to allergists and immunologists, aiming to provide a comprehensive understanding of the subject matter for a wide readership. The journal is particularly helpful in explaining how novel data impacts clinical management, along with advancements such as standardized protocols for allergy skin testing and challenge procedures, as well as improved understanding of cell biology. Ultimately, the journal aims to contribute to the improvement of care and management for patients with immune-mediated diseases.
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