Molecular Classification
Other (biochemical pathway)
Other Names
Kallikrein-kinin system, Kinin–kallikrein pathway, Contact system (context-dependent)
Disease Roles
InflammationCardiovascular diseaseHereditary angioedema

Bradykinin production pathway Overview

The "Bradykinin production pathway" refers to a biochemical cascade responsible for generating the peptide bradykinin from precursor proteins. This process is primarily mediated by the kallikrein–kinin system, where high-molecular-weight kininogen is cleaved by kallikreins—enzymes activated from prekallikreins via factor XII—to release bradykinin. The pathway also involves alternative routes such as plasmin-mediated cleavage of kininogen. Bradykinin acts as a potent mediator of inflammation and vasodilation, increasing vascular permeability and contributing to blood pressure regulation. Dysregulation of this pathway is implicated in diseases like hereditary angioedema and can be affected therapeutically by drugs such as ACE inhibitors that prevent bradykinin breakdown[2][3][4][5]. **Note:** "Bradykinin production pathway" is not itself a molecule or receptor but rather describes an enzymatic cascade/pathway; thus it should not be considered a canonical therapeutic target like an individual protein or receptor would be. The actual molecular targets within this pathway include enzymes such as plasma kallikrein, factor XIIa, and receptors like the bradykinin B2 receptor[2][3].

Mechanism of Action

ACE inhibitors increase bradykinin levels by inhibiting its degradation[3][5]

Biological Functions

Inflammation mediation
Vascular permeability regulation
Blood pressure regulation

Disease Associations

Inflammation
Cardiovascular disease
Hereditary angioedema

Safety Considerations

  • Excessive bradykinin can cause angioedema and tissue swelling, especially with ACE inhibitor therapy[4]

Interacting Drugs

Angiotensin-converting enzyme inhibitors (ACE inhibitors)

Associated Biomarkers

Biomarker
Bradykinin levels in plasma or tissues[2][4]