How does bradykinin cause angioedema?
How does bradykinin cause angioedema?
Nonallergic angioedema is thought to be caused by rising levels of bradykinin, a vasodilator that triggers blood vessels to widen and become more permeable, leading to swelling. The condition sometimes is a side effect of medication for high blood pressure, including ACE inhibitors.
What is bradykinin-mediated angioedema?
Bradykinin-mediated angioedema is a rare disease, due to vasodilation and increased vascular permeability resulting from bradykinin. This kind of angioedema affects abdominal and/or upper airways. It differs clinically from histamine-mediated angioedema by the absence of urticaria or skin rash.
How is bradykinin induced angioedema treated?
C1-INH concentrates are the drugs of choice in the treatment of HAE and AAE. In recent years, some new drugs have been introduced in the treatment of bradykinin-mediated angioedema, such as bradykinin B2-receptor antagonist, icatibant, and kallikrein inhibitor, ecallantide, which allow to improve treatment outcomes.
What causes idiopathic angioedema?
Angioedema can be triggered by an allergic reaction to: certain types of food – particularly nuts, shellfish, milk and eggs. some types of medicine – including some antibiotics, aspirin and non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. insect bites and stings – particularly wasp and bee stings.
How long does bradykinin last?
Repeated exposure of preconstricted porcine coronary arteries to bradykinin produced progressively smaller responses (Figure 2, n=5). Its effects lasted less than 10 min, and contractility returned to preconstriction level within 15–20 min.
How does bradykinin cause coughing?
A local accumulation of bradykinin may lead to activation of pro-inflammatory peptides (e.g. substance P, neuropeptide Y) and a local release of histamine. This may also cause cough reflex hypersensitivity.
What does bradykinin do in the body?
Bradykinin is involved in plasma extravasation, bronchoconstriction, nociception, vasodilation, and inflammation Burch et al (1990). It mediates inflammation by causing vasodilation, by increasing vascular permeability, and by stimulating the synthesis of prostaglandins.
Why does bradykinin cause cough?
What medication blocks breakdown of bradykinin?
Bradykinin receptor antagonists such as icatibant inhibit bradykinin from binding the B2 receptor and thereby treat the clinical symptoms of an acute attack. Recommended dose of icatibant is 30 mg SC in the abdominal area.
