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Cardiovascular activities of the bradykinin system
1Department of Applied Therapeutics, Faculty of Pharmacy, Health Sciences Center,Kuwait University, P.O. Box 24923, Safat 13110, Kuwait. j.n.sharma@hsc.edu.kw
Insights
The kallikrein-kinin system is vital for heart health. Its deficiency contributes to cardiovascular diseases, but enhancing this system shows therapeutic promise for conditions like hypertension.
Area of Science:
- Cardiovascular Physiology
- Kallikrein-Kinin System Biology
Background:
- The kallikrein-kinin system (KKS) is present in cardiac muscle, and its dysfunction is linked to cardiac issues.
- Reduced KKS activity is implicated in cardiovascular diseases such as diabetes, hypertension, and myocardial infarction.
Purpose of the Study:
- To explore the role of the KKS in cardiovascular health and disease.
- To evaluate the therapeutic potential of modulating the KKS for cardiovascular and renal disorders.
Main Methods:
- Review of clinical and experimental data on KKS activity in various cardiovascular conditions.
- Analysis of the mechanisms underlying the cardioprotective effects of angiotensin-converting enzyme inhibitors.
- Assessment of kallikrein gene delivery and kinin agonists as therapeutic strategies.
Main Results:
- Deficiency in the KKS can lead to cardiac dysfunction and contribute to cardiovascular diseases.
- Angiotensin-converting enzyme inhibitors exert cardioprotective effects partly through kinin release, aiding left ventricular hypertrophy regression.
- Kallikrein gene therapy and kinin agonists show potential for treating hypertension and cardiovascular/renal diseases.
Conclusions:
- The kallikrein-kinin system plays a crucial role in maintaining cardiac function.
- Modulating the KKS offers a promising therapeutic avenue for cardiovascular and renal diseases.
- While beneficial, potential adverse effects of KKS-targeting therapies require consideration.
Abstract:
All the components of the kallikrein-kinin system are located in the cardiac muscle and its deficiency may lead to cardiac dysfunction. In recent years, numerous observations obtained from clinical and experimental models of diabetes, hypertension, cardiac failure, ischemia, myocardial infarction, and left ventricular hypertrophy have suggested that the reduced activity of the local kallikrein-kinin system may be instrumental for the induction of cardiovascular-related diseases. The cardioprotective property of the angiotensin-converting enzyme inhibitors is primarily mediated via a kinin-releasing pathway, which may cause regression of the left ventricular hypertrophy in hypertensive situations. The ability of kallikrein gene delivery to produce a wide spectrum of beneficial effects makes it a promising candidate in treating hypertension and cardiovascular and renal diseases. In addition, stable kinin agonists may also be available in the future as therapeutic agents for cardiovascular and renal disorders. However, there are also possibilities of adverse effects that may be caused by these compounds.
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