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Pathophysiology of Hereditary Angioedema
Sonia Caccia1, Chiara Suffritti2, Marco Cicardi3
1Department of Biotechnologies and Translational Medicine, University of Milan, Milan, Italy .
Pediatric Allergy, Immunology, and Pulmonology
|December 25, 2014
Summary
Hereditary angioedema (HAE) is caused by a genetic C1 inhibitor deficiency, leading to recurrent swelling attacks. This review details the contact system activation and bradykinin
Area of Science:
- Genetics
- Immunology
- Pathophysiology
Background:
- Hereditary angioedema (HAE) is an autosomal dominant disorder.
- It stems from a genetic deficiency of the C1 inhibitor.
- Over 200 mutations in the C1 inhibitor gene are linked to HAE.
Approach:
- This review synthesizes current knowledge on HAE.
- It examines the role of the contact system and bradykinin.
- Mechanisms of angioedema in C1 inhibitor deficiency are described.
Key Points:
- C1 inhibitor deficiency disrupts physiological control of the contact system.
- Bradykinin, derived from contact system activation, mediates angioedema.
- Recurrent angioedema attacks are a hallmark of HAE.
Conclusions:
- Understanding C1 inhibitor's role is crucial for HAE pathogenesis.
- The contact system's dysregulation explains angioedema development.
- This review provides insights into HAE mechanisms.
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