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Published on: June 7, 2016
Kinins and Kinin Receptors in Cardiovascular and Renal Diseases
Jean-Pierre Girolami1,2, Nadine Bouby1,3,4, Christine Richer-Giudicelli1,3,4
1INSERM U1138, Centre de Recherche des Cordeliers, 75006 Paris, France.
Insights
The kallikrein-kinin system impacts cardiovascular and kidney health, particularly in ischemic and diabetic diseases. Targeting its components, like kinin receptors B1 (B1R) and B2 (B2R), offers therapeutic potential but also presents limitations.
Area of Science:
- Physiology
- Pharmacology
- Pathophysiology
Background:
- The kallikrein-kinin system (KKS) plays a crucial role in regulating vascular, cardiac, and renal functions.
- Dysregulation of the KKS is implicated in various cardiovascular and kidney diseases, including ischemic and diabetic conditions.
Purpose of the Study:
- To review the physiological functions of the KKS in the cardiovascular system and kidneys.
- To explore the consequences of KKS activation in disease states.
- To discuss the therapeutic potential and limitations of targeting KKS components, particularly kinin receptors B1 (B1R) and B2 (B2R).
Main Methods:
- Review of pharmacological and genetic studies.
- Analysis of research on kallikrein, ACE/kininase II, B1R, and B2R.
- Discussion based on recent clinical and experimental findings.
Main Results:
- The KKS influences arterial, cardiac, and renal physiology.
- KKS components are implicated in the pathogenesis of ischemic and diabetic diseases.
- Pharmacological manipulation of B1R and B2R shows therapeutic promise but requires careful consideration of limitations.
Conclusions:
- Targeting the KKS, especially B1R and B2R, presents a potential therapeutic strategy for cardiovascular and renal diseases.
- Further research is needed to optimize the activation or inhibition of B1R and B2R for clinical application.
- Understanding the complex roles of the KKS is vital for developing effective treatments.
Abstract:
This review addresses the physiological role of the kallikrein-kinin system in arteries, heart and kidney and the consequences of kallikrein and kinin actions in diseases affecting these organs, especially ischemic and diabetic diseases. Emphasis is put on pharmacological and genetic studies targeting kallikrein; ACE/kininase II; and the two kinin receptors, B1 (B1R) and B2 (B2R), distinguished through the work of Domenico Regoli and his collaborators. Potential therapeutic interest and limitations of the pharmacological manipulation of B1R or B2R activity in cardiovascular and renal diseases are discussed. This discussion addresses either the activation or inhibition of these receptors, based on recent clinical and experimental studies.
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