bradykinin

9-peptide substance with cardioprotective effect
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Bradykinin (BK) is a 9-peptide substance with cardioprotective effect, which can reduce acute Ischemia reperfusion The infarct area of the myocardium, and medicine has confirmed that BK also has a delayed protective effect on ischemia reperfusion myocardium.
Chinese name
bradykinin
Foreign name
Bradykinin
Alias
Bradykinin
Abbreviation
BK

essential information

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Chinese name of bradykinin: bradykinin
Bradykinin, brady means slow.

brief introduction

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bradykinin
1. Linear chain 9 peptide. by Kinin One of. Its structure sequence is Arg, Pro, Pro Gly Phe、Ser、Pro、Phe、Arg。 It can relax blood vessels and lower blood pressure.
2、 Kallikrein act on Kininogen Generated Local hormone Mainly bradykinin Pancreatic kinin And alpha pancreatic bradykinin, which are different Kallikrein Products with basically the same structure under action. Kallikrein is a glycoprotein , molecular weight 25000~48000, composed of 256 amino acid composition , widely distributed in kidney salivary glands , pancreas Sweat gland and central nervous system And can be released into the circulating blood. Kininogen is mainly synthesized by liver and kidney.

Clinical significance

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Decrease: the decrease of plasma bradykinin is seen in Decompensation of cirrhosis The decrease of urinary bradykinin is seen in Chronic glomerulonephritis cirrhosis essential hypertension BK is a cardioprotective factor. Previous studies have found that Myocardial ischemia Before and Ischemia reperfusion During the process, local injection of BK can reduce miocardial infarction Area, reduce ischemia reperfusion Arrhythmia incidence rate At the same time, BK can also improve the energy metabolism , improve the High-energy phosphoric acid compound and Glycogen Recently, some scholars use the B2 receptor of BK Gene knockout mice , found on these animals, Angiotensin II Converting enzyme inhibitor Lost its cardiovascular Protection. This is sufficient explain Angiotensin The cardiovascular protective effect of Ⅱ converting enzyme inhibitor depends on BK It has also been confirmed by literature that BK is also involved in the early phase and remote protective effects of myocardial ischemic preconditioning. Recently, Ebrahim et al. have found that BK can Ischemia reperfusion It has delayed protection effect and also participated in Myocardial ischemia The delayed phase protective effect of preconditioning energy metabolism The delayed effects of BK pretreatment on energy metabolism during myocardial ischemia reperfusion in rabbits were studied.
Elevated bradykinin levels can cause fever , Yes Myocardial infarction Patients have certain diagnosis significance.

Research findings

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bradykinin
It is found that BK can improve cardiac muscle ischemia Early ATP and Phosphocreatine Content of, so that Glycogen Reduction of decomposition, lactic acid The production is reduced, thus improving the anti ischemic ability of myocardium, and this result also Partial explanation The BK we found before syncope Myocardial protection stay Myocardial ischemia At 40 min energy metabolism There is no significant difference in the indexes, which may be due to the depletion of myocardial energy reserve and Myocardial metabolism After reperfusion ATP Phosphocreatine and Glycogen Again higher than control group The content of lactic acid was significantly lower than that of the control group, which may be due to the delayed reduction of BK pretreatment Ischemia reperfusion miocardial infarction It is not difficult to understand that the number of viable myocardium in myocardial ischemic area in BK group is significantly more than that in control group, the content of ATP, phosphocreatine and glycogen must be higher than that in control group, while the content of lactic acid is lower than that in control group. But why can BK improve the energy metabolism Further discussion is needed.