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B1 receptors as a new inflammatory target. Could this B the 1?

https://doi.org/10.1016/S0165-6147(99)01321-8Get rights and content

Abstract

The kinins, particularly bradykinin (BK), are important mediators involved in both the initiation and progression of an inflammatory response. The pro-inflammatory effects of kinins are mediated by at least two receptors: the B2 subtype is expressed constitutively and the B1 receptor is induced following tissue inflammation and damage. The endogenous ligand for the B1 receptor is des-arg9BK, a cleavage product of the activity of carboxypeptidases on BK. Activation of B1 receptors produces a range of pro-inflammatory effects including oedema, pain and promotion of blood-borne leukocyte trafficking. In this article Amrita Ahluwalia and Mauro Perretti briefly describe the biology of BK and its receptors, and discuss the possible development of B1 receptor antagonists as novel anti-inflammatory agents.

Section snippets

Induction of B1 receptors: how, where and when

The biological effects of BK are brought about by its interaction with specific G protein-coupled receptors4, 5. At present, there are two clearly defined and cloned kinin receptors: B1 and B2. B2 receptors are constitutively present on many cell types involved with the inflammatory response: endothelial cells, mast cells3 and sensory neurones6. The natural endogenous ligand for this receptor is BK, with Lys-BK in most cases possessing a lower afffinity for the receptor. In contrast, B1

Relevance of B1 receptors to inflammation

It is now clear that responses to DABK are, in the large part, observed following a pathological insult, and experimentally this has been very well demonstrated using models of sepsis and nociceptive inflammation24. In both cases, a rise in local or circulating cytokine levels, particularly interleukin 1 (IL-1), has been implicated in the process of induction. There is support for the concept that not only are B1 receptors upregulated by specific inflammatory stimuli, but that there is also an

Concluding remarks

The picture emerging from several recent studies is that the physiological tonic actions of kinins involve activation of B2 receptors. However, in pathological conditions, it is not only B2 receptors that mediate the inflammatory actions of kinins: B1 receptors are induced de novo and might be activated by the specific endogenous agonist DABK, which is elevated in inflammatory exudates. In the inflammatory scenario, the effects of B1 receptor activation are often qualitatively similar to those

Acknowledgements

AA is supported by the British Heart foundation and MP by the Arthritis Rheumatism Council.

Glossary

Chemical names

BN9958:
Lys-Lys-[Hyp3,Cpg5,D-Tic7,Cpg8]desArg9BK
FR173657:
(E)-3-(6-acetamido-3-pyridyl)-N-(N-[2,4-dichloro-3{(2-methyl-8-quinolinyl)oxymethyl}phenyl]-N-methylaminocarbonyl-methyl)acrylamide
Hoe140:
[d-Arg-Arg-Pro-Hyp-Gly-(β-2-thienyl)-Ala-Ser-dTic-Oic-Arg
WIN64338:
[[4-[[2-[[bis(cyclohexylamino)methylene]amino]-3-(2-naphthyl)-1-oxopropyl]amino]phenyl]methyl]tributyl phosphonium chloride monohydrochloride

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