Bradykinin

Activated kallikrein (e.g. from saliva) acts on alpha-2 globulin in plasma → release kallin → converted by tissue enzymes to bradykinin
Carcinoid tumours may secrete this!

Net effect: vasodilation
Secreted from endothelium
Stimulus enzymes contained in sweat
Inhibition metabolised and removed in pulmonary circulation
Site of action Endothelial cells
Action (function) Vasodilation via nitric oxide
↑ capillary permeability
↑ GFR
  • Inactived by ACE inhibitors
  • Icatibant blocks bradykinin-2 receptor (used for treatment of hereditary angioedema)