PMID- 25905454 OWN - NLM STAT- MEDLINE DCOM- 20160622 LR - 20150915 IS - 1952-4013 (Electronic) IS - 1167-1122 (Linking) VI - 25 IP - 4 DP - 2015 Jul-Aug TI - Towards a specific marker for acute bradykinin-mediated angioedema attacks: a literature review. PG - 290-5 LID - 10.1684/ejd.2015.2547 [doi] AB - BACKGROUND: Bradykinin-mediated angioedema (AE) is a rare disease characterised by recurrent angioedema linked to acquired (e.g. angiotensin converting enzyme inhibitor induced AE) or hereditary disorders (e.g. AE type I or II). As the clinical picture can be misleading, diagnosis of this disease is sometimes difficult. A bradykinin-mediated AE attack may be a therapeutic emergency which requires access to effective, but expensive, treatments. Their prescription must therefore be justified. No specific marker of acute bradykinin-mediated AE attacks has yet been identified to facilitate the therapeutic decision but it has been sought in many studies. PURPOSE: This article reviews the literature on this type of biomarker, comparing candidate bradykinin-mediated AE markers to candidate markers of mast cell activation. CONCLUSION: The most interesting biomarkers are those linked to endothelial stress (VE cadherin, E-selectin, endothelin-1, von Willebrand factor and its activity) which is significantly increased during an AE attack. All these markers must now be validated by prospective studies to determine their specificity and utility in diagnosis. FAU - Deroux, Alban AU - Deroux A AD - Internal Medicine Department,, Centre national de reference des angioedemes (CREAK). FAU - Vilgrain, Isabelle AU - Vilgrain I AD - Universites des Alpes-Grenoble 1, 38041 Grenoble, France, CEA, DSV/iRTSV,, INSERM, Unite 1036, Biologie du cancer et de l'infection, 17, rue des Martyrs, 38054 Grenoble, France. FAU - Dumestre-Perard, Chantal AU - Dumestre-Perard C AD - Centre national de reference des angioedemes (CREAK),, Universites des Alpes-Grenoble 1, 38041 Grenoble, France, Immunology Department, Grenoble University Hospital, 38000 Grenoble, France. FAU - Boccon-Gibod, Isabelle AU - Boccon-Gibod I AD - Internal Medicine Department,, Centre national de reference des angioedemes (CREAK). FAU - Bouillet, Laurence AU - Bouillet L AD - Internal Medicine Department,, Centre national de reference des angioedemes (CREAK),, Universites des Alpes-Grenoble 1, 38041 Grenoble, France, CEA, DSV/iRTSV,, INSERM, Unite 1036, Biologie du cancer et de l'infection, 17, rue des Martyrs, 38054 Grenoble, France. LA - eng PT - Journal Article PT - Review PL - France TA - Eur J Dermatol JT - European journal of dermatology : EJD JID - 9206420 RN - 0 (Biomarkers) RN - 0 (Blood Coagulation Factors) RN - 0 (Complement C1 Inhibitor Protein) RN - 0 (E-Selectin) RN - 0 (Endothelin-1) RN - 0 (Fibrin Fibrinogen Degradation Products) RN - 0 (Interleukins) RN - 0 (fibrin fragment D) RN - 820484N8I3 (Histamine) RN - 9007-41-4 (C-Reactive Protein) RN - S8TIM42R2W (Bradykinin) SB - IM MH - Angioedema/blood/*diagnosis/urine MH - Biomarkers/blood/urine MH - Blood Coagulation Factors/*metabolism MH - Bradykinin/*metabolism MH - C-Reactive Protein/metabolism MH - Complement C1 Inhibitor Protein/*metabolism MH - E-Selectin/blood MH - Endothelin-1/blood MH - Fibrin Fibrinogen Degradation Products/metabolism MH - Histamine/blood/urine MH - Humans MH - Interleukins/blood MH - Mast Cells/metabolism OTO - NOTNLM OT - C1 inhibitor OT - VE cadherin OT - biomarkers OT - endothelial dysfunction OT - hereditary angioedema OT - vascular permeability EDAT- 2015/04/24 06:00 MHDA- 2016/06/23 06:00 CRDT- 2015/04/24 06:00 PHST- 2015/04/24 06:00 [entrez] PHST- 2015/04/24 06:00 [pubmed] PHST- 2016/06/23 06:00 [medline] AID - ejd.2015.2547 [pii] AID - 10.1684/ejd.2015.2547 [doi] PST - ppublish SO - Eur J Dermatol. 2015 Jul-Aug;25(4):290-5. doi: 10.1684/ejd.2015.2547.