PMID- 37511409 OWN - NLM STAT- MEDLINE DCOM- 20230803 LR - 20230803 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 14 DP - 2023 Jul 19 TI - Bradykinin Metabolism and Drug-Induced Angioedema. LID - 10.3390/ijms241411649 [doi] LID - 11649 AB - Bradykinin (BK) metabolism and its receptors play a central role in drug-induced angioedema (AE) without urticaria through increased vascular permeability. Many cardiovascular and diabetic drugs may cause BK-mediated AE. Angiotensin-converting enzyme inhibitors (ACEIs) and neprilysin inhibitors impair BK catabolism. Dipeptidyl peptidase-IV (DPP-IV) inhibitors reduce the breakdown of BK and substance P (SP). Moreover, angiotensin receptor blockers, thrombolytic agents, and statins may also induce BK-mediated AE. Understanding pathophysiological mechanisms is crucial for preventing and treating drug-induced AE. FAU - Smolinska, Sylwia AU - Smolinska S AUID- ORCID: 0000-0001-6736-2696 AD - Department of Clinical Immunology, Wroclaw Medical University, 50-368 Wroclaw, Poland. FAU - Antolin-Amerigo, Dario AU - Antolin-Amerigo D AD - Servicio de Alergia, Hospital Universitario Ramon y Cajal, Instituto Ramon y Cajal de Investigacion Sanitaria (IRYCIS), 28034 Madrid, Spain. FAU - Popescu, Florin-Dan AU - Popescu FD AUID- ORCID: 0000-0001-6316-3155 AD - Department of Allergology "Nicolae Malaxa" Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, 022441 Bucharest, Romania. LA - eng PT - Journal Article PT - Review DEP - 20230719 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - S8TIM42R2W (Bradykinin) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Fibrinolytic Agents) SB - IM MH - Humans MH - *Angioedema/chemically induced MH - Angiotensin Receptor Antagonists MH - Angiotensin-Converting Enzyme Inhibitors/adverse effects MH - Bradykinin/metabolism MH - *Dipeptidyl-Peptidase IV Inhibitors/adverse effects MH - Fibrinolytic Agents/therapeutic use PMC - PMC10380452 OTO - NOTNLM OT - bradykinin metabolism OT - drug-induced angioedema COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:46 MHDA- 2023/07/31 06:43 PMCR- 2023/07/19 CRDT- 2023/07/29 01:24 PHST- 2023/06/23 00:00 [received] PHST- 2023/07/10 00:00 [revised] PHST- 2023/07/14 00:00 [accepted] PHST- 2023/07/31 06:43 [medline] PHST- 2023/07/29 11:46 [pubmed] PHST- 2023/07/29 01:24 [entrez] PHST- 2023/07/19 00:00 [pmc-release] AID - ijms241411649 [pii] AID - ijms-24-11649 [pii] AID - 10.3390/ijms241411649 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jul 19;24(14):11649. doi: 10.3390/ijms241411649.