This article reviews most recent developments in the field of the multifunctional kininogens which are involved in major physiologic systems such as the blood coagulation cascade, the inflammatory reaction, the inhibitor defense mechanism, and the acute phase response. Particular attention is given to the interac tion of kininogens with endothelial cells and platelets, the post translational modification of kinin(ogen)s by proline hydroxylase, and the placing of kininogens among structurally and functionally related plasma proteins. Classic and Alternative Functions of Kininogens Mammalian blood coagulation is a well-orchestrated process of cellular and molecular events destined to the rapid occlusion of leaky blood vessels by thrombus formation (1). A large number of proteins are involved in the cascades that initiate and propagate blood coagulation, and among them are high-molecular-weight kininogen (H-kininogen)1 * * * and prekallikrein (PK). In concert with Hageman factor and factor X I they trigger the intrinsic blood coagulation cascade via the contact activation pathway (2). By contrast, the other type of kininogen present in human plasma, i.e. low-molecular-weight kininogen (L-kininogen) is devoid of any procoagulant activity. Apart from the role as a cofactor of the endogenous pathway, the kininogens function as the large precur sor molecules to small vasoactive peptides, the kinins. Typically, kinins are released from the single-chain kininogens of Mr 68,000 (L-kininogen) or 110,000 (H-kininogen) via limited proteolysis with specific kininogenases, e.g. the kallikreins. The kinins exert their effects via specific receptors exposed on their target cells and mediate vasodilatation, increase of vascular permeability, con traction of smooth muscles, and provocation of pain (3). Only recently, two novel functions of the kininogens seemingly unrelated to kinin release or contact phase binding were dis closed: first, their role as potent inhibitors of cysteine proteinases, and second, their specific involvement in the acute phase response of the rat (reviewed in refs. 4 and 5). This latter function is mediated by a third type of kininogen, T-kinirtogen (also named "major acute phase protein"), which has been found so far exclu sively in the rat. Hence, the kininogens are extremely versatile proteins which serve a plethora of distinct biologic roles, and their functional diversity is reflected by a complex multidomain struc ture (4). This article reviews some recent developments in the field of kininogens and kinins, thereby focusing on the cellular interactions of kininogens, the modification of the kinin(ogen)s by proline hydroxylation, and the evolutionary relationships among kininogens and other known plasma proteins.