Bradykinin 1-5 is a major stable metabolite of bradykinin, formed by the proteolytic action of angiotensin-converting enzyme. In vitro and animal studies suggest that bradykinin 1-5 possesses biological activity. This study tests the hypothesis that bradykinin 1-5 affects vasodilation, fibrinolysis, or platelet aggregation in humans. Graded doses of bradykinin (47-377 pmol/min) and bradykinin 1-5 (47-18,850 pmol/min) were infused in the brachial artery in random order in 36 healthy subjects. Forearm blood flow (FBF) was measured, and simultaneously obtained venous and arterial plasma samples were analyzed for tissue plasminogen activator (t-PA) antigen. In seven subjects each, ␣-and ␥-thrombin-induced platelet aggregation was measured in platelet-rich plasma obtained from antecubital venous blood at baseline and during peptide infusions. Bradykinin caused dose-dependent increases in FBF and net t-PA release (P Ͻ 0.001 for both). Bradykinin 1-5 did not affect FBF (P ϭ 0.13) or net t-PA release (P ϭ 0.46) at concentrations Ͼ1500 times physiologic. In contrast, both bradykinin and bradykinin 1-5 inhibited ␣-and ␥-thrombin-induced platelet aggregation (P Ͻ 0.01 versus baseline). Bradykinin 1-5 inhibited ␥-thrombin-induced platelet aggregation 50% at a calculated dose of 183 Ϯ 3 pmol/min. Neither bradykinin nor bradykinin 1-5 affected thrombin receptor-activating peptideinduced platelet aggregation, consistent with the hypothesis that bradykinin and bradykinin 1-5 inhibit thrombin-induced platelet aggregation by preventing cleavage of the thrombin receptor and liberation of thrombin receptor-activating peptide. This study is the first to demonstrate biological activity of bradykinin 1-5 following in vivo administration to humans. By inhibiting thrombin-induced platelet aggregation without causing vasodilation, bradykinin 1-5 may provide a model for small molecule substrate-selective thrombin inhibitors.Bradykinin (BK) is a vasoactive peptide that exhibits cardioprotective effects. Bradykinin promotes vasodilation (Vanhoutte, 1989), exerts antiproliferative effects (Linz and Scholkens, 1992), inhibits thrombin-induced platelet activation (TRAP) in vitro (Hasan et al., 1996), stimulates endothelial tissue plasminogen activator (t-PA) release (Smith et al., 1985), and contributes to many of the effects of angiotensin-converting enzyme (ACE) inhibition (Gainer et al., 1998;Labinjoh et al., 2001;Minai et al., 2001). Bradykinin stimulates t-PA release from the human forearm vasculature in a dose-dependent manner through a bradykinin B 2 receptordependent pathway (Brown et al., 2000). Systemic bradykinin is rapidly metabolized via ACE in humans to BK1-5 (Murphey et al., 2000a). The identification of BK1-5 as the major stable metabolite of systemic bradykinin in humans raises the question of whether this peptide itself exhibits biological activity, just as studies have demonstrated that degradation products of angiotensin II, once thought to be inactive, have biological activity (Kerins et al., 1995;Brosnihan et al...