2018
DOI: 10.1073/pnas.1810020116
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Plasma kallikrein modulates immune cell trafficking during neuroinflammation via PAR2 and bradykinin release

Abstract: Blood–brain barrier (BBB) disruption and transendothelial trafficking of immune cells into the central nervous system (CNS) are pathophysiological hallmarks of neuroinflammatory disorders like multiple sclerosis (MS). Recent evidence suggests that the kallikrein-kinin and coagulation system might participate in this process. Here, we identify plasma kallikrein (KK) as a specific direct modulator of BBB integrity. Levels of plasma prekallikrein (PK), the precursor of KK, were markedly enhanced in active CNS les… Show more

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Cited by 42 publications
(36 citation statements)
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“…Future studies will be required to determine a crystal structure of the PK zymogen to establish whether this mirrors the conformation observed for the FXI zymogen and to determine whether the PKa apple 3 domain is utilized for substrate recruitment as it is in FXIa. Other substrates reported for PKa include the integral membrane proteins protease activated receptor (PAR), PAR‐1, and PAR‐2 implicated in regulation of blood‐brain barrier integrity and platelet activation . It is interesting to note that the P1‐P1′ cleavage site Arg‐Ser in the PAR‐1 and PAR‐2 sequences also occurs in the classical PKa substrate HK to release bradykinin .…”
Section: Discussionmentioning
confidence: 99%
“…Future studies will be required to determine a crystal structure of the PK zymogen to establish whether this mirrors the conformation observed for the FXI zymogen and to determine whether the PKa apple 3 domain is utilized for substrate recruitment as it is in FXIa. Other substrates reported for PKa include the integral membrane proteins protease activated receptor (PAR), PAR‐1, and PAR‐2 implicated in regulation of blood‐brain barrier integrity and platelet activation . It is interesting to note that the P1‐P1′ cleavage site Arg‐Ser in the PAR‐1 and PAR‐2 sequences also occurs in the classical PKa substrate HK to release bradykinin .…”
Section: Discussionmentioning
confidence: 99%
“…The increased peroxiredoxin 6 (PRDX6) expression in astrocytes also alleviated clinical score in EAE mice [7]. Plasma kallikrein inhibition decreased BBB damage and cell invasion during neuroinflammation [8]. S1PR2 knockout decreased BBB leakage, the extent of demyelinated area, and the clinical disability [9].…”
Section: Introductionmentioning
confidence: 98%
“…The kallikrein-kinin system (KKS) consists of kinins, kallikreins, kininogens, and kinin receptors. Kinin plays its role by binding to the receptor, resulting in neuroprotective effect [8]. However, kinin could not be used as a drug because of its short half-life [9].…”
Section: Introductionmentioning
confidence: 99%