Journal of Endotoxin Research

 

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Journal of Endotoxin Research, Vol. 10, No. 1, 3-13 (2004)
DOI: 10.1177/09680519040100010101
© 2004 SAGE Publications

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Review: The plasma kallikrein/kinin and renin angiotensin systems in blood pressure regulation in sepsis

Zia Shariat-Madar

Departments of Internal Medicine, The University of Michigan, Ann Arbor, Michigan, USA

Alvin H. Schmaier

Departments of Internal Medicine, The University of Michigan, Ann Arbor, Michigan, USA, aschmaie{at}umich.edu, Department of Pathology, Hematology/Oncology Division, The University of Michigan, Ann Arbor, Michigan, USA

The hemodynamics of septic shock after endotoxinemiais influenced by the plasma kallikrein/kinin and the renin angiotensin systems. In recent years, new information has improved understanding of the protein/biologically active peptide interactions between these two systems. The plasma kallikrein/kinin system, more commonly known as the contact system, has undergone a re-evaluation as to how it assembles on cell membranes for physiological and pathophysiological activation and as to its role in Gram-negative sepsis. It has been proposed that it counterbalances the plasma renin angiotensin system. Furthermore, more knowledge about the renin angiotensin system has become available on how it either opposes the actions of the kallikrein/kinin system or, in some cases, summates with it. Understanding the interactions between these two systems may lead to development of better pharmacological treatments for endotoxin-induced shock.

Key Words: Kallikrein/kinin • renin • angiotensin • hemodynamics • sepsis • blood pressure


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