Wednesday, 14 June 2017

Bradykinin | DNB Based MCQ

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Which of the following is TRUE regarding Bradykinin? 

A. Pain in inflammation 
B. Decreases vascular permeability 
C. Vasoconstriction 
D. Bronchodilatation

Ans. A. (Pain in inflammation)
Explanation
Bradykinin is a physiologically and pharmacologically active peptide of the kinin group of proteins consisting of nine amino acids.
• Activation of the kinin system results in the release of the vasoactive nonapeptide bradykinin. Bradykinin increases vascular permeability and causes contraction of smooth muscle, dilation of blood vessels, and pain when injected into the skin.
• Bradykinin is a potent endothelium-dependent vasodilator, causes contraction of non-vascular smooth muscle, increases vascular permeability and also is involved in the mechanism of pain. In some aspects, it has similar actions to that of histamine, and like histamine it is released from venules rather than arterioles.

• Bradykinin raises internal calcium levels in neocortical astrocytes causing them to release glutamate.
• Bradykinin is also thought to be the cause of the dry cough in some patients on angiotensin converting enzyme (ACE) inhibitor drugs. This refractory cough is a common cause for stopping ACE-inhibitor therapy.
• Over activation of bradykinin is thought to play a role in a rare disease called Hereditary Angioedema, also known as Hereditary Angio-Neurotic Edema.