The role of bradykinin receptor type 2 in spontaneous extravasation in mice skin: implications for non-allergic angio-oedema.

Background And Purpose: Non-allergic angio-oedema is a life-threatening disease mediated by activation of bradykinin type 2 receptors (B receptors). The aim of this study was to investigate whether activation of B receptors by endogenous bradykinin contributes to physiological extravasation. This may shed new light on the assumption that treatment with an angiotensin converting enzyme inhibitor (ACEi) results in an alteration in the vascular barrier function predisposing to non-allergic angio-oedema.

Experimental Approach: We generated a new transgenic mouse model characterized by endothelium-specific overexpression of the B receptor (B2 ) and established a non-invasive two-photon laser microscopy approach to measure the kinetics of spontaneous extravasation in vivo. The B2 mice showed normal morphology and litter size as compared with their transgene-negative littermates (B2 ).

Key Results: Overexpression of B receptors was functional in conductance vessels and resistance vessels as evidenced by B receptor-mediated aortic dilation to bradykinin in presence of non-specific COX inhibitor diclofenac and by significant hypotension in B2 respectively. Measurement of dermal extravasation by Miles assay showed that bradykinin induced extravasation was significantly increased in B2 as compared with B2 . However, neither endothelial overexpression of B receptors nor treatment with the ACEi moexipril or B antagonist icatibant had any effect on spontaneous extravasation measured by two-photon laser microscopy.

Conclusions And Implications: Activation of B receptors does not appear to be involved in spontaneous extravasation. Therefore, the assumption that treatment with an ACEi results in an alteration in the physiological vascular barrier function predisposing to non-allergic angio-oedema is not supported by our findings.