KALLIKREIN-KININ CASCADE PATHWAY (PW:0000526)
Description
Kallikrein-kinin (KKS) cascade pathway leads to the production of active kinin peptides whose signaling via two G-protein coupled (GPCR) receptors prompts a range of responses that include vasodilation, release of inflammatory mediators, stimulation of sensory neurons. Recent studies also point to a potential role in oxidative stress. All active peptides are derived from a single precursor - kininogen (Kng1). Alternative splicing of Kng1 gives rise to the high- and low-molecular weight kininogens (HK and LK). Their processing by plasma and tissues serine proteases Klkb1 and Klk1, respectively, gives rise to two active peptides: the nonapeptide bradykinin (BK) and the decapeptide kallidin (KD). The two enzymes are known as kallikreins. Further C-terminal processing of these peptides by carboxypeptidase M (Cpm) and N (Cpn1) gives rise to the des-Arg metabolites. Other kinin metabolites are also produced but so far, they have only been reported in rat. The plasma kallikrein Klkb1, is secreted from the liver as an inactive prekallikrein which circulates bound to HK and whose activation is carried out by an activated factor XII, known as Hageman factor - F12a. The contact of plasma with a negative surface leads to binding and autoactivation of F12 which in turn activates prekallikrein - a first step in the kallikrein-kinin cascade and also in the coagulation cascade. F12a can also stimulate the classical complement pathway. Active Klkb1 cleaves HK in a two-step reaction to produce BK. It also further activates F12 whose initial conformational changes induced by contact only produce small amounts of F12a, thus providing a positive feedback loop. Prolylcarboxypeptidase (Prcp) can also activate prekallikrein, in addition to other substrates. Several inhibitors of F12 and Blkb1 are known with Serping1, known as C1INH being the principal regulator. Serping1 and alpha2-macroglobulin (A2m), account for more than 90% of Klkb1 inhibitory activity. The tissue kallikrein Klk1 is widely distributed and while it primarily cleaves LK to form KD, it may also cleave HK. The regulatory mechanisms of tissue kallikrein are less well characterized; Serpina4, known as kallistatin and found in several tissues and cell types, is a Klk1 inhibitor. The peptides are metabolized to inactive compounds by several kininases of which some are shared with the renin-angiotensin system, such as Ace and Mme. There, they act as angiotensinases converting the inactive angiotensin I to the potent AgtII and to Agt1-7, respectively. In the kallikrein-kinin system the enzymes act as kininases. Others include aminopeptidase P which has both a soluble (Xpnpep1) and a membrane-bound (Xpnpep2) form and both can hydrolyze the kinins to inactive metabolites. The human cytoplasmic XPNPEP1 uses Mn2+ at the active site, whereas the membrane-bound XNPEP2 uses Zn2+. Zn2+, used by most other proteases, inhibits XPNPEP1. Two bradykinin receptors - Bdkrb1 and Bdkrb2 - convey the signals of active kinins. Both receptors are G-protein coupled (GPCR) that stimulate phospholipase activity, increase intracellular calcium concentration and prompt the release of several compounds such as nitric oxide, arachidonic acid, prostaglandins and other inflammatory mediators. Of the two receptors, receptor type 2 is ubiquitously expressed and type 1 is inducible. BK and KD are the agonists of receptor type 2; the carboxy-terminal derived des-Arg peptides are the agonists of receptor type 1. Several antagonists have been developed for both receptors; first generation and second generation antagonists and third generation non-peptides compounds. Other kinin antagonists have been discovered as natural compounds.
To see the ontology report for Gviewer, annotations and download, click here .
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Pathway Diagram:
Genes in Pathway:
G
A2m
alpha-2-macroglobulin
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 4:154,897,770...154,947,787
Ensembl chr 4:154,897,877...154,947,786
G
Ace
angiotensin I converting enzyme
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr10:90,910,316...90,930,437
Ensembl chr10:90,910,316...90,931,131
G
Bdkrb1
bradykinin receptor B1
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 6:124,510,827...124,514,475
Ensembl chr 6:124,510,870...124,513,747
G
Bdkrb2
bradykinin receptor B2
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 6:124,472,317...124,502,497
Ensembl chr 6:124,472,566...124,502,497
G
Cpm
carboxypeptidase M
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 7:53,225,647...53,286,220
Ensembl chr 7:53,225,696...53,286,220
G
Cpn1
carboxypeptidase N subunit 1
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 1:242,844,575...242,873,465
Ensembl chr 1:242,844,212...242,873,465
G
F12
coagulation factor XII
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr17:9,207,683...9,215,530
Ensembl chr17:9,207,683...9,215,530
G
Klk1
kallikrein 1
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 1:94,642,722...94,646,714
Ensembl chr 1:94,642,687...94,646,754
G
Klkb1
kallikrein B1
ISO
RGD
PMID:18396440 PMID:16177542
RGD:7401224 , RGD:7401223
NCBI chr16:46,958,634...46,982,054
Ensembl chr16:46,958,707...46,982,053
G
Kng2
kininogen 2
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr11:77,913,876...77,936,247
Ensembl chr11:77,909,612...78,002,971
G
Mme
membrane metallo-endopeptidase
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 2:147,686,913...147,803,808
Ensembl chr 2:147,722,086...147,803,792
G
Prcp
prolylcarboxypeptidase
ISO
RGD
PMID:18396440
RGD:7401224
NCBI chr 1:146,931,487...146,983,891
Ensembl chr 1:146,930,561...146,984,530
G
Serpina4
serpin family A member 4
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 6:122,999,970...123,009,083
Ensembl chr 6:122,999,900...123,009,082
G
Serping1
serpin family G member 1
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 3:69,842,726...69,852,583
Ensembl chr 3:69,842,739...69,852,034
G
Xpnpep1
X-prolyl aminopeptidase 1
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr 1:252,001,366...252,052,077
Ensembl chr 1:252,001,367...252,051,479
G
Xpnpep2
X-prolyl aminopeptidase 2
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr X:127,287,765...127,317,036
Ensembl chr X:127,287,979...127,317,223
G
Arrb1
arrestin, beta 1
ISO
RGD
PMID:21145390
RGD:7411621
NCBI chr 1:153,837,964...153,912,111
Ensembl chr 1:153,838,078...153,904,061
G
Arrb2
arrestin, beta 2
ISO
RGD
PMID:21145390
RGD:7411621
NCBI chr10:55,146,887...55,154,854
Ensembl chr10:55,146,818...55,154,850
G
Bdkrb1
bradykinin receptor B1
ISO
RGD
PMID:16177542 PMID:15734727
RGD:7401223 , RGD:7401225
NCBI chr 6:124,510,827...124,514,475
Ensembl chr 6:124,510,870...124,513,747
G
Bdkrb2
bradykinin receptor B2
ISO TAS
RGD
PMID:16177542 PMID:15734727
RGD:7401223 , RGD:7401225
NCBI chr 6:124,472,317...124,502,497
Ensembl chr 6:124,472,566...124,502,497
G
Grk4
G protein-coupled receptor kinase 4
ISO
RGD
PMID:15734727
RGD:7401225
NCBI chr14:75,998,554...76,080,808
Ensembl chr14:76,006,218...76,080,693
G
Kng2
kininogen 2
ISO
RGD
PMID:16177542
RGD:7401223
NCBI chr11:77,913,876...77,936,247
Ensembl chr11:77,909,612...78,002,971
Pathway Gene Annotations
Disease Annotations Associated with Genes in the kallikrein-kinin cascade pathway
A2m acute kidney failure , Alzheimer's disease , background diabetic retinopathy , Burns , Cardiomegaly , cerebral infarction , Colonic Neoplasms , COVID-19 , Diabetic Cardiomyopathies , Experimental Arthritis , Experimental Autoimmune Encephalomyelitis , Experimental Liver Cirrhosis , Femur Head Necrosis , Fever , genetic disease , heart disease , hemolytic anemia , hepatocellular adenoma , hepatocellular carcinoma , Hypoalbuminemia , Inflammation , liver cirrhosis , lung disease , Lung Neoplasms , megacolon , membranous glomerulonephritis , multiple sclerosis , nephrotic syndrome , obstructive lung disease , otitis media , Otitis Media with Effusion , Parkinson's disease , peritonitis , rheumatoid arthritis , Sepsis , suppurative otitis media , toxic shock syndrome , trypanosomiasis , Wilson disease Ace abdominal aortic aneurysm , Acute Hepatitis , acute kidney failure , Acute Lung Injury , adenocarcinoma , adult respiratory distress syndrome , Albuminuria , alcoholic cardiomyopathy , Alcoholic Liver Diseases , allergic disease , allergic rhinitis , Alzheimer's disease , anemia , Angiotensin I-Converting Enzyme, Benign Serum Increase , ankylosing spondylitis , Aortic Coarctation , Arteriovenous Fistula , aspiration pneumonia , asthma , atrial fibrillation , autistic disorder , autosomal recessive polycystic kidney disease , Banti's Syndrome , Behcet's disease , berylliosis , bipolar disorder , brain ischemia , breast cancer , bronchiolitis obliterans , CAKUT , Cardiac Arrhythmias , Cardiomegaly , cardiovascular system disease , carotid artery disease , celiac disease , Cerebral Hemorrhage , cerebral infarction , Chemical and Drug Induced Liver Injury , chemical colitis , Chemotherapy-Induced Febrile Neutropenia , cholestasis , Chronic Hepatitis C , Chronic Intermittent Hypoxia , chronic myeloid leukemia , chronic obstructive pulmonary disease , congenital diaphragmatic hernia , Congenital Hepatic Fibrosis , congestive heart failure , coronary artery disease , Coronary Disease , coronary restenosis , Coronavirus infectious disease , Cough , COVID-19 , Cytomegalovirus Infections , diabetic angiopathy , Diabetic Cardiomyopathies , Diabetic Nephropathies , diabetic retinopathy , diastolic heart failure , diffuse cystic renal dysplasia , dilated cardiomyopathy , drug allergy , end stage renal disease , endomyocardial fibrosis , Endotoxemia , Experimental Arthritis , Experimental Colitis , Experimental Diabetes Mellitus , Experimental Liver Cirrhosis , extrinsic allergic alveolitis , Fabry disease , Familial Cerebral Cavernous Malformation , familial Mediterranean fever , Fetal Death , Fetal Growth Retardation , focal segmental glomerulosclerosis 1 , gallbladder adenocarcinoma , Gaucher's disease , genetic disease , Genetic Predisposition to Disease , glomerulonephritis , glomerulosclerosis , glycogen storage disease V , heart valve disease , Helicobacter Infections , Henoch-Schoenlein purpura , hepatitis A , hepatocellular carcinoma , Hyperoxia , hypertension , Hypertensive Nephrosclerosis , hypertrophic cardiomyopathy , Hypotension , IgA glomerulonephritis , in situ carcinoma , Insulin Resistance , intermediate coronary syndrome , Intestinal Reperfusion Injury , intracranial aneurysm , kidney disease , kidney failure , Kidney Reperfusion Injury , Left Ventricular Hypertrophy , leukemia , leukostasis , liver cirrhosis , Liver Metastasis , lung cancer , lung carcinoma , lung disease , Lung Injury , Lung Neoplasms , malaria , male infertility , Memory Disorders , Meningococcal Infections , microcephaly , middle cerebral artery infarction , mitral valve disease , mitral valve prolapse , multiple myeloma , Mycobacterium Infections , myocardial infarction , myocarditis , Neoplasm Metastasis , nephritis , nephrosis , nephrotic syndrome , non-alcoholic fatty liver disease , non-arteritic anterior ischemic optic neuropathy , obesity , obstructive sleep apnea , ocular hypotension , osteoporosis , Pain , pancreatic cancer , pancreatic ductal carcinoma , Parkinson's disease , Peritoneal Fibrosis , Pleural Effusion , pneumonia , polycythemia , pre-eclampsia , pre-malignant neoplasm , Pregnancy-Induced Hypertension , Premature Infant Diseases , primary biliary cholangitis , Prostatic Neoplasms , proteinuria , pulmonary fibrosis , pulmonary hypertension , Puromycin Aminonucleoside Nephrosis , pyelonephritis , Radiation Nephropathy , renal fibrosis , Renal Tubular Dysgenesis , renovascular hypertension , Reperfusion Injury , respiratory system disease , Right Ventricular Hypertrophy , sarcoidosis , schizophrenia , Sepsis , severe acute respiratory syndrome , Staphylococcal Infections , stomach cancer , Stomach Neoplasms , Stroke , subacute sclerosing panencephalitis , substance-induced psychosis , Sudden Death , systemic lupus erythematosus , systemic scleroderma , toxic shock syndrome , type 1 diabetes mellitus , type 2 diabetes mellitus , ureteral obstruction , uveitis , Vascular System Injuries , Venous Thromboembolism , Ventricular Fibrillation , Ventricular Remodeling , viral pneumonia , Weight Gain , Weight Loss Bdkrb1 acute myeloid leukemia , Diabetes Complications , diabetic angiopathy , diabetic neuropathy , diabetic retinopathy , Edema , end stage renal disease , epilepsy , essential thrombocythemia , Experimental Arthritis , Experimental Diabetes Mellitus , Fibrosis , focal segmental glomerulosclerosis , genetic disease , glomerulonephritis , Hyperalgesia , hypertension , Inflammation , Insulin Resistance , Kidney Reperfusion Injury , Left Ventricular Hypertrophy , Microvascular Angina , myelofibrosis , myocardial infarction , nephritis , obesity , overactive bladder syndrome , Pain , pleurisy , pulmonary fibrosis , renal fibrosis , rhinitis , sciatic neuropathy , Splenomegaly , temporal lobe epilepsy , Vascular System Injuries Bdkrb2 acute kidney failure , acute myeloid leukemia , Animal Disease Models , asthma , cardiomyopathy , Chemical and Drug Induced Liver Injury , chronic obstructive pulmonary disease , Cough , Diabetes Complications , Diabetic Nephropathies , Eosinophilia , epilepsy , essential thrombocythemia , Experimental Diabetes Mellitus , Extravasation of Diagnostic and Therapeutic Materials , genetic disease , Hemorrhage , high grade glioma , Hyperalgesia , Hyperemia , hypertension , Hypotension , Inflammation , Left Ventricular Hypertrophy , lung disease , Microvascular Angina , myelofibrosis , myocardial infarction , occupational dermatitis , Pain , pancreatitis , pleurisy , pneumonia , portal hypertension , pulmonary hypertension , rheumatoid arthritis , rhinitis , sciatic neuropathy , temporal lobe epilepsy , thrombosis , Vascular System Injuries Cpm endometriosis , genetic disease , silicosis Cpn1 carboxypeptidase N deficiency , genetic disease F12 acquired angioedema , Acute Coronary Syndrome , angioedema , bilirubin metabolic disorder , Coronary Disease , Death , Ehlers-Danlos syndrome dermatosparaxis type , Ehlers-Danlos syndrome spondylodysplastic type 2 , Endotoxemia , Experimental Liver Neoplasms , factor XII deficiency , genetic disease , hereditary angioedema , hereditary angioedema type III , hyperhomocysteinemia , hypertension , hypophosphatemic nephrolithiasis/osteoporosis , hypophosphatemic nephrolithiasis/osteoporosis 1 , Marfanoid Mental Retardation Syndrome, Autosomal , middle cerebral artery infarction , myocardial infarction , Sotos syndrome 1 , Spontaneous Abortions , Stroke , Thromboembolism , thrombosis , transient cerebral ischemia , type 2 diabetes mellitus , urticaria , Venous Thrombosis Klk1 acute kidney failure , Cardiomegaly , cardiomyopathy , chronic kidney disease , Decreased Urinary Activity of Kallikrein , Diabetic Cardiomyopathies , Diabetic Nephropathies , end stage renal disease , Experimental Diabetes Mellitus , Fibrosis , genetic disease , hypertension , Inflammation , Insulin Resistance , myocardial infarction , pancreatitis , Reperfusion Injury Klkb1 autism spectrum disorder , autistic disorder , Bietti crystalline corneoretinal dystrophy , carotid artery thrombosis , corneal dystrophy , Diabetic Nephropathies , Enterocolitis , Experimental Arthritis , factor XI deficiency , genetic disease , glomerulonephritis , hemorrhagic disease , Herpes Simplex Encephalitis 1 , hypertension , inflammatory bowel disease , liver cirrhosis , lupus nephritis , Prekallikrein Deficiency , pulmonary embolism , Sepsis , systemic lupus erythematosus , thrombosis Kng2 3MC syndrome 1 , acquired angioedema , acute kidney failure , allergic disease , Anaphylaxis , Animal Disease Models , Animal Mammary Neoplasms , Bradycardia , Cardiac Arrhythmias , Chemical and Drug Induced Liver Injury , Cough , Diabetic Nephropathies , Drug Eruptions , Edema , Eosinophilia , Experimental Arthritis , Experimental Liver Cirrhosis , Extravasation of Diagnostic and Therapeutic Materials , genetic disease , Henoch-Schoenlein purpura , hereditary angioedema , Hereditary Angioedema 6 , high molecular weight kininogen deficiency , Hyperalgesia , Hyperemia , Hyperesthesia , hypertension , Hypotension , Leukocytosis , Myocardial Reperfusion Injury , neovascular inflammatory vitreoretinopathy , occupational dermatitis , Pain , Stroke , Sudden Cardiac Death , Tachycardia , thrombosis , Venous Thromboembolism Mme Alzheimer's disease , Breast Neoplasms , cerebellar ataxia type 43 , cerebral amyloid angiopathy , Charcot-Marie-Tooth disease axonal type 2T , Charcot-Marie-Tooth disease type 2 , congestive heart failure , COVID-19 , Cryopyrin-Associated Periodic Syndromes , diabetic neuropathy , diarrhea , Endotoxemia , Experimental Liver Cirrhosis , genetic disease , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , hypertension , Hypoglossal Nerve Injuries , Hypoxia , kidney failure , Lung Injury , membranous glomerulonephritis , neuropathy , periodontitis , peripheral nervous system disease , Prostatic Neoplasms , Spinocerebellar Ataxias Prcp genetic disease , intellectual disability Serpina4 diabetic retinopathy , DICER1 syndrome , Experimental Liver Cirrhosis , genetic disease , hepatocellular carcinoma , malignant mesothelioma Serping1 acquired angioedema , Acute Lung Injury , acute myocardial infarction , acute necrotizing pancreatitis , angioedema , autosomal dominant polycystic kidney disease , Burns , cerebral infarction , Chemical and Drug Induced Liver Injury , Complement Component 4, Partial Deficiency Of , COVID-19 , Endotoxemia , genetic disease , glioblastoma , hereditary angioedema , hereditary angioedema type I , Human Influenza , Inflammation , intellectual disability , Intracranial Hemorrhages , liver cirrhosis , Liver Reperfusion Injury , Lung Neoplasms , lupus nephritis , macular degeneration , Myocardial Reperfusion Injury , pancreatitis , Pneumococcal Meningitis , Reperfusion Injury , Skeletal Muscle Reperfusion Injury , toxic shock syndrome , Traumatic Shock Xpnpep1 genetic disease Xpnpep2 acquired angioedema , angioedema , autistic disorder , Experimental Liver Cirrhosis , genetic disease , oculocerebrorenal syndrome , primary ovarian insufficiency , syndromic X-linked intellectual disability Lubs type , syndromic X-linked intellectual disability Raymond type
3MC syndrome 1 Kng2 abdominal aortic aneurysm Ace acquired angioedema F12 , Kng2 , Serping1 , Xpnpep2 Acute Coronary Syndrome F12 Acute Hepatitis Ace acute kidney failure A2m , Ace , Bdkrb2 , Klk1 , Kng2 Acute Lung Injury Ace , Serping1 acute myeloid leukemia Bdkrb1 , Bdkrb2 acute myocardial infarction Serping1 acute necrotizing pancreatitis Serping1 adenocarcinoma Ace adult respiratory distress syndrome Ace Albuminuria Ace alcoholic cardiomyopathy Ace Alcoholic Liver Diseases Ace allergic disease Ace , Kng2 allergic rhinitis Ace Alzheimer's disease A2m , Ace , Mme Anaphylaxis Kng2 anemia Ace angioedema F12 , Serping1 , Xpnpep2 Angiotensin I-Converting Enzyme, Benign Serum Increase Ace Animal Disease Models Bdkrb2 , Kng2 Animal Mammary Neoplasms Kng2 ankylosing spondylitis Ace Aortic Coarctation Ace Arteriovenous Fistula Ace aspiration pneumonia Ace asthma Ace , Bdkrb2 atrial fibrillation Ace autism spectrum disorder Klkb1 autistic disorder Ace , Klkb1 , Xpnpep2 autosomal dominant polycystic kidney disease Serping1 autosomal recessive polycystic kidney disease Ace background diabetic retinopathy A2m Banti's Syndrome Ace Behcet's disease Ace berylliosis Ace Bietti crystalline corneoretinal dystrophy Klkb1 bilirubin metabolic disorder F12 bipolar disorder Ace Bradycardia Kng2 brain ischemia Ace breast cancer Ace Breast Neoplasms Mme bronchiolitis obliterans Ace Burns A2m , Serping1 CAKUT Ace carboxypeptidase N deficiency Cpn1 Cardiac Arrhythmias Ace , Kng2 Cardiomegaly A2m , Ace , Klk1 cardiomyopathy Bdkrb2 , Klk1 cardiovascular system disease Ace carotid artery disease Ace carotid artery thrombosis Klkb1 celiac disease Ace cerebellar ataxia type 43 Mme cerebral amyloid angiopathy Mme Cerebral Hemorrhage Ace cerebral infarction A2m , Ace , Serping1 Charcot-Marie-Tooth disease axonal type 2T Mme Charcot-Marie-Tooth disease type 2 Mme Chemical and Drug Induced Liver Injury Ace , Bdkrb2 , Kng2 , Serping1 chemical colitis Ace Chemotherapy-Induced Febrile Neutropenia Ace cholestasis Ace Chronic Hepatitis C Ace Chronic Intermittent Hypoxia Ace chronic kidney disease Klk1 chronic myeloid leukemia Ace chronic obstructive pulmonary disease Ace , Bdkrb2 Colonic Neoplasms A2m Complement Component 4, Partial Deficiency Of Serping1 congenital diaphragmatic hernia Ace Congenital Hepatic Fibrosis Ace congestive heart failure Ace , Mme corneal dystrophy Klkb1 coronary artery disease Ace Coronary Disease Ace , F12 coronary restenosis Ace Coronavirus infectious disease Ace Cough Ace , Bdkrb2 , Kng2 COVID-19 A2m , Ace , Mme , Serping1 Cryopyrin-Associated Periodic Syndromes Mme Cytomegalovirus Infections Ace Death F12 Decreased Urinary Activity of Kallikrein Klk1 Diabetes Complications Bdkrb1 , Bdkrb2 diabetic angiopathy Ace , Bdkrb1 Diabetic Cardiomyopathies A2m , Ace , Klk1 Diabetic Nephropathies Ace , Bdkrb2 , Klk1 , Klkb1 , Kng2 diabetic neuropathy Bdkrb1 , Mme diabetic retinopathy Ace , Bdkrb1 , Serpina4 diarrhea Mme diastolic heart failure Ace DICER1 syndrome Serpina4 diffuse cystic renal dysplasia Ace dilated cardiomyopathy Ace drug allergy Ace Drug Eruptions Kng2 Edema Bdkrb1 , Kng2 Ehlers-Danlos syndrome dermatosparaxis type F12 Ehlers-Danlos syndrome spondylodysplastic type 2 F12 end stage renal disease Ace , Bdkrb1 , Klk1 endometriosis Cpm endomyocardial fibrosis Ace Endotoxemia Ace , F12 , Mme , Serping1 Enterocolitis Klkb1 Eosinophilia Bdkrb2 , Kng2 epilepsy Bdkrb1 , Bdkrb2 essential thrombocythemia Bdkrb1 , Bdkrb2 Experimental Arthritis A2m , Ace , Bdkrb1 , Klkb1 , Kng2 Experimental Autoimmune Encephalomyelitis A2m Experimental Colitis Ace Experimental Diabetes Mellitus Ace , Bdkrb1 , Bdkrb2 , Klk1 Experimental Liver Cirrhosis A2m , Ace , Kng2 , Mme , Serpina4 , Xpnpep2 Experimental Liver Neoplasms F12 Extravasation of Diagnostic and Therapeutic Materials Bdkrb2 , Kng2 extrinsic allergic alveolitis Ace Fabry disease Ace factor XI deficiency Klkb1 factor XII deficiency F12 Familial Cerebral Cavernous Malformation Ace familial Mediterranean fever Ace Femur Head Necrosis A2m Fetal Death Ace Fetal Growth Retardation Ace Fever A2m Fibrosis Bdkrb1 , Klk1 focal segmental glomerulosclerosis Bdkrb1 focal segmental glomerulosclerosis 1 Ace gallbladder adenocarcinoma Ace Gaucher's disease Ace genetic disease A2m , Ace , Bdkrb1 , Bdkrb2 , Cpm , Cpn1 , F12 , Klk1 , Klkb1 , Kng2 , Mme , Prcp , Serpina4 , Serping1 , Xpnpep1 , Xpnpep2 Genetic Predisposition to Disease Ace glioblastoma Serping1 glomerulonephritis Ace , Bdkrb1 , Klkb1 glomerulosclerosis Ace glycogen storage disease V Ace heart disease A2m heart valve disease Ace Helicobacter Infections Ace hemolytic anemia A2m Hemorrhage Bdkrb2 hemorrhagic disease Klkb1 Henoch-Schoenlein purpura Ace , Kng2 hepatitis A Ace hepatocellular adenoma A2m hepatocellular carcinoma A2m , Ace , Mme , Serpina4 hereditary angioedema F12 , Kng2 , Serping1 Hereditary Angioedema 6 Kng2 hereditary angioedema type I Serping1 hereditary angioedema type III F12 hereditary breast ovarian cancer syndrome Mme Herpes Simplex Encephalitis 1 Klkb1 high grade glioma Bdkrb2 high molecular weight kininogen deficiency Kng2 Human Influenza Serping1 Hyperalgesia Bdkrb1 , Bdkrb2 , Kng2 Hyperemia Bdkrb2 , Kng2 Hyperesthesia Kng2 hyperhomocysteinemia F12 Hyperoxia Ace hypertension Ace , Bdkrb1 , Bdkrb2 , F12 , Klk1 , Klkb1 , Kng2 , Mme Hypertensive Nephrosclerosis Ace hypertrophic cardiomyopathy Ace Hypoalbuminemia A2m Hypoglossal Nerve Injuries Mme hypophosphatemic nephrolithiasis/osteoporosis F12 hypophosphatemic nephrolithiasis/osteoporosis 1 F12 Hypotension Ace , Bdkrb2 , Kng2 Hypoxia Mme IgA glomerulonephritis Ace in situ carcinoma Ace Inflammation A2m , Bdkrb1 , Bdkrb2 , Klk1 , Serping1 inflammatory bowel disease Klkb1 Insulin Resistance Ace , Bdkrb1 , Klk1 intellectual disability Prcp , Serping1 intermediate coronary syndrome Ace Intestinal Reperfusion Injury Ace intracranial aneurysm Ace Intracranial Hemorrhages Serping1 kidney disease Ace kidney failure Ace , Mme Kidney Reperfusion Injury Ace , Bdkrb1 Left Ventricular Hypertrophy Ace , Bdkrb1 , Bdkrb2 leukemia Ace Leukocytosis Kng2 leukostasis Ace liver cirrhosis A2m , Ace , Klkb1 , Serping1 Liver Metastasis Ace Liver Reperfusion Injury Serping1 lung cancer Ace lung carcinoma Ace lung disease A2m , Ace , Bdkrb2 Lung Injury Ace , Mme Lung Neoplasms A2m , Ace , Serping1 lupus nephritis Klkb1 , Serping1 macular degeneration Serping1 malaria Ace male infertility Ace malignant mesothelioma Serpina4 Marfanoid Mental Retardation Syndrome, Autosomal F12 megacolon A2m membranous glomerulonephritis A2m , Mme Memory Disorders Ace Meningococcal Infections Ace microcephaly Ace Microvascular Angina Bdkrb1 , Bdkrb2 middle cerebral artery infarction Ace , F12 mitral valve disease Ace mitral valve prolapse Ace multiple myeloma Ace multiple sclerosis A2m Mycobacterium Infections Ace myelofibrosis Bdkrb1 , Bdkrb2 myocardial infarction Ace , Bdkrb1 , Bdkrb2 , F12 , Klk1 Myocardial Reperfusion Injury Kng2 , Serping1 myocarditis Ace Neoplasm Metastasis Ace neovascular inflammatory vitreoretinopathy Kng2 nephritis Ace , Bdkrb1 nephrosis Ace nephrotic syndrome A2m , Ace neuropathy Mme non-alcoholic fatty liver disease Ace non-arteritic anterior ischemic optic neuropathy Ace obesity Ace , Bdkrb1 obstructive lung disease A2m obstructive sleep apnea Ace occupational dermatitis Bdkrb2 , Kng2 ocular hypotension Ace oculocerebrorenal syndrome Xpnpep2 osteoporosis Ace otitis media A2m Otitis Media with Effusion A2m overactive bladder syndrome Bdkrb1 Pain Ace , Bdkrb1 , Bdkrb2 , Kng2 pancreatic cancer Ace pancreatic ductal carcinoma Ace pancreatitis Bdkrb2 , Klk1 , Serping1 Parkinson's disease A2m , Ace periodontitis Mme peripheral nervous system disease Mme Peritoneal Fibrosis Ace peritonitis A2m Pleural Effusion Ace pleurisy Bdkrb1 , Bdkrb2 Pneumococcal Meningitis Serping1 pneumonia Ace , Bdkrb2 polycythemia Ace portal hypertension Bdkrb2 pre-eclampsia Ace pre-malignant neoplasm Ace Pregnancy-Induced Hypertension Ace Prekallikrein Deficiency Klkb1 Premature Infant Diseases Ace primary biliary cholangitis Ace primary ovarian insufficiency Xpnpep2 Prostatic Neoplasms Ace , Mme proteinuria Ace pulmonary embolism Klkb1 pulmonary fibrosis Ace , Bdkrb1 pulmonary hypertension Ace , Bdkrb2 Puromycin Aminonucleoside Nephrosis Ace pyelonephritis Ace Radiation Nephropathy Ace renal fibrosis Ace , Bdkrb1 Renal Tubular Dysgenesis Ace renovascular hypertension Ace Reperfusion Injury Ace , Klk1 , Serping1 respiratory system disease Ace rheumatoid arthritis A2m , Bdkrb2 rhinitis Bdkrb1 , Bdkrb2 Right Ventricular Hypertrophy Ace sarcoidosis Ace schizophrenia Ace sciatic neuropathy Bdkrb1 , Bdkrb2 Sepsis A2m , Ace , Klkb1 severe acute respiratory syndrome Ace silicosis Cpm Skeletal Muscle Reperfusion Injury Serping1 Sotos syndrome 1 F12 Spinocerebellar Ataxias Mme Splenomegaly Bdkrb1 Spontaneous Abortions F12 Staphylococcal Infections Ace stomach cancer Ace Stomach Neoplasms Ace Stroke Ace , F12 , Kng2 subacute sclerosing panencephalitis Ace substance-induced psychosis Ace Sudden Cardiac Death Kng2 Sudden Death Ace suppurative otitis media A2m syndromic X-linked intellectual disability Lubs type Xpnpep2 syndromic X-linked intellectual disability Raymond type Xpnpep2 systemic lupus erythematosus Ace , Klkb1 systemic scleroderma Ace Tachycardia Kng2 temporal lobe epilepsy Bdkrb1 , Bdkrb2 Thromboembolism F12 thrombosis Bdkrb2 , F12 , Klkb1 , Kng2 toxic shock syndrome A2m , Ace , Serping1 transient cerebral ischemia F12 Traumatic Shock Serping1 trypanosomiasis A2m type 1 diabetes mellitus Ace type 2 diabetes mellitus Ace , F12 ureteral obstruction Ace urticaria F12 uveitis Ace Vascular System Injuries Ace , Bdkrb1 , Bdkrb2 Venous Thromboembolism Ace , Kng2 Venous Thrombosis F12 Ventricular Fibrillation Ace Ventricular Remodeling Ace viral pneumonia Ace Weight Gain Ace Weight Loss Ace Wilson disease A2m