Kinin system of blood plasma as pathogenesis factor in brain tumors.
e13542 Background: The kallikrein-kinin system (KKS) does not only perform its adaptive-regulatory function; it is confirmed to be involved into pathology, neoplastic processes in particular. Our purpose was to study the kallikrein family (KLKs), pro-KLKs and carboxypeptidase N (CPN) in the blood plasma of patients with benign and malignant brain tumors. Methods: We studied citrated blood plasma of 164 patients with brain neoplasms: 37 meningiomas (M), 74 primary glioblastomas (G) and 53 brain metastases (MTS) from breast cancer. The kinetics of KKS enzymatic reactions was determined in the blood plasma before treatment using the U-2900 UV Solutions double-beam spectrophotometer (USA). The results were compared to the values in 39 healthy donors (N). The data were processed using the Statistica 10 program. The significance of differences was determined by Student's t-test. Results: Activity of KLKs in the blood plasma in patients with M exceeded N by 1.3 times (p≤0.05), in G – by 3.9 times, in MTS – by 5.1 times. Levels of pro-KLKs in M were lower than in N by 1.6 times, and in G and MTS they were similar to N. CPN activity in M was decreased compared to N by 3.1 times; in G and MTS it did not differ significantly from N. The pro-KLKs/KLKs coefficient in patients with M was lower than in N by 2 times, in G – by 3.7 times, and in MTS – by 5.1 times. Activity of KLKs in G and MTS was 3 and 4 times higher, respectively, than in M (p < 0.001). It supposed realization of effects of KLKs and produced bradykinin on cells, blood enzymes and microvessel walls in malignant brain tumors to a greater extent than in benign ones. Conclusions: Activation of KKS in the blood plasma in malignant brain tumors is more intense than in benign tumors, it directly and indirectly influences cell migration, increases capillary permeability and causes an imbalance in the related enzyme systems becoming a pathogenesis factor.