The amidase activity of human tissue kallikrein is significantly lower in the urine of patients with systolic heart failure.
BACKGROUND
Heart failure (HF) is a clinical syndrome that activates several neurohumoral systems. There is little information on the participation of renal kallikrein-kinin system (KKS) in HF. Kallikreins are key enzymes in this system. Thus it was decided to evaluate the role of renal human tissue kallikrein (hK1) in HF patients and, indirectly, to evaluate the role of renal KKS in this disease.


RESULTS
Twenty-eight systolic HF patients, > or =18 years, in New York Heart Association's functional classes II-IV, with left ventricular ejection fraction (LVEF) < or =40%, not receiving angiotensin-converting enzyme inhibitors were selected. Twenty-eight healthy individuals, paired according to gender, ethnics and age, were used as controls. Early-morning midstream urine from every subject was used. hK1 amidase activity was estimated with D-Val-Leu-Arg-Nan substrate. Creatinine was determined by Jaffe's method. hK1 amidase activity was expressed in muM.min(-1).mL(-1) urine and in muM.min(-1).mg(-1) creatinine to correct for differences in urine flow rate. hK1 amidase activities were significantly lower in the urine of HF patients.


CONCLUSIONS
Because the hK1 amidase activity is significantly lower in the urine of systolic HF patients, it can be supposed that the activity of renal KKS may be suppressed in this disease.
Figueiredo
Estêvão Lanna
EL
Garcia Leão
Fabiana Vieira
FV
De Oliveira
Lílian Vaz
LV
Moreira
Maria Da Consolação Vieira
Mda C
De Souza Figueiredo
Amintas Fabiano
AF
D000328:Adult; D000368:Aged; D000581:Amidohydrolases / Q000652:urine*; D002303:Cardiac Output, Low / Q000378:metabolism* / Q000503:physiopathology / Q000652:urine; D005260:Female; D006801:Humans; D007668:Kidney / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D013599:Systole; D020840:Tissue Kallikreins / Q000378:metabolism*
D020840:Tissue Kallikreins; D000581:Amidohydrolases; C019665:amidase