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Bradykinin: The Nine-Amino-Acid Swelling Signal Behind Hereditary Angioedema and the ACE-Inhibitor Cough

Bradykinin is a nine-amino-acid peptide cut from a blood protein, kininogen, when tissue is injured or inflamed. It widens blood vessels, makes them leaky and triggers pain. It was named in 1949 after it appeared when snake venom was added to blood plasma. No medicine is bradykinin itself; the approved drugs block it or slow its breakdown.

Made by the body9 amino acidsNo FDA-approved product of its own (openFDA, 2026-10-02)

Caroline S · Published 2026-10-02

Length

9 amino acids; kallidin is the same chain with one extra lysine at the front (10)

Sequence

RPPGFSPFR (Arg-Pro-Pro-Gly-Phe-Ser-Pro-Phe-Arg) — residues 381–389 of kininogen-1, a 644-residue blood protein (UniProt P01042). Kallidin is KRPPGFSPFR (380–389).

Origin

Named by Rocha e Silva, Beraldo and Rosenfeld in 1949, who saw a factor that lowered blood pressure and contracted gut muscle appear when snake venom or trypsin was added to plasma globulin (American Journal of Physiology, PMID 18127230). Released in the body by enzymes called kallikreins.

Last reviewed

2026-10-02

What is it good for?

In the body, local alarm signalling: widening blood vessels, making them leaky so fluid and immune cells can reach injured tissue, and stimulating pain nerves. As a target, it matters because too much of it causes the swelling attacks of hereditary angioedema, which icatibant treats by blocking its receptor.

Illustration: A clear glass microcentrifuge tube with pale green crystalline powder on a white lab bench.
Illustration

What it is

Bradykinin is a peptide of nine amino acids — RPPGFSPFR. The body does not make it as a free hormone. It is cut out of a much larger blood protein, kininogen-1, which UniProt (P01042) records at 644 residues; bradykinin is residues 381 to 389. The cutting is done by enzymes called kallikreins, which switch on when tissue is injured or inflamed.

A one-residue-longer version, kallidin (lysyl-bradykinin, KRPPGFSPFR), is cut from the same spot; both are called kinins.

How it was found

The name comes from a 1949 paper in the American Journal of Physiology by Rocha e Silva, Beraldo and Rosenfeld (PMID 18127230). Adding venom of the jararaca pit viper — or the digestive enzyme trypsin — to a fraction of blood plasma released something that lowered blood pressure and made gut muscle contract slowly. Hence brady- (slow) and -kinin (movement).

The same snake reappears later in the story. In 1965 Ferreira reported a "bradykinin potentiating factor" in jararaca venom — something that made bradykinin's effects stronger and longer (Experientia, PMID 5870517).

What it does

UniProt's annotation, summarising the literature, lists bradykinin's effects:

Effect What it means
Widens blood vessels Lowers blood pressure locally and overall
Makes vessels leaky Fluid and immune cells cross into tissue — swelling
Stimulates pain nerves One of the signals behind inflammatory pain
Releases other mediators Such as prostaglandins, which amplify inflammation
Increases salt and water loss Through the kidney

It acts mainly through two receptors, B1 and B2, and is broken down within moments by several enzymes — ACE chief among them.

Two places medicine meets it

ACE inhibitors. The captopril label states plainly that ACE "is identical to 'bradykininase'", and that captopril "may also interfere with the degradation of the vasodepressor peptide, bradykinin" — so higher bradykinin levels may contribute to how the drug works. Bradykinin's role in the dry cough and the rarer facial swelling linked to this drug class is widely discussed in the literature; this entry records the mechanism the label states, and any symptom on a prescribed drug belongs with the prescriber.

Hereditary angioedema. The icatibant label (Firazyr) gives the mechanism: when the control protein C1-esterase inhibitor is absent or faulty, the kallikrein cascade overproduces bradykinin, which is thought to cause the localised swelling, inflammation and pain of an attack. Icatibant is itself a peptide — a synthetic decapeptide carrying five non-standard amino acids — that blocks the B2 receptor with an affinity similar to bradykinin's own. Drugs@FDA dates Firazyr (NDA 022150) to 2011-08-25; generic icatibant followed from 2020.

Where it stands

openFDA's Drugs@FDA returns no application with bradykinin itself as the active ingredient (2026-10-02). PubMed returns 23,025 records for bradykinin, 307 tagged as randomised controlled trials — a large literature, almost all of it about bradykinin as a signal to measure or block rather than as something to give.

Bradykinin belongs with the library's other inflammation signals — see peptides for inflammation — and with the blood-pressure peptides vasopressin and the natriuretic peptides in BNP and NT-proBNP. Like hepcidin and somatostatin, it is recorded here as one of the body's own peptides, so the drugs built around it make sense.

What the research shows

Widens blood vessels, increases their leakiness and stimulates pain nerves

UniProt P01042 function annotation, drawing on the published literature; the 1949 paper first described the fall in blood pressure

Drives the swelling in hereditary angioedema

The icatibant (Firazyr) label's mechanism section: missing or faulty C1-esterase inhibitor lets the kallikrein cascade overproduce bradykinin, thought to cause the swelling, inflammation and pain

Is available as an approved US medicine

No. openFDA's Drugs@FDA returns no application with bradykinin as its active ingredient (2026-10-02)

Bars show how much of the evidence is in humans, not how well anything works.

Where it stands

In the body

Cut from kininogen in blood and tissue by kallikrein enzymes; broken down within seconds to minutes by enzymes including ACE.

United States

No FDA application lists bradykinin itself (openFDA, 2026-10-02). Icatibant (Firazyr, NDA 022150, approved 2011-08-25), a ten-amino-acid peptide that blocks its B2 receptor, is approved for acute attacks of hereditary angioedema; generic icatibant has been approved since 2020.

Published record

PubMed returns 23,025 records for bradykinin, 307 tagged as randomised controlled trials (2026-10-02).

Frequently asked questions

What is bradykinin?

A nine-amino-acid peptide the body cuts out of a larger blood protein, kininogen, when tissue is injured or inflamed. It widens blood vessels, makes them leak fluid and triggers pain — part of the body's local alarm system.

What does bradykinin do in the body?

UniProt's summary of the literature lists widening blood vessels and lowering blood pressure, increasing vessel leakiness, stimulating pain nerves, increasing salt and water loss through the kidneys, and releasing other inflammatory signals such as prostaglandins.

What is the link between bradykinin and ACE inhibitors?

ACE, the enzyme these blood-pressure drugs block, also breaks down bradykinin. The captopril label states that ACE is identical to 'bradykininase' and that the drug may interfere with bradykinin's breakdown. Bradykinin's role in the dry cough and swelling some people get on these drugs is widely discussed; any symptom on a prescribed medicine is a question for the prescriber.

What is the link between bradykinin and hereditary angioedema?

The icatibant label explains it: in hereditary angioedema a control protein, C1-esterase inhibitor, is missing or faulty, so the cascade that makes bradykinin runs unchecked, and bradykinin is thought to cause the swelling, inflammation and pain of an attack.

Is there a bradykinin medicine?

Not of bradykinin itself — openFDA lists none (2026-10-02). The approved peptide in this area does the opposite: icatibant (Firazyr, 2011) blocks bradykinin's B2 receptor and is approved for acute hereditary angioedema attacks in adults.

How was bradykinin discovered?

In 1949 Brazilian researchers added venom from the jararaca pit viper, or the enzyme trypsin, to a fraction of blood plasma and saw a substance appear that lowered blood pressure and slowly contracted gut muscle. They named it bradykinin, from the Greek for 'slow movement' (PMID 18127230).