C1 inhibitor and prolylcarboxypeptidase modulate prekallikrein activation on endothelial cells

Background: We examined how prekallikrein (PK) activation on human microvascular endothelial cells (HMVECs) is regulated by the ambient concentration of C1 inhibitor (C1INH) and prolylcarboxypeptidase (PRCP).Objective: We sought to examine the specificity of PK activation on HMVECs by PRCP and the role of C1INH to regulate it, high-molecular-weight kininogen (HK) cleavage, and bradykinin (BK) liberation.Methods: Investigations were performed on cultured HMVECs. Immunofluorescence, enzymatic activity assays, immunoblots,small interfering RNA knockdowns, and cell transfections were used to perform these studies.Results: Cultured HMVECs constitutively coexpressed PK, HK, C1INH, and PRCP. PK activation on HMVECs was modulated by the ambient C1INH concentration. In the absence of C1INH, forming PKa on HMVECs cleaved 120-kDa HK completely to a 65-kDa H-chain and a 46-kDa L-chain in 60 minutes. In the presence of 2 mM C1INH, only 50% of the HK became cleaved. C1INH concentrations (0.0-2.5 mM) decreased but did not abolish BK liberated from HK by activated PK. Factor XII did not activate when incubated with HMVECs alone for 1 hour. However, if incubated in the presence of HK and PK, factor XII became activated. The specificity of PK activation on HMVECs by PRCP was shown by several inhibitors to each enzyme. Furthermore, PRCP small interfering RNA knockdowns magnified C1INH inhibitory activity on PK activation, and PRCP transfections reduced C1INH inhibition at any given concentration.Conclusions: These combined studies indicated that on HMVECs, PK activation and HK cleavage to liberate BK were modulated by the local concentrations of C1INH and PRCP. (J Allergy Clin Immunol 2023;152:961-71.)

Automated summary

This study found that the activation of prekallikrein and cleavage of high-molecular-weight kininogen on human microvascular endothelial cells were regulated by the ambient concentration of C1 inhibitor and prolylcarboxypeptidase. These findings are important for understanding the function of endothelial cells and related diseases.