Generation of active fragments from human zymogens in the bradykinin-generating cascade by extracellular proteases from Vibrio vulnificus and V. parahaemolyticus
Vibrio vulnificus is an opportunistic human pathogen causing septicemia, and the infection is
characterized by formation of the edematous skin lesions on limbs. This pathogenic species
secretes a thermolysin-like metalloprotease as a virulence determinant. The metalloprotease
was confirmed to activate human factor XII-plasma kallikrein-kinin cascade that results in
liberation of bradykinin, a chemical mediator enhancing the vascular permeability, from
high-molecular weight kininogen. Namely, the metalloprotease showed to generate active
fragments by cleavage of Arg-Ile, Arg-Val or Gly-Leu peptide bond in human zymogens
(plasma prekallikrein and factor XII). In spite of induction of the sufficient vascular
permeability-enhancing and edema-forming reaction in the guinea pig model, a serine
protease from V. parahaemolyticus, a human pathogen causing primarily watery diarrhea,
showed far less ability to activate and to cleave the human zymogens. These results in part
may explain why only V. vulnificus often causes serious edematous skin damages in humans.</p