Kininogens in nasal secretions after allergen challenge.

Allergic individuals and nonallergic controls were subjected to nasal challenge with allergen; and nasal washes, obtained before and after challenge, were assayed for high molecular weight kininogen (HMWK), total kininogen (TK), albumin and kinins. Following challenge of allergic individuals, HMWK, TK, kinin and albumin all increased dramatically, correlating (p less than 0.001) with the onset of clinical symptoms and with increases in histamine and TAME-esterase activity. No such increases were seen upon challenge of nonallergics. The time course of appearance and disappearance of the kininogens, kinins and albumin were all highly correlated (p less than 0.001 in each case) by linear regression analysis, as were the increases in kinin and each of the proteins during antigen titrations. For each individual, the plasma ratio of HMWK/TK was similar to the ratio of these two proteins in post-challenge nasal washes from the same individual. These findings are consistent with the hypothesis that, during the allergic reaction, vascular permeability increases, allowing a transudation of kininogens from plasma into nasal secretions, where they can provide substrate for kinin-forming enzymes.