Bikunin is a plasma proteinase inhibitor that has received little attention
in the past, probably because its activity towards various proteinases was
found to be relatively weak in early work. It was recently discovered, how
ever, that bikunin effectively inhibits a proteinase that seems to be invol
ved in the metastasis of tumour cells - cell surface plasmin - and that a f
ragment of bikunin inhibits two proteinases of the coagulation pathway - fa
ctor X-a and kallikrein. Furthermore, it has been found that bikunin has ot
her properties, such as the ability to modulate cell growth and to block ce
llular calcium uptake. Most of the bikunin in the blood occurs as a covalen
tly linked subunit of the proteins pre- and inter-alpha-inhibitor. In this
form bikunin lacks some of its known activities, and there is evidence that
its release by partial proteolytic degradation may function as a regulator
y mechanism. Although the physiological function of bikunin still remains t
o be established, current data suggest that this protein plays a role in in
flammation. Further studies could therefore lead to results of therapeutica
l value. (C) 2000 Elsevier Science Ltd. All rights reserved.