The plasma kallikrein (EC 3.4.21.34)-kinin system plays an important role in the initiation and amplification of surface-mediated, acute inflammatory responses following tissue injury [1][2][3][4]. This system is composed of three serine protease zymogens [prekallikrein (PK), factor XII (FXII) (EC 3.4.21.38) and factor XI] and the nonenzymatic procofactor, high molecular weight kininogen (HK). Kallikrein-kinin system activation is initiated by binding of FXII and a PK-HK complex to a biological activating surface, such as an endothelial cell surface, and is then accelerated by the reciprocal activation of FXII and PK on the surface. Zn 2+ is essential for binding of FXII and HK to a biological activating surface, and induces their conformational changes [5][6][7][8][9][10][11]. Activation of the kallikrein-kinin system results in the release of bradykinin, a primary mediator of acute inflammatory responses [3,4,12]. Bradykinin causes vasodilation, increases microvascular permeability, and enhances pain sensitivity, resulting in inflammatory symptoms such as redness, edema and pain around the injured site. Activated FXII (FXIIa) Keywords factor XII; high molecular weight kininogen; kallikrein-kinin system; salivary gland; Triatoma infestans Two plasma kallikrein-kinin system inhibitors in the salivary glands of the kissing bug Triatoma infestans, designated triafestin-1 and triafestin-2, have been identified and characterized. Reconstitution experiments showed that triafestin-1 and triafestin-2 inhibit the activation of the kallikrein-kinin system by inhibiting the reciprocal activation of factor XII and prekallikrein, and subsequent release of bradykinin. Binding analyses showed that triafestin-1 and triafestin-2 specifically interact with factor XII and high molecular weight kininogen in a Zn 2+ -dependent manner, suggesting that they specifically recognize Zn 2+ -induced conformational changes in factor XII and high molecular weight kininogen. Triafestin-1 and triafestin-2 also inhibit factor XII and high molecular weight kininogen binding to negatively charged surfaces. Furthermore, they interact with both the N-terminus of factor XII and domain D5 of high molecular weight kininogen, which are the binding domains for biological activating surfaces. These results suggest that triafestin-1 and triafestin-2 inhibit activation of the kallikrein-kinin system by interfering with the association of factor XII and high molecular weight kininogen with biological activating surfaces, resulting in the inhibition of bradykinin release in an animal host during insect blood-feeding.Abbreviations APTT, activated partial thromboplastin time; DS 500, dextran sulfate of M r 500