Article ; Online: Immune and inflammatory mechanisms in hypertension.
2024
Abstract: Hypertension is a global health problem, with >1.3 billion individuals with high blood pressure worldwide. In this Review, we present an inflammatory paradigm for hypertension, emphasizing the crucial roles of immune cells, cytokines and chemokines in ... ...
Abstract | Hypertension is a global health problem, with >1.3 billion individuals with high blood pressure worldwide. In this Review, we present an inflammatory paradigm for hypertension, emphasizing the crucial roles of immune cells, cytokines and chemokines in disease initiation and progression. T cells, monocytes, macrophages, dendritic cells, B cells and natural killer cells are all implicated in hypertension. Neoantigens, the NLRP3 inflammasome and increased sympathetic outflow, as well as cytokines (including IL-6, IL-7, IL-15, IL-18 and IL-21) and a high-salt environment, can contribute to immune activation in hypertension. The activated immune cells migrate to target organs such as arteries (especially the perivascular fat and adventitia), kidneys, the heart and the brain, where they release effector cytokines that elevate blood pressure and cause vascular remodelling, renal damage, cardiac hypertrophy, cognitive impairment and dementia. IL-17 secreted by CD4 |
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Language | English |
Publishing date | 2024-01-03 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2490375-9 |
ISSN | 1759-5010 ; 1759-5002 |
ISSN (online) | 1759-5010 |
ISSN | 1759-5002 |
DOI | 10.1038/s41569-023-00964-1 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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