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Oxidative stress and central cardiovascular regulation. - Pathogenesis of hypertension and therapeutic aspects -
Yoshitaka Hirooka1, Yoji Sagara, Takuya Kishi
1Department of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. hyoshi@cardiol.med.kyushu-u.ac.jp
Insights
Oxidative stress in the brain contributes to hypertension by activating the sympathetic nervous system. Targeting brain oxidative stress may offer new therapies for hypertension and associated organ damage.
Area of Science:
- Cardiovascular Science
- Neuroscience
- Pathophysiology
Background:
- Oxidative stress is a critical factor in hypertension and target organ damage.
- Vascular effects of oxidative stress contribute to atherosclerosis in hypertension.
- The role of brain oxidative stress in hypertension via sympathetic activation is unclear.
Purpose of the Study:
- To review the contribution of brain oxidative stress to neural mechanisms of hypertension.
- To discuss evidence supporting brain oxidative stress as a therapeutic target for hypertension.
Main Methods:
- Literature review of studies investigating oxidative stress and hypertension.
- Analysis of evidence linking brain oxidative stress to sympathetic nervous system activity.
- Examination of potential therapeutic strategies targeting brain oxidative stress.
Main Results:
- Oxidative stress in the brain, especially in autonomic nuclei, influences sympathetic nervous system activity.
- This brain-centric oxidative stress plays a role in the development and maintenance of hypertension.
- Evidence suggests that modulating brain oxidative stress could be a viable therapeutic approach.
Conclusions:
- Brain oxidative stress is implicated in the neural pathways driving hypertension.
- Targeting oxidative stress within the brain presents a promising avenue for novel antihypertensive treatments.
- Further research is warranted to fully elucidate and exploit these therapeutic possibilities.
Abstract:
Oxidative stress is a key factor in the pathogenesis of hypertension and target organ damage, beginning in the earliest stages. Extensive evidence indicates that the pivotal role of oxidative stress in the pathogenesis of hypertension is due to its effects on the vasculature in relation to the development of atherosclerotic processes. It remains unclear, however, whether oxidative stress in the brain, particularly the autonomic nuclei (including the vasomotor center), has an important role in the occurrence and maintenance of hypertension via activation of the sympathetic nervous system. The aim of the present review is to describe the contribution of oxidative stress in the brain to the neural mechanisms that underlie hypertension, and discuss evidence that brain oxidative stress is a potential therapeutic target.
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