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Stress-dependent hypertension and the role of T lymphocytes
Paul J Marvar1, David G Harrison
1Department of Psychiatry, Emory University School of Medicine, Atlanta, GA, USA. pmarvar@emory.ed
Insights
Hypertension, a major health issue, involves the central nervous system, autonomic dysfunction, and inflammation. This review explores the roles of T lymphocytes and psychological stress in elevated blood pressure.
Area of Science:
- Cardiovascular Science
- Immunology
- Neuroscience
Background:
- Hypertension is a global health problem linked to stroke and cardiovascular diseases.
- Risk factors include diet, obesity, genetics, race, and psychological stress.
- Hypertension involves sympathetic drive, autonomic dysfunction, and inflammation.
Purpose of the Study:
- To review recent findings on the role of the central nervous system in hypertension.
- To discuss the impact of T lymphocytes and inflammation in hypertension.
- To examine how cardiovascular risk factors like psychological stress influence hypertension.
Main Methods:
- Literature review of recent scientific findings.
- Analysis of the interplay between the central nervous system, immune system, and cardiovascular health.
- Synthesis of information on risk factors and their contribution to hypertension.
Main Results:
- Evidence highlights the role of inflammation and the adaptive immune system, specifically T cells, in hypertension.
- The central nervous system and autonomic dysfunction are key contributors to elevated blood pressure.
- Psychological stress is identified as a significant cardiovascular risk factor impacting hypertension.
Conclusions:
- Understanding the complex pathogenesis of hypertension requires considering neurological, immunological, and psychological factors.
- The adaptive immune system, particularly T cells, plays a crucial role in hypertension development.
- Targeting inflammation and psychological stress may offer new therapeutic strategies for hypertension management.
Abstract:
Hypertension is a significant global health burden that is associated with an increased risk of stroke, atherosclerosis and other cardiovascular diseases. Several risk factors, including high dietary salt, obesity, genetics and race, as well as behavioural and psychological factors, contribute to development of this complex disease. Various hypertensive stimuli enhance sympathetic drive and promote autonomic dysfunction leading to elevated blood pressure. As our understanding of the pathogenesis and end-organ damage associated with hypertension increases, mounting evidence also highlights the role of inflammation in this process and, in particular, the role of the adaptive immune system and T cells. This review discusses recent findings regarding the role of the central nervous system, T lymphocytes and the impact of cardiovascular risk factors, such as psychological stress, in hypertension.
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