Understanding mechanisms of hypertension in systemic lupus erythematosus

Erin B Taylor1, Michael J Ryan2

  • 1Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS, USA.

Insights

Systemic lupus erythematosus (SLE) hypertension mechanisms are poorly understood. Research in female NZBWF1 mice reveals inflammation, autoantibodies, and oxidative stress contribute to SLE-related hypertension.

Area of Science:

  • Immunology
  • Nephrology
  • Cardiology

Background:

  • Systemic lupus erythematosus (SLE) predominantly affects women of reproductive age.
  • Hypertension is a prevalent cardiovascular risk factor in SLE patients, yet its mechanisms remain unclear.
  • Understanding SLE-related hypertension is crucial for managing cardiovascular complications in affected women.

Approach:

  • This review synthesizes current knowledge on disease-related factors contributing to hypertension in SLE.
  • It highlights studies using the female NZBWF1 mouse model, a validated spontaneous model of SLE.
  • The approach focuses on inflammation, autoantibodies, sex hormones, oxidative stress, and B-cell hyperactivity.

Key Points:

  • Inflammatory cytokines like tumor necrosis factor-alpha (TNF-α) play a role in SLE hypertension.
  • Oxidative stress is implicated in the development of hypertension in this patient population.
  • B-cell hyperactivity and autoantibody production are significant contributors to SLE pathogenesis and associated hypertension.

Conclusions:

  • Multiple factors, including inflammation, oxidative stress, and immune system dysregulation, contribute to hypertension in SLE.
  • The NZBWF1 mouse model effectively recapitulates key aspects of human SLE, including hypertension and renal injury.
  • Further research into these mechanisms can inform targeted therapeutic strategies for SLE patients with hypertension.

Related Concept Videos

Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
1.4K
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
4.7K
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
2.8K
Hormonal Regulation01:33

Hormonal Regulation

The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
36.8K
Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
1.9K
Neural Regulation of Blood Pressure01:18

Neural Regulation of Blood Pressure

The neural regulation of blood pressure involves intricate interactions between the autonomic nervous system (ANS) and cardiovascular system, ensuring adequate perfusion of tissues. This regulation primarily occurs through baroreceptor and chemoreceptor reflexes, involving both short-term and long-term mechanisms.
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
8.2K