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Circulating Th1, Th2, and Th17 Levels in Hypertensive Patients
Qingwei Ji1, Guojie Cheng2, Ning Ma2
1Emergency & Critical Care Center, Beijing Anzhen Hospital, Capital Medical University, and Beijing Institute of Heart, Lung, and Blood Vessel Diseases, Beijing 100029, China.
Insights
Altered levels of T helper 1 (Th1), T helper 2 (Th2), and T helper 17 (Th17) cells are linked to hypertension. Specifically, increased Th1 and Th17 and decreased Th2 activity correlate with nondipper hypertension and carotid plaque.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Hypertension Research
Background:
- T helper 1 (Th1), T helper 2 (Th2), and T helper 17 (Th17) cells are implicated in hypertension pathogenesis and target organ damage.
- The association between circulating Th1, Th2, and Th17 levels and nondipper hypertension with carotid atherosclerotic plaque remains unexamined.
Purpose of the Study:
- To investigate the relationship between circulating Th1, Th2, and Th17 cell levels and the presence of nondipper hypertension and carotid atherosclerotic plaque.
Main Methods:
- Flow cytometry was used to quantify Th1, Th2, and Th17 cell frequencies.
- Enzyme-linked immunosorbent assay (ELISA) measured associated cytokine levels (IFN-γ, IL-17, and IL-4).
- The study included 45 hypertensive patients and 15 normotensive controls.
Main Results:
- Hypertensive patients, particularly those with nondipper status and carotid plaque, exhibited significantly higher Th1 and Th17 frequencies and elevated IFN-γ and IL-17 levels.
- Conversely, these patients showed significantly lower Th2 frequencies and reduced IL-4 levels compared to controls.
- These findings suggest distinct T helper cell profiles associated with specific hypertension subtypes and complications.
Conclusions:
- Alterations in Th1, Th2, and Th17 cell activity are associated with the development of nondipper hypertension.
- Changes in Th1, Th2, and Th17 cell activity are linked to the presence of carotid atherosclerotic plaque in hypertensive individuals.
- These T helper cell imbalances may play a role in hypertension progression and associated vascular complications.
Background:
Evidence from experimental studies showed that Th1, Th2, and Th17 play a pivotal role in hypertension and target organ damage. However, whether changes in the circulating Th1, Th2, and Th17 levels are associated with nondipper hypertension and carotid atherosclerotic plaque in hypertension has yet to be investigated.
Methods:
Th1, Th2, and Th17 levels were detected using a flow cytometric analysis, and their related cytokines were measured by enzyme-linked immunosorbent assay in 45 hypertensive patients and 15 normotensive subjects.
Results:
The frequencies of Th1 and Th17 in hypertensive patients, especially in nondipper patients and patients with carotid atherosclerotic plaque, were markedly higher than those in the control group; this was accompanied by higher IFN-γ and IL-17 levels. In contrast, the Th2 frequencies and IL-4 levels in hypertensive patients, especially in nondipper patients and patients with carotid atherosclerotic plaque, were significantly lower than those in the control group.
Conclusions:
The changes in Th1, Th2, and Th17 activity are associated with the onset of the nondipper type and carotid atherosclerotic plaque in hypertensive patients.
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