Neuroimmune crosstalk in the pathophysiology of hypertension

Laura Calvillo1, Mariela M Gironacci2, Lia Crotti1,3

  • 1Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy.

Insights

Essential hypertension pathogenesis involves complex neuroimmune interactions. Understanding this crosstalk is key for treating hypertension and aiding recovery from cardiovascular and cerebral injuries.

Area of Science:

  • Cardiovascular Science
  • Neuroimmunology
  • Hypertension Research

Background:

  • Hypertension is a major risk factor for cardiovascular morbidity and mortality.
  • The pathogenesis of essential hypertension remains poorly understood.
  • Neuroimmune pathways are implicated in hypertension development.

Purpose of the Study:

  • To review the role of neuroimmune crosstalk in hypertension.
  • To explore mechanisms involving immune mediators and psychological stress.
  • To discuss implications for recovery after cardiac and cerebral injuries.

Main Methods:

  • Literature review of existing data on neuroimmune interactions in hypertension.
  • Analysis of mechanisms involving cytokines, peptides, and stress pathways.
  • Synthesis of evidence on the role of bone marrow and microglia.

Main Results:

  • Evidence suggests interplay between bone marrow, microglia, and immune mediators in hypertension.
  • Cytokines, neuropeptide Y, substance P, and angiotensin peptides are involved.
  • Chronic psychological stress may activate neuroimmune pathways, increasing hypertension risk.

Conclusions:

  • Neuroimmune crosstalk is crucial in the origin and maintenance of arterial hypertension.
  • Understanding these pathways offers potential therapeutic targets.
  • Implications for rehabilitation after cardiac and cerebral injuries are significant.

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