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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.
Abstract:
Hypertension is an important risk factor for cardiovascular morbidity and mortality and for events such as myocardial infarction, stroke, heart failure and chronic kidney disease and is a major determinant of disability-adjusted life-years. Despite the importance of hypertension, the pathogenesis of essential hypertension, which involves the complex interaction of several mechanisms, is still poorly understood. Evidence suggests that interplay between bone marrow, microglia and immune mediators underlies the development of arterial hypertension, in particular through mechanisms involving cytokines and peptides, such as neuropeptide Y, substance P, angiotensin II and angiotensin-(1-7). Chronic psychological stress also seems to have a role in increasing the risk of hypertension, probably through the activation of neuroimmune pathways. In this Review, we summarize the available data on the possible role of neuroimmune crosstalk in the origin and maintenance of arterial hypertension and discuss the implications of this crosstalk for recovery and rehabilitation after cardiac and cerebral injuries.
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