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Inflammation, Immunity, and Oxidative Stress in Hypertension-Partners in Crime?
Ian R Barrows1, Ali Ramezani1, Dominic S Raj1
1Department of Medicine, Georgetown University School of Medicine, Washington, DC; Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC.
Insights
Inflammation and immune activation are increasingly linked to hypertension and cardiovascular disease. Research explores whether inflammation causes or results from hypertension, highlighting oxidative stress and endothelial dysfunction.
Area of Science:
- Cardiovascular Science
- Immunology
- Pathophysiology
Background:
- Hypertension is a primary risk factor for cardiovascular disease.
- Inflammatory processes are implicated in the pathophysiology linking hypertension and cardiovascular disease.
- Recent research investigates the role of inflammation and immune activation in hypertension development.
Purpose of the Study:
- To review recent studies linking inflammation and hypertension.
- To discuss the involvement of oxidative stress and endothelial dysfunction.
- To summarize novel etiological factors including immune cells, cytokines, and the gut microbiome.
Main Methods:
- Literature review of recent studies.
- Synthesis of findings on inflammation, oxidative stress, and endothelial dysfunction in hypertension.
- Discussion of emerging etiological factors and therapeutic potentials.
Main Results:
- Inflammation is strongly associated with hypertension, involving oxidative stress and endothelial dysfunction.
- Novel factors such as specific immune cell subtypes, cytokines, toll-like receptors, inflammasomes, and gut microbiome are linked to hypertension.
- Anti-inflammatory drugs and statins show potential for hypertension treatment.
Conclusions:
- Inflammation plays a significant role in hypertension development and maintenance.
- Further research is needed to clarify the causal relationship between inflammation and hypertension.
- Targeting inflammatory pathways presents a promising therapeutic strategy for hypertension and cardiovascular disease.
Abstract:
Hypertension is considered as the most common risk factor for cardiovascular disease. Inflammatory processes link hypertension and cardiovascular disease, and participate in their pathophysiology. In recent years, there has been an increase in research focused on unraveling the role of inflammation and immune activation in development and maintenance of hypertension. Although inflammation is known to be associated with hypertension, whether inflammation is a cause or effect of hypertension remains to be elucidated. This review describes the recent studies that link inflammation and hypertension and demonstrate the involvement of oxidative stress and endothelial dysfunction-two of the key processes in the development of hypertension. Etiology of hypertension, including novel immune cell subtypes, cytokines, toll-like receptors, inflammasomes, and gut microbiome, found to be associated with inflammation and hypertension are summarized and discussed. Most recent findings in this field are presented with special emphasis on potential of anti-inflammatory drugs and statins for treatment of hypertension.
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