Circulating IL-37 levels are elevated in patients with hypertension.
Jing Ye1,2, Yuan Wang3, Zhen Wang2
1Department of Cardiology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, P.R. China.
Experimental and Therapeutic Medicine
|April 14, 2021
Summary
Interleukin-37 (IL-37) is elevated in hypertension patients, particularly in macrophages. Higher IL-37 levels correlate with blood pressure and carotid atherosclerotic plaque, suggesting a role in hypertension-related vascular disease.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Hypertension Research
Background:
- Interleukin-37 (IL-37) is implicated in vascular diseases like atherosclerosis.
- Hypertension is a major risk factor for cardiovascular complications.
Purpose of the Study:
- To investigate IL-37 expression in hypertension patients.
- To determine the association between IL-37 levels and hypertension, and related vascular conditions.
Main Methods:
- Measured IL-37 mRNA in isolated immune cells (macrophages, lymphocytes, dendritic cells) from controls and hypertension patients.
- Assessed circulating IL-37 levels in a larger cohort of controls and hypertension patients.
- Correlated IL-37 levels with blood pressure, clinical factors (smoking, diabetes), and carotid atherosclerotic plaque (CAP).
Main Results:
- Elevated IL-37 mRNA in macrophages, but not lymphocytes or dendritic cells, from hypertension patients.
- Increased circulating IL-37 levels in hypertension patients, positively correlated with systolic and diastolic blood pressure.
- Higher IL-37 levels observed in hypertensive patients with smoking, diabetes, or CAP; positively correlated with creatinine, CRP, and homocysteine.
- IL-37 levels were independently associated with the presence of CAP.
Conclusions:
- IL-37 is upregulated in hypertension patients, especially in macrophages.
- Circulating IL-37 levels are elevated and linked to blood pressure and vascular complications like CAP in hypertension.
- IL-37 may play a significant role in the pathogenesis of hypertension and its associated vascular damage.
Related Concept Videos
Hypertension and Regulation of Blood Pressure
3.4K
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...
3.4K
Hypertension III: Clinical Manifestations and Diagnostic Studies
175
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
175
Hypertension II: Pathophysiology
298
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,...
298
Hypertension I: Introduction
296
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
296
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
1.9K
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...
1.9K
Hormonal Regulation
34.8K
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.
34.8K


