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Published on: March 5, 2019
Immune cells and hypertension
Liren Gan1,2,3, Di Ye1,2,3, Yongqi Feng1,2,3
1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Insights
Immune cells significantly contribute to hypertension pathogenesis by infiltrating organs and releasing inflammatory cytokines. Understanding these immune responses is crucial for developing new treatments for high blood pressure.
Area of Science:
- Cardiovascular Disease Research
- Immunology
- Hypertension Pathogenesis
Background:
- Hypertension is a major cause of mortality linked to target organ damage.
- Current treatments are insufficient, with only one-sixth of patients achieving effective blood pressure control.
- Understanding hypertension's underlying mechanisms, particularly the role of immune cells, is critical.
Purpose of the Study:
- To review the current research on the involvement of various immune cells in the pathogenesis of hypertension.
- To elucidate the mechanisms by which immune cells contribute to hypertension-related organ damage.
Main Methods:
- Review of existing scientific literature on immune cells and hypertension.
- Analysis of the roles of innate and adaptive immune cells (monocytes/macrophages, neutrophils, dendritic cells, NK cells, B and T lymphocytes).
- Examination of immune cell infiltration in cardiovascular tissues and their secreted factors.
Main Results:
- Immune cells infiltrate blood vessels, kidneys, and hearts, causing damage.
- Immune cells secrete cytokines (e.g., interleukin, interferon, tumor necrosis factor) that influence inflammation, oxidative stress, and renal function.
- These processes contribute to cardiovascular dysfunction, remodeling, and fibrosis, impacting blood pressure regulation.
Conclusions:
- Immune cell activity is a key factor in hypertension development and progression.
- Targeting immune responses presents a potential therapeutic strategy for managing hypertension and its complications.
Abstract:
Hypertension is one of the leading causes of death due to target organ injury from cardiovascular disease. Although there are many treatments, only one-sixth of hypertensive patients effectively control their blood pressure. Therefore, further understanding the pathogenesis of hypertension is essential for the treatment of hypertension. Much research shows that immune cells play an important role in the pathogenesis of hypertension. Here, we discuss the roles of different immune cells in hypertension. Many immune cells participate in innate and adaptive immune responses, such as monocytes/macrophages, neutrophils, dendritic cells, NK cells, and B and T lymphocytes. Immune cells infiltrate the blood vessels, kidneys, and hearts and cause damage. The mechanism is that immune cells secrete cytokines such as interleukin, interferon, and tumor necrosis factor, which affect the inflammatory reaction, oxidative stress, and kidney sodium water retention, and finally aggravate or reduce the dysfunction, remodeling, and fibrosis of the blood vessel, kidney, and heart to participate in blood pressure regulation. This article reviews the research progress on immune cells and hypertension.
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