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Published on: March 26, 2019
Neuroimmunology of Cardiovascular Disease
Sara M Zarate1, Annet Kirabo1,2,3,4,5, Antentor O Hinton2
1Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, USA.
Insights
Neuroimmune mechanisms in the brain are crucial for cardiovascular disease (CVD) progression. Understanding these neuroimmune niches offers potential for new CVD treatments and managing brain damage.
Area of Science:
- Neuroscience
- Immunology
- Cardiovascular Medicine
Background:
- Cardiovascular disease (CVD) remains a primary global cause of mortality and disability.
- Despite existing interventions, CVD prevalence continues to increase worldwide.
- Novel therapeutic targets are urgently needed, prompting investigation into underlying disease mechanisms.
Purpose of the Study:
- To review recent findings on neuroimmune mechanisms contributing to cardiovascular disease (CVD) pathology.
- To explore the brain's role in CVD development and progression.
- To highlight the significance of neuroimmune niches in CVD.
Main Methods:
- Literature review of recent studies on neuroimmunology and cardiovascular disease.
- Synthesis of evidence regarding glial and immune cell activation in the brain.
- Analysis of mechanistic studies linking neuroimmune responses to CVD progression and end-organ damage.
Main Results:
- Neuroimmune niches, including glial and immune cells in the brain parenchyma and borders, are vital in health and disease.
- Activation of these neuroimmune niches influences the progression of CVD, such as hypertension and heart failure.
- Neuroimmune activation contributes to end-organ damage in the brain secondary to CVD.
Conclusions:
- Neuroimmune niches play a significant role in the pathophysiology and progression of cardiovascular disease.
- Further research is required to fully elucidate the impact of sustained neuroimmune activation on brain function.
- Targeting neuroimmune pathways presents a promising avenue for future CVD therapeutic strategies.
Purpose Of Review:
Cardiovascular disease (CVD) is a leading cause of death and chronic disability worldwide. Yet, despite extensive intervention strategies the number of persons affected by CVD continues to rise. Thus, there is great interest in unveiling novel mechanisms that may lead to new treatments. Considering this dilemma, recent focus has turned to the neuroimmune mechanisms involved in CVD pathology leading to a deeper understanding of the brain's involvement in disease pathology. This review provides an overview of new and salient findings regarding the neuroimmune mechanisms that contribute to CVD.
Recent Findings:
The brain contains neuroimmune niches comprised of glia in the parenchyma and immune cells at the brain's borders, and there is strong evidence that these neuroimmune niches are important in both health and disease. Mechanistic studies suggest that the activation of glia and immune cells in these niches modulates CVD progression in hypertension and heart failure and contributes to the inevitable end-organ damage to the brain. This review provides evidence supporting the role of neuroimmune niches in CVD progression. However, additional research is needed to understand the effects of prolonged neuroimmune activation on brain function.
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