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Published on: January 28, 2020
Inflammatory Biomarkers in Hypertension
Panagiotis Tsioufis1, Panagiotis Theofilis1, Kyriakos Dimitriadis1
11st Department of Cardiology, "Hippokration" General Hospital, National and Kapodistrian University of Athens, 11527, Athens, Greece.
Insights
Inflammation is key to hypertension, a major cardiovascular risk factor. This review examines inflammatory biomarkers like CRP, IL-6, and TNF-α, and their role in blood pressure regulation and hypertension progression.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Nephrology
Background:
- Hypertension is a primary modifiable risk factor for cardiovascular diseases.
- The precise mechanisms driving hypertension are not fully elucidated.
- Growing evidence implicates inflammation in hypertension's development and advancement.
Purpose of the Study:
- To review the association between inflammatory biomarkers and hypertension.
- To explore the role of cytokines in hypertension-related vascular and renal dysfunction.
- To discuss novel composite inflammatory biomarkers and their clinical utility.
Main Methods:
- Literature review of studies investigating inflammatory biomarkers in hypertension.
- Analysis of the role of specific cytokines (CRP, IL-6, TNF-α) in blood pressure regulation.
- Evaluation of emerging composite inflammatory indices (MHR, SIRI, SII).
Main Results:
- Inflammatory biomarkers (CRP, IL-6, TNF-α) are linked to hypertension.
- These biomarkers actively contribute to endothelial dysfunction, oxidative stress, and immune activation.
- Novel composite biomarkers show promise in assessing inflammation in hypertensive patients.
Conclusions:
- Inflammation is a significant factor in hypertension pathogenesis.
- Cytokines are crucial in vascular remodeling and renal dysfunction associated with hypertension.
- Further research is needed on the impact of treatments like renal denervation on inflammatory markers.
Abstract:
Hypertension remains a leading modifiable risk factor for cardiovascular diseases, yet its underlying mechanisms are not fully understood. Emerging evidence suggests that inflammation plays a central role in the pathogenesis and progression of hypertension. This review explores the association between inflammatory biomarkers, such as C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α), and hypertension. These biomarkers are not only indicators of inflammation but also active participants in the processes that elevate blood pressure, including endothelial dysfunction, oxidative stress, and immune system activation. Cytokines play a pivotal role in vascular remodeling and renal dysfunction, underscoring the inflammatory underpinnings of hypertension. Additionally, novel composite biomarkers like the monocyte-to-high-density lipoprotein ratio (MHR), systemic inflammation response index (SIRI), and systemic immune-inflammation index (SII) have been identified as valuable tools for assessing the inflammatory state in hypertensive patients. While renal denervation has emerged as a promising treatment for resistant hypertension, its impact on inflammatory biomarkers remains inconclusive, highlighting the need for further research.
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