The role of inflammation in hypertension: novel concepts.

The role of inflammation in hypertension: novel concepts.
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炎症在高血压中的作用:新概念。

DOI:
10.1016/j.cophys.2020.09.016
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发表时间:
2021-03
影响因子:
2.5
通讯作者:
Kirabo A
Kirabo A
中科院分区:
其他
文献类型:
--
作者:
Patrick DM;Van Beusecum JP;Kirabo A

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高血压仍然是心血管疾病发展的最重要的可改变的危险因素。虽然很明显,炎症在高血压的发展和维持中起着关键作用,但在过去的十年中已经取得了一些新的发现,这些发现推动了该领域的发展,并提供了新的机制见解。首先,最近的研究已经确定了钠诱导的免疫细胞活化在高血压发病机制中的核心作用,通过改变肠道微生物组和形成称为异evuglandins的脂质氧化产物。第二,已发现炎性小体产生的细胞因子导致终末器官功能障碍和免疫激活在高血压的发生中起作用。第三,新的技术已经确定了以前未表征的免疫细胞群,这些细胞群可能在这些过程中发挥功能性作用。最后,炎症在高血压中的作用可能是严重COVID-19感染的重要介质。在这篇综述中,我们讨论了炎症和高血压研究的最新进展,并强调了未来研究的主题。
Hypertension remains the most important modifiable risk factor for the development of cardiovascular disease. While it is clear that inflammation plays a pivotal role in the development and maintenance of hypertension, several novel discoveries have been made within the past decade that have advanced the field and have provided new mechanistic insights. First, recent studies have identified a central role of sodium-induced immune cell activation in the pathogenesis of hypertension by altering the gut microbiome and formation of products of lipid oxidation known as isolevuglandins. Second, cytokine elaboration by the inflammasome leading to end-organ dysfunction and immune activation has been found to play a role in the genesis of hypertension. Third, novel techniques have identified previously uncharacterized immune cell populations that may play a functional role in these processes. Finally, the role of inflammation in hypertension may be an important mediator of severe COVID-19 infections. In this review, we discuss these recent advances in the study of inflammation and hypertension and highlight topics for future studies.
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