Stress Related Mechanisms of Hypertension Risk

高血压风险的压力相关机制

• 批准号: 8667155
• 负责人: GREGORY ALAN HARSHFIELD
• 金额: $ 218.12万
• 依托单位: AUGUSTA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8667155
• 关键词: African American; Animal Model; Animals; Biological Assay; Biometry; Blood Pressure; Blood Vessels; Development; Disease; Essential Hypertension; Goals; Human; Hypertension; Immune system; Individual; Kidney; Knowledge; Life Stress; Mediator of activation protein; Modeling; Nervous system structure; Nitric Oxide Pathway; Obesity; Obesity associated disease; Pathway interactions; Physicians; Physiological; Population; Prevention strategy; Public Health; Regulation; Renal function; Renin-Angiotensin-Aldosterone System; Research; Risk; Risk Factors; Role; Sodium; Stress; Sympathetic Nervous System; Systems Development; Translating; Visit; acute stress; blood pressure regulation; high risk; patient population; receptor; response; treatment strategy

DESCRIPTION (Provided by applicant): The overall goal of our PPG is to better understand the synergy between environmental stress, adiposity, and impaired sodium regulation in the development of hypertension in high risk populations. Three projects are proposed supported by three Cores (Administrative, Bioassay, Biostatistics). Each of the three projects we propose has a unique focus, but they also have commonalities across the projects. The high synergy and integration allows us to apply information gained from one project to the understanding of the results of another. All three projects hypothesize a central role for SNS-induced changes in Ang II as a mediator of impaired functioning. In addition, all three projects will focus on understanding the physiological mechanisms through which stress and obesity contribute to hypertension in African Americans. Projects 1 and 3 will examine different pathways in human and animal models. Specifically, Project 1 hypothesizes Ang II is one factor responsible for sodium retention during stress in African Americans which leads to the early development of hypertension. These studies are complimented by Project 3 that will focus on the ETB receptor and use in whole body sodium retention. Project 2 will examine the impact of early life stress on Ang H-related functioning of the immune system and the development of hypertension in animal models. This stimulated Project 1 to explore this relationship in our human model of hypertension in African Americans. Projects 2 and 3 will both examine factors related to endothelial function in different models of obesity-related disease. Taken together, there is strong synergy between the projects that will allow us to identify critical factors in obesity and stress-related hypertension. More importantly, they will allow us to identify the mechanisms underlying the synergistic effect of obesity on stress-related hypertension.

描述（由申请人提供）： PPG的总体目标是更好地了解环境压力、肥胖和钠调节受损在高危人群高血压发展中的协同作用。拟议的三个项目由三个核心（行政、生物测定、生物统计）支持。我们提出的三个项目中的每一个都有一个独特的重点，但它们也有跨项目的共性。高度的协同和整合使我们能够将从一个项目中获得的信息应用于对另一个项目结果的理解。所有这三个项目假设SNS诱导的Ang II变化作为功能受损的介导者的中心作用。此外，这三个项目将侧重于了解压力和肥胖导致非裔美国人高血压的生理机制。项目1和3将研究人类和动物模型中的不同途径。具体而言，项目1假设血管紧张素II是导致非裔美国人在压力期间钠潴留的一个因素，导致高血压的早期发展。这些研究得到了项目3的补充，项目3将重点关注ETB受体和全身钠潴留的使用。项目2将在动物模型中研究早期生活压力对免疫系统的Ang H相关功能和高血压发展的影响。这刺激了项目1在非裔美国人的高血压人类模型中探索这种关系。项目2和项目3都将在不同的肥胖相关疾病模型中检查与内皮功能相关的因素。总之，这些项目之间有很强的协同作用，这将使我们能够确定肥胖和压力相关高血压的关键因素。更重要的是， 它们将使我们能够确定肥胖对压力相关高血压协同作用的机制。