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受压之下:探寻高血压的基本机制。

Under pressure: the search for the essential mechanisms of hypertension.

机构信息

Division of Nephrology, Department of Medicine, Cardiovascular Research Center, Duke University, Durham, North Carolina, USA.

出版信息

Nat Med. 2011 Nov 7;17(11):1402-9. doi: 10.1038/nm.2541.

DOI:10.1038/nm.2541
PMID:22064430
Abstract

High blood pressure, or hypertension, is a very common disorder with a substantial impact on public health because of its associated complications. Despite the high prevalence of essential hypertension and years of research, the basic causes remain obscure. Here I review recent advances in understanding the pathophysiology of hypertension. I present a general overview of the field and, by necessity, use broad strokes to portray recent progress and place it in context. For this purpose, I use illustrative examples from the large number of important developments in hypertension research over the last five years. The intent of this review is to provide a sense of where the field is progressing, with an emphasis on work that sheds light on pathogenic mechanisms and that is therefore likely to inform new translational advances.

摘要

高血压,又称高血压,是一种非常常见的疾病,由于其相关并发症,对公众健康有重大影响。尽管原发性高血压的患病率很高,而且研究也进行了多年,但基本病因仍不清楚。在这里,我回顾了近年来对高血压病理生理学的理解进展。我对该领域进行了概述,并且为了描绘近期进展并将其置于适当的背景下,不可避免地采用了宽泛的笔触。为此,我使用了过去五年高血压研究中大量重要进展的例子。这篇综述的目的是提供对该领域进展情况的了解,重点是阐明发病机制的工作,因此可能为新的转化进展提供信息。

相似文献

1
Under pressure: the search for the essential mechanisms of hypertension.受压之下:探寻高血压的基本机制。
Nat Med. 2011 Nov 7;17(11):1402-9. doi: 10.1038/nm.2541.
2
[Long-term regulation of arterial pressure and essential hypertension--II. Essential hypertension].
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3
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4
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[The role of sodium and the kidney in the pathogenesis of essential hypertension].
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[Advances in our knowledge on disorders of blood pressure regulation].
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本文引用的文献

1
Genetic variants in novel pathways influence blood pressure and cardiovascular disease risk.新途径中的遗传变异会影响血压和心血管疾病风险。
Nature. 2011 Sep 11;478(7367):103-9. doi: 10.1038/nature10405.
2
Meta-analysis of genome-wide association studies identifies common variants associated with blood pressure variation in east Asians.基于全基因组关联研究的荟萃分析鉴定了与东亚人群血压变化相关的常见变异。
Nat Genet. 2011 Jun;43(6):531-8. doi: 10.1038/ng.834. Epub 2011 May 15.
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Epigenetic modulation of the renal β-adrenergic-WNK4 pathway in salt-sensitive hypertension.
Antioxidants (Basel). 2025 Jan 16;14(1):100. doi: 10.3390/antiox14010100.
4
Association Between Lipoprotein(a) and Dilatation of Different Aortic Segments in Hypertensive Patients.高血压患者中脂蛋白(a)与不同主动脉节段扩张之间的关联。
Echocardiography. 2025 Jan;42(1):e70061. doi: 10.1111/echo.70061.
5
Tissue sodium in patients with rheumatoid arthritis: a novel potential driver of hypertension in autoimmunity.类风湿关节炎患者的组织钠:自身免疫中高血压的一种新的潜在驱动因素。
Sci Rep. 2024 Dec 30;14(1):32105. doi: 10.1038/s41598-024-83873-8.
6
Exploring a novel therapeutic strategy: the interplay between gut microbiota and high-fat diet in the pathogenesis of metabolic disorders.探索一种新的治疗策略:肠道微生物群与高脂饮食在代谢紊乱发病机制中的相互作用。
Front Nutr. 2023 Dec 15;10:1291853. doi: 10.3389/fnut.2023.1291853. eCollection 2023.
7
Role of Inflammatory Processes in the Brain-Body Relationship Underlying Hypertension.炎症过程在高血压的脑-体关系中的作用。
Curr Hypertens Rep. 2023 Dec;25(12):455-461. doi: 10.1007/s11906-023-01268-y. Epub 2023 Oct 3.
8
Lipoprotein(a): Just an Innocent Bystander in Arterial Hypertension?脂蛋白(a):仅仅是高血压的无辜旁观者吗?
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9
Mouse models of cerebral injury and cognitive impairment in hypertension.高血压性脑损伤和认知障碍的小鼠模型
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10
Exposure to unmethylated CpG oligonucleotides disrupts blood pressure circadian rhythms and placental clock gene network in pregnant rats.未甲基化的 CpG 寡核苷酸暴露会破坏怀孕大鼠的血压昼夜节律和胎盘时钟基因网络。
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盐敏感性高血压中肾脏β-肾上腺素能-WNK4 途径的表观遗传调控。
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4
AT1A angiotensin receptors in the renal proximal tubule regulate blood pressure.血管紧张素受体在肾脏近曲小管中调节血压。
Cell Metab. 2011 Apr 6;13(4):469-475. doi: 10.1016/j.cmet.2011.03.001.
5
K+ channel mutations in adrenal aldosterone-producing adenomas and hereditary hypertension.肾上腺醛固酮产生腺瘤和遗传性高血压中的 K+ 通道突变。
Science. 2011 Feb 11;331(6018):768-72. doi: 10.1126/science.1198785.
6
Intratubular renin-angiotensin system in hypertension.高血压中的肾小管内肾素-血管紧张素系统
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7
Inhibition and genetic ablation of the B7/CD28 T-cell costimulation axis prevents experimental hypertension.抑制和基因敲除 B7/CD28 T 细胞共刺激轴可预防实验性高血压。
Circulation. 2010 Dec 14;122(24):2529-37. doi: 10.1161/CIRCULATIONAHA.109.930446. Epub 2010 Nov 29.
8
Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trial): a randomised controlled trial.治疗抵抗性高血压患者的肾脏去神经支配(Symplicity HTN-2 试验):一项随机对照试验。
Lancet. 2010 Dec 4;376(9756):1903-9. doi: 10.1016/S0140-6736(10)62039-9. Epub 2010 Nov 17.
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Central and peripheral mechanisms of T-lymphocyte activation and vascular inflammation produced by angiotensin II-induced hypertension.血管紧张素Ⅱ诱导的高血压导致 T 淋巴细胞激活和血管炎症的中枢和外周机制。
Circ Res. 2010 Jul 23;107(2):263-70. doi: 10.1161/CIRCRESAHA.110.217299. Epub 2010 Jun 17.
10
Uncovering the roles of rare variants in common disease through whole-genome sequencing.通过全基因组测序揭示常见疾病中罕见变异的作用。
Nat Rev Genet. 2010 Jun;11(6):415-25. doi: 10.1038/nrg2779.