Carnevale Daniela, Lembo Giuseppe
Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Department of Angiocardioneurology and Translational Medicine, IRCCS Neuromed, 86077, Pozzilli (IS), Italy.
High Blood Press Cardiovasc Prev. 2016 Jun;23(2):91-5. doi: 10.1007/s40292-016-0141-8. Epub 2016 Apr 14.
Hypertension is a leading cause of morbidity and mortality worldwide, being the major risk factor for stroke, heart failure and kidney diseases. During past decades, several therapies have been developed to afford an optimal regulation of blood pressure levels. However, the prevalence of uncontrolled hypertension still represents an unsolved problem, with a number of patients resistant as well to all ongoing antihypertensive treatments, raising unsolved mechanistic challenges. In the last years, the most attractive novelty in hypertension research postulated that immune system may have a crucial role in blood pressure elevation, as well as in end-organ damage. Here we briefly review the most important contribution revealing the role of innate and adaptive immune system in hypertension. Moreover, we discuss evidence showing that, in the regulation of body hemodynamics, the immune system and the autonomic nervous systems serve as two major sensory organs whose interaction is crucial for blood pressure increase and target organ damage in hypertension.
高血压是全球发病和死亡的主要原因,是中风、心力衰竭和肾脏疾病的主要危险因素。在过去几十年中,已经开发了几种疗法来实现血压水平的最佳调节。然而,未控制的高血压患病率仍然是一个未解决的问题,有许多患者对所有正在进行的抗高血压治疗均有抵抗性,这带来了尚未解决的机制挑战。在过去几年中,高血压研究中最引人注目的新观点认为,免疫系统可能在血压升高以及终末器官损伤中起关键作用。在此,我们简要回顾揭示先天性和适应性免疫系统在高血压中作用的最重要贡献。此外,我们讨论证据表明,在身体血液动力学调节中,免疫系统和自主神经系统作为两个主要感觉器官,它们之间的相互作用对于高血压中血压升高和靶器官损伤至关重要。