Lady Davis Institute for Medical Research, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, QC, Canada.
Department of Medicine, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, QC, Canada.
Br J Pharmacol. 2019 Jun;176(12):1818-1828. doi: 10.1111/bph.14427. Epub 2018 Jul 20.
Inflammatory processes have been shown to play an important role in the mechanisms involved in the pathogenesis of hypertension. Innate and adaptive immune responses participate in BP elevation and end-organ damage. Here, we discuss recent studies focusing on novel inflammatory and immune mechanisms that play roles in BP elevation. Different subpopulations of cells involved in innate and adaptive immune responses, such as dendritic cells, monocytes/macrophages and NK cells, on the one hand, and B and T lymphocytes, on the other, contribute to the vascular and kidney injury in hypertension. Unconventional innate-like T cells such as γδ T cells also participate in hypertensive mechanisms by priming both innate and adaptive immune cells, contributing to trigger vascular inflammation and BP elevation. These cells exert their effects in part via production of various cytokines including pro-inflammatory IFN-γ and IL-17 and anti-inflammatory IL-10. The present review summarizes some of these immune mechanisms that participate in the pathophysiology of hypertension. LINKED ARTICLES: This article is part of a themed section on Immune Targets in Hypertension. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.12/issuetoc.
炎症过程被证明在高血压发病机制中所涉及的机制中起着重要作用。先天和适应性免疫反应参与血压升高和靶器官损伤。在这里,我们讨论了最近的研究集中在新型炎症和免疫机制中,这些机制在血压升高中起作用。参与先天和适应性免疫反应的不同细胞亚群,如树突状细胞、单核细胞/巨噬细胞和自然杀伤 (NK) 细胞,一方面,B 和 T 淋巴细胞,另一方面,有助于高血压中的血管和肾脏损伤。非传统的先天样 T 细胞(如 γδ T 细胞)也通过激活先天和适应性免疫细胞参与高血压机制,有助于引发血管炎症和血压升高。这些细胞通过产生各种细胞因子(包括促炎 IFN-γ 和 IL-17 以及抗炎 IL-10)发挥作用。本文总结了一些参与高血压病理生理学的免疫机制。相关文章:本文是关于高血压免疫靶点的专题部分的一部分。要查看该部分中的其他文章,请访问 http://onlinelibrary.wiley.com/doi/10.1111/bph.v176.12/issuetoc.