Ertuglu Lale A, Mutchler Ashley Pitzer, Yu Justin, Kirabo Annet
Division of Nephrology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United Staes.
Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Front Physiol. 2022 Dec 22;13:1096296. doi: 10.3389/fphys.2022.1096296. eCollection 2022.
Salt-sensitivity of blood pressure is an independent risk factor for cardiovascular disease and affects approximately half of the hypertensive population. While the precise mechanisms of salt-sensitivity remain unclear, recent findings on body sodium homeostasis and salt-induced immune cell activation provide new insights into the relationship between high salt intake, inflammation, and hypertension. The immune system, specifically antigen-presenting cells (APCs) and T cells, are directly implicated in salt-induced renal and vascular injury and hypertension. Emerging evidence suggests that oxidative stress and activation of the NLRP3 inflammasome drive high sodium-mediated activation of APCs and T cells and contribute to the development of renal and vascular inflammation and hypertension. In this review, we summarize the recent insights into our understanding of the mechanisms of salt-sensitive hypertension and discuss the role of inflammasome activation as a potential therapeutic target.
血压盐敏感性是心血管疾病的独立危险因素,约影响一半的高血压人群。虽然盐敏感性的确切机制尚不清楚,但最近关于机体钠稳态和盐诱导免疫细胞激活的研究结果为高盐摄入、炎症与高血压之间的关系提供了新的见解。免疫系统,特别是抗原呈递细胞(APC)和T细胞,直接参与盐诱导的肾脏和血管损伤及高血压的发生。新出现的证据表明,氧化应激和NLRP3炎性小体的激活驱动高钠介导的APC和T细胞活化,并促进肾脏和血管炎症及高血压的发展。在本综述中,我们总结了目前对盐敏感性高血压机制的最新认识,并讨论了炎性小体激活作为潜在治疗靶点的作用。