炎症、免疫和氧化应激在高血压中的作用:新的见解和潜在的治疗靶点。
Role of inflammation, immunity, and oxidative stress in hypertension: New insights and potential therapeutic targets.
机构信息
Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
出版信息
Front Immunol. 2023 Jan 10;13:1098725. doi: 10.3389/fimmu.2022.1098725. eCollection 2022.
Hypertension is regarded as the most prominent risk factor for cardiovascular diseases, which have become a primary cause of death, and recent research has demonstrated that chronic inflammation is involved in the pathogenesis of hypertension. Both innate and adaptive immunity are now known to promote the elevation of blood pressure by triggering vascular inflammation and microvascular remodeling. For example, as an important part of innate immune system, classically activated macrophages (M1), neutrophils, and dendritic cells contribute to hypertension by secreting inflammatory cy3tokines. In particular, interferon-gamma (IFN-γ) and interleukin-17 (IL-17) produced by activated T lymphocytes contribute to hypertension by inducing oxidative stress injury and endothelial dysfunction. However, the regulatory T cells and alternatively activated macrophages (M2) may have a protective role in hypertension. Although inflammation is related to hypertension, the exact mechanisms are complex and unclear. The present review aims to reveal the roles of inflammation, immunity, and oxidative stress in the initiation and evolution of hypertension. We envisage that the review will strengthen public understanding of the pathophysiological mechanisms of hypertension and may provide new insights and potential therapeutic strategies for hypertension.
高血压被认为是心血管疾病的最主要危险因素,而心血管疾病已成为主要死亡原因之一。最近的研究表明,慢性炎症参与了高血压的发病机制。先天免疫和适应性免疫现在都被认为通过触发血管炎症和微血管重塑来升高血压。例如,作为先天免疫系统的重要组成部分,经典激活的巨噬细胞(M1)、中性粒细胞和树突状细胞通过分泌炎症细胞因子促进高血压。特别是,活化 T 淋巴细胞产生的干扰素-γ(IFN-γ)和白细胞介素-17(IL-17)通过诱导氧化应激损伤和内皮功能障碍促进高血压。然而,调节性 T 细胞和替代激活的巨噬细胞(M2)可能在高血压中具有保护作用。尽管炎症与高血压有关,但确切的机制很复杂,目前尚不清楚。本综述旨在揭示炎症、免疫和氧化应激在高血压的发生和发展中的作用。我们设想,该综述将加强公众对高血压病理生理学机制的理解,并可能为高血压提供新的见解和潜在的治疗策略。