Department of Nephrology, School of Medicine, Suleyman Demirel University, Isparta, Turkey.
Biogerontology. 2023 Aug;24(4):457-478. doi: 10.1007/s10522-023-10031-4. Epub 2023 Apr 3.
Essential or primary hypertension is a wordwide health problem. Elevated blood pressure (BP) is closely associated not only with increased chronological aging but also with biological aging. There are various common pathways that play a role in cellular aging and BP regulation. These include but not limited to inflammation, oxidative stress, mitochondrial dysfunction, air pollution, decreased klotho activity increased renin angiotensin system activation, gut dysbiosis etc. It has already been shown that some anti-hypertensive drugs have anti-senescent actions and some senolytic drugs have BP lowering effects. In this review, we have summarized the common mechanisms underlying cellular senescence and HT and their relationships. We further reviewed the effect of various antihypertensive medications on cellular senescence and suggest further issues to be studied.
原发性高血压是一个全球性的健康问题。血压升高不仅与年龄的增长密切相关,还与生物老化密切相关。有许多常见的途径在细胞衰老和血压调节中发挥作用。这些途径包括但不限于炎症、氧化应激、线粒体功能障碍、空气污染、klotho 活性降低、肾素-血管紧张素系统激活、肠道菌群失调等。已经表明,一些抗高血压药物具有抗衰老作用,一些衰老细胞清除药物具有降低血压的作用。在这篇综述中,我们总结了细胞衰老和高血压的共同机制及其关系。我们进一步综述了各种降压药物对细胞衰老的影响,并提出了进一步需要研究的问题。