Divison of Cardiovascular Sciences, The University of Manchester, Manchester, UK.
J Hypertens. 2024 Nov 1;42(11):1848-1861. doi: 10.1097/HJH.0000000000003829. Epub 2024 Sep 11.
The inflammatory status of the kidneys, vasculature, and perivascular adipose tissue (PVAT) has a significant influence on blood pressure and hypertension. Numerous micronutrients play an influential role in hypertension-driving inflammatory processes, and recent reports have provided bases for potential targeted modulation of these micronutrients to reduce hypertension. Iron overload in adipose tissue macrophages and adipocytes engenders an inflammatory environment and may contribute to impaired anticontractile signalling, and thus a treatment such as chelation therapy may hold a key to reducing blood pressure. Similarly, magnesium intake has proven to greatly influence inflammatory signalling and concurrent hypertension in both healthy animals and in a model for chronic kidney disease, demonstrating its potential clinical utility. These findings highlight the importance of further research to determine the efficacy of micronutrient-targeted treatments for the amelioration of hypertension and their potential translation into clinical application.
肾脏、血管和血管周围脂肪组织 (PVAT) 的炎症状态对血压和高血压有重大影响。许多微量营养素在驱动高血压炎症过程中发挥着重要作用,最近的报告为潜在的针对这些微量营养素的靶向调节提供了依据,以降低高血压。脂肪组织巨噬细胞和脂肪细胞中的铁过载会产生炎症环境,并可能导致抗收缩信号受损,因此螯合疗法等治疗方法可能是降低血压的关键。同样,镁的摄入已被证明在健康动物和慢性肾病模型中对炎症信号和并发高血压有很大影响,显示出其潜在的临床应用价值。这些发现强调了进一步研究的重要性,以确定针对微量营养素的治疗方法在改善高血压方面的疗效及其转化为临床应用的潜力。
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