IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION

According to modern concept of the etiopathogenesis of essential hypertension, immune cells play an important role in its development. Mediators produced by immunocompetent cells participate in the initiation and maintenance of chronic systemic inflammation and promote the development of vascular re...

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Autor principal: Ya. R. Timasheva
Formato: article
Lenguaje:RU
Publicado: SPb RAACI 2019
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Acceso en línea:https://doaj.org/article/645e681eb1254da08ed9375195ef2a85
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spelling oai:doaj.org-article:645e681eb1254da08ed9375195ef2a852021-11-18T08:03:48ZIMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION1563-06252313-741X10.15789/1563-0625-2019-3-407-418https://doaj.org/article/645e681eb1254da08ed9375195ef2a852019-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1814https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XAccording to modern concept of the etiopathogenesis of essential hypertension, immune cells play an important role in its development. Mediators produced by immunocompetent cells participate in the initiation and maintenance of chronic systemic inflammation and promote the development of vascular remodeling which is an important part of the pathogenesis of the disease and target organ damage. The immune mechanisms underlying blood pressure elevation include the activation of innate and adaptive immune cells. Endothelial damage triggers an inflammatory cascade, causing migration of the immune cells to the inflammatory site, mediated by chemokines and adhesion molecules. Macrophage infiltration of perivascular tissue contributes to impaired vasodilation and damage to target organs due to the production of active forms of oxygen. Angiotensin II also causes T cell infiltration of perivascular adipose tissue and adventitia and an increased production of tumor necrosis factor alpha and interferon gamma. In addition, T lymphocytes express the mineralocorticoid receptor involved in the development of systemic hypertension. An important role in the progression of hypertension belongs to interleukin-17, which is involved in blood pressure elevation and vascular remodeling. The review also contains data on the effect of gut microbiota on the regulation of blood pressure and the development of hypertension.Ya. R. TimashevaSPb RAACIarticleessential hypertensionblood pressureinflammationcytokineschemokinest cellsImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 21, Iss 3, Pp 407-418 (2019)
institution DOAJ
collection DOAJ
language RU
topic essential hypertension
blood pressure
inflammation
cytokines
chemokines
t cells
Immunologic diseases. Allergy
RC581-607
spellingShingle essential hypertension
blood pressure
inflammation
cytokines
chemokines
t cells
Immunologic diseases. Allergy
RC581-607
Ya. R. Timasheva
IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
description According to modern concept of the etiopathogenesis of essential hypertension, immune cells play an important role in its development. Mediators produced by immunocompetent cells participate in the initiation and maintenance of chronic systemic inflammation and promote the development of vascular remodeling which is an important part of the pathogenesis of the disease and target organ damage. The immune mechanisms underlying blood pressure elevation include the activation of innate and adaptive immune cells. Endothelial damage triggers an inflammatory cascade, causing migration of the immune cells to the inflammatory site, mediated by chemokines and adhesion molecules. Macrophage infiltration of perivascular tissue contributes to impaired vasodilation and damage to target organs due to the production of active forms of oxygen. Angiotensin II also causes T cell infiltration of perivascular adipose tissue and adventitia and an increased production of tumor necrosis factor alpha and interferon gamma. In addition, T lymphocytes express the mineralocorticoid receptor involved in the development of systemic hypertension. An important role in the progression of hypertension belongs to interleukin-17, which is involved in blood pressure elevation and vascular remodeling. The review also contains data on the effect of gut microbiota on the regulation of blood pressure and the development of hypertension.
format article
author Ya. R. Timasheva
author_facet Ya. R. Timasheva
author_sort Ya. R. Timasheva
title IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
title_short IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
title_full IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
title_fullStr IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
title_full_unstemmed IMMUNOLOGICAL ASPECTS OF ESSENTIAL HYPERTENSION
title_sort immunological aspects of essential hypertension
publisher SPb RAACI
publishDate 2019
url https://doaj.org/article/645e681eb1254da08ed9375195ef2a85
work_keys_str_mv AT yartimasheva immunologicalaspectsofessentialhypertension
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