Myeloid cells, tissue homeostasis, and anatomical barriers as innate immune effectors in arterial hypertension

J Mol Med (Berl). 2021 Mar;99(3):315-326. doi: 10.1007/s00109-020-02019-1. Epub 2021 Jan 14.

Abstract

Although essential hypertension affects a large proportion of the human population and is one of the key drivers of cardiovascular mortality worldwide, we still do not have a complete understanding of its pathophysiology. More than 50 years ago, the immune system has been identified as an important part of the pathogenesis of arterial hypertension. An exceeding variety of recent publications deals with the interplay between the numerous different components of the immune system and mechanisms of arterial hypertension and has substantially contributed to our understanding of the role of immunity and inflammation in the pathogenesis of the disease. In this review, we focus on myeloid cells and anatomical barriers as particular aspects of innate immunity in arterial hypertension. Since it represents a first line of defense protecting against pathogens and maintaining tissue homeostasis, innate immunity provides many mechanistic hinge points in the area of hypertension.

Keywords: Arterial hypertension; Essential hypertension; Immune system; Innate immune system.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiotensin II / toxicity
  • Animals
  • Antimicrobial Cationic Peptides / immunology
  • Complement Activation
  • Desoxycorticosterone Acetate / toxicity
  • Dysbiosis / immunology
  • Gastrointestinal Microbiome / immunology
  • Homeostasis / immunology
  • Humans
  • Hypertension / chemically induced
  • Hypertension / immunology*
  • Hypertension / pathology
  • Immunity, Innate*
  • Inflammasomes / physiology
  • Intestinal Mucosa / immunology
  • Mice
  • Models, Animal
  • Myeloid Cells / immunology*
  • NLR Family, Pyrin Domain-Containing 3 Protein / physiology
  • Rats
  • Skin / immunology
  • Skin / metabolism
  • Sodium / metabolism
  • Sodium Chloride, Dietary / toxicity
  • Toll-Like Receptors / immunology
  • Water-Electrolyte Balance / physiology

Substances

  • Antimicrobial Cationic Peptides
  • Inflammasomes
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Sodium Chloride, Dietary
  • Toll-Like Receptors
  • Angiotensin II
  • Desoxycorticosterone Acetate
  • Sodium