Novel Targets for Hypertension Drug Discovery

Curr Hypertens Rep. 2021 Mar 30;23(4):19. doi: 10.1007/s11906-021-01137-6.

Abstract

Purpose of review: Despite the availability of various medications and prescribing combination therapies, uncontrolled blood pressure and resistance are observed in more than 40% of patients. The purpose of this review is to discuss emerging novel approaches for the treatment of hypertension and propose future research and clinical directions.

Recent findings: Hypertension is a common disease of the cardiovascular system which may arise solely or as a comorbidity of other disorders. It is a crucial risk factor for cardiovascular diseases such as coronary artery disease, myocardial infarction, congestive heart failure, renal failure, and stroke. The results from current literature regarding the novel approaches showed several targets that could be explored as potential therapeutic options. These include toll-like receptor 4, a critical regulator of angiotensin II-induced hypertension; protease-activated receptor 2, which promotes collagen deposition and inflammatory responses; chemerin, which causes metabolic and obesity-associated hypertension; apelin receptor; transient receptor potential melastatin; urotensin-II; and Tie2 receptor. This review discusses various targets and pathways that could be emerging pharmacological therapies for hypertension.

Keywords: Anti-hypertensive; Drug discovery; Hypertension; Novel targets.

Publication types

  • Review

MeSH terms

  • Angiotensin II / pharmacology
  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Cardiovascular Diseases* / drug therapy
  • Chemokines / pharmacology
  • Drug Discovery
  • Humans
  • Hypertension* / drug therapy

Substances

  • Antihypertensive Agents
  • Chemokines
  • RARRES2 protein, human
  • Angiotensin II