Brain inflammation and hypertension: the chicken or the egg?

Inflammation of forebrain and hindbrain nuclei controlling the sympathetic nervous system (SNS) outflow from the brain to the periphery represents an emerging concept of the pathogenesis of neurogenic hypertension. Angiotensin II (Ang-II) and prorenin were shown to increase production of reactive ox...

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Veröffentlicht in:Journal of neuroinflammation 2015-05, Vol.12 (1), p.85-85, Article 85
Hauptverfasser: Winklewski, Pawel J, Radkowski, Marek, Wszedybyl-Winklewska, Magdalena, Demkow, Urszula
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container_end_page 85
container_issue 1
container_start_page 85
container_title Journal of neuroinflammation
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creator Winklewski, Pawel J
Radkowski, Marek
Wszedybyl-Winklewska, Magdalena
Demkow, Urszula
description Inflammation of forebrain and hindbrain nuclei controlling the sympathetic nervous system (SNS) outflow from the brain to the periphery represents an emerging concept of the pathogenesis of neurogenic hypertension. Angiotensin II (Ang-II) and prorenin were shown to increase production of reactive oxygen species and pro-inflammatory cytokines (interleukin-1 beta (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α)) while simultaneously decreasing production of interleukin-10 (IL-10) in the paraventricular nucleus of the hypothalamus and the rostral ventral lateral medulla. Peripheral chronic inflammation and Ang-II activity seem to share a common central mechanism contributing to an increase in sympathetic neurogenic vasomotor tone and entailing neurogenic hypertension. Both hypertension and obesity facilitate the penetration of peripheral immune cells in the brain parenchyma. We suggest that renin-angiotensin-driven hypertension encompasses feedback and feedforward mechanisms in the development of neurogenic hypertension while low-intensity, chronic peripheral inflammation of any origin may serve as a model of a feedforward mechanism in this condition.
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subjects Analysis
Angiotensin
Animals
B cells
Brain
Drug therapy
Encephalitis - complications
Encephalitis - etiology
Humans
Hypertension
Hypertension - complications
Hypertension - etiology
Inflammation
Interleukins
Review
Risk factors
Tumor necrosis factor
title Brain inflammation and hypertension: the chicken or the egg?
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