e-MED:
"Due to investigations into the pathophysiology of hypertension, both in
animals and humans, growing evidence suggests that hypertension may have
an immunological basis. Studies have revealed that hypertension is
associated with renal infiltration of immune cells and that
pharmacologic immunosuppression (such as with the drug mycophenolate
mofetil) or pathologic immunosuppression (such as occurs with HIV)
results in reduced blood pressure in animals and humans. Evidence
suggests that T lymphocytes and T-cell derived cytokines (eg,
interleukin 17, tumor necrosis factor alpha) play an important role in
hypertension. One hypotehesis is that prehypertension results in
oxidation and altered mechanical forces that lead to the formation of
neoantigens, which are then presented to T cells, leading to T-cell
activation and infiltration of critical organs (eg, kidney,
vasculature).
This results in persistent or severe hypertension and end organ damage. promote T-lymphocyte activation and infiltration and contribute to the
pathophysiology of hypertension."
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