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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: Curr Hypertens Rep. 2015 Jan;17(1):507. doi: 10.1007/s11906-014-0507-z

Table 1.

Therapeutic targets discussed in this review.

Type of Mediator Description Potential Application as a
Target in Hypertension
Regulatory T-cells (Tregs) T cell subtype characterized by the
ability to suppress inflammatory
signaling; proposed to be
protective, where deficiency of
Tregs leads to autoimmune
disease
- Increasing the presence or
 functionality of Tregs may reduce
 oxidative stress, increase NO
 bioavailability, block immune cell
 accumulation, and protect
 against hypertension
Th17 cells T cell subtype that produces IL-17;
pro-inflammatory and exacerbate
tissue damage and disease
- Blunting Th17 signaling may
 alleviate inflammation and target
 organ tissue damage associated
 with hypertension
Dendritic cells (DCs):
  • - Classical DCs

  • - Plasmacytoid DCs

  • - Monocyte-derived inflammatory DCs

  • - Langerhans cells

Bone marrow-derived antigen
presenting cells (APCs) that play a
key role in modulating the
inflammatory response by
distinguishing between self- and
non-self antigens; induce the
activation of T-lymphocytes
- Circulating precursor DCs as
 biomarkers to predict the
 development of cardiovascular
 disease
- Development of isoketal
 scavengers to attenuate
 immunogenicity of DCs and
 hypertension
Immunosenescent CD8+ cells T cells characterized by shortened
telomeres, loss of CD28, gain of
CD57 expression, and increased
production of inflammatory
cytokines and chemokines
- Biomarker and potential
 therapeutic target in
 hypertensive patients
Chemokines and cytokines
  • - TNF-α

  • - IL-17

  • - MCP-1

  • - IL-6

  • - CD40L

Activated and recruited immune
cells produce these inflammatory
mediators, which determine the
local inflammatory response
- Implicated in development and
 maintenance of hypertension
- Blockade of these inflammatory
 pathways may decrease
 infiltration of immune cells,
 inflammation and blood pressure
Toll-like receptors (TLRs:
TLR1-13)
- Family of receptors that trigger
pro-inflammatory signals in
response to microbial structures or
DAMPs released by injured
tissues.
- Potential molecular link between
innate and adaptive immune
responses in cardiovascular
disease
- Targeting TLRs may modulate
 the inflammatory cascade at an
 earlier point to help control
 disease more effectively
NLRP3 inflammasomes - Pattern recognition receptors
responsible for maturation of pro-
inflammatory cytokines like IL-1β
and IL-18 in response to PAMPs
and DAMPs;
- Controllers of the initiation of the
 innate immune response
- Inflammasome inhibition has
 been shown to prevent blood
 pressure elevation, lower plasma
 renin activity, and reduce sodium
 retention
- CIAS1 gene encoding for NLRP3
 linked to essential hypertension
 susceptibility