Δημοσίευση

New developments in the pathogenesis of obesity-induced hypertension.

ΤίτλοςNew developments in the pathogenesis of obesity-induced hypertension.
Publication TypeJournal Article
Year of Publication2015
AuthorsKotsis, V., Nilsson P., Grassi G., Mancia G., Redon J., Luft F., Schmieder R., Engeli S., Stabouli S., Antza C., Pall D., Schlaich M., & Jordan J.
Corporate AuthorsWG on Obesity, Diabetes, the High Risk Patient, European Society of Hypertension
JournalJ Hypertens
Volume33
Issue8
Pagination1499-508
Date Published2015 Aug
ISSN1473-5598
Λέξεις κλειδιάAnimals, Appetite, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Exercise, Gene-Environment Interaction, Humans, Hypertension, Leptin, Obesity, Potassium, Dietary, Protective Factors, Receptor, Melanocortin, Type 4, Sodium, Dietary, Sympathetic Nervous System
Abstract

Obesity is a disorder that develops from the interaction between genotype and environment involving social, behavioral, cultural, and physiological factors. Obesity increases the risk for type 2 diabetes mellitus, hypertension, cardiovascular disease, cancer, musculoskeletal disorders, chronic kidney and pulmonary disease. Although obesity is clearly associated with an increased prevalence of hypertension, many obese individuals may not develop hypertension. Protecting factors may exist and it is important to understand why obesity is not always related to hypertension. The aim of this review is to highlight the knowledge gap for the association between obesity, hypertension, and potential genetic and racial differences or environmental factors that may protect obese patients against the development of hypertension and other co-morbidities. Specific mutations in the leptin and the melaninocortin receptor genes in animal models of obesity without hypertension, the actions of α-melanocyte stimulating hormone, and SNS activity in obesity-related hypertension may promote recognition of protective and promoting factors for hypertension in obesity. Furthermore, gene-environment interactions may have the potential to modify gene expression and epigenetic mechanisms could also contribute to the heritability of obesity-induced hypertension. Finally, differences in nutrition, gut microbiota, exposure to sun light and exercise may play an important role in the presence or absence of hypertension in obesity.

DOI10.1097/HJH.0000000000000645
Alternate JournalJ. Hypertens.
PubMed ID26103132

Επικοινωνία

Τμήμα Ιατρικής, Πανεπιστημιούπολη ΑΠΘ, T.K. 54124, Θεσσαλονίκη
 

Συνδεθείτε

Το τμήμα Ιατρικής στα κοινωνικά δίκτυα.
Ακολουθήστε μας ή συνδεθείτε μαζί μας.