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Gastrointestinal Tract: a Promising Target for the Management of Hypertension

  • Gut Microbiome, Sympathetic Nervous System, and Hypertension (MK Raizada and EM Richards, Section Editors)
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Abstract

The pathogenesis of hypertension remains elusive. Current treatments on hypertension have only achieved modest reductions. Facilitating theoretical research and looking for new therapeutic strategy are urgently needed. Besides food digestion and nutrients absorption, the gastrointestinal tract (GI) has been shown to influence the status of the central nervous system, immune system, metabolism, and cardiovascular homeostasis. Emerging findings demonstrate that endogenous factors derived from GI including gut hormones, autonomic nerve, and gut microbiota play important roles in the regulation of vascular function and/or blood pressure. Meanwhile, evidences from clinical practice and experimental study have found that intervention in GI through metabolic surgery, probiotics consumption, and dietary modification can efficiently ameliorate or even remit hypertension and related cardiometabolic diseases. Thus, we propose that GI might be an initiating organ of hypertension and a promising target for the management of hypertension. Further, illuminating this concept may aid to understand the pathogenesis and control of hypertension.

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  1. Department of Hypertension and Endocrinology, Daping Hospital, Third Military Medical University, Chongqing Institute of Hypertension, Chongqing, 400042, China

    Shiqiang Xiong, Qiang Li, Daoyan Liu & Zhiming Zhu

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  1. Shiqiang Xiong
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  2. Qiang Li
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  4. Zhiming Zhu
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Correspondence to Zhiming Zhu.

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This research was supported by the National Natural Science Foundation of China (31430042, 91639000), the National Basic Research Program of China (2013CB531205), and supported by the Program for Changjiang Scholars and Innovative Research Team in University of Ministry of Education of China.

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This article is part of the Topical Collection on Sympathetic Nervous System, and Hypertension

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Xiong, S., Li, Q., Liu, D. et al. Gastrointestinal Tract: a Promising Target for the Management of Hypertension. Curr Hypertens Rep 19, 31 (2017). https://doi.org/10.1007/s11906-017-0726-1

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