Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm

Possessing blood pressure in normal ranges is considered healthy, and does not warrant medical attention for obvious clinical reasons. However, to realize normotension and then maintain it even when confronted with a hypertensive threat must have its biological ‘shield of armour’. While sensitivity...

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Main Author: Alan Y. Deng
Format: Article
Language:English
Published: IMR Press 2022-04-01
Series:Reviews in Cardiovascular Medicine
Subjects:
Online Access:https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304119
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author Alan Y. Deng
author_facet Alan Y. Deng
author_sort Alan Y. Deng
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description Possessing blood pressure in normal ranges is considered healthy, and does not warrant medical attention for obvious clinical reasons. However, to realize normotension and then maintain it even when confronted with a hypertensive threat must have its biological ‘shield of armour’. While sensitivity to hypertension has been widely recognized and studied, inherent mechanisms that enable a physiological resistance to hypertension to occur have received little attention. Recent advances in normotension genetics have produced unexpected insights. A hypertension ‘suppressor’ likely inhabits the normotensive genome of inbred Lewis rats. This suppressor behaves as a ‘master’ control capable of functionally abrogating the effects of hypertension-promoting alleles from multiple quantitative trait loci. This conceptual advancement lays the foundation for uncovering an anti-hypertension gene. Discovering its identity will assist our attempts at developing innovative diagnostic and therapeutic strategies for circumventing and treating hypertension. This new domain of suppressing hypertension goes beyond the conventional pharmacological treatments of hypertension before symptoms appear. For this purpose, a valid theoretical basis and framework is needed that can interpret the experimental data and produce testable predictions for authenticating, enriching or amending the normotension paradigm in the future.
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spelling doaj.art-2ae219d15eb14d3fa18187018b402fbd2022-12-22T01:07:17ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-04-0123411910.31083/j.rcm2304119S1530-6550(22)00443-4Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological ParadigmAlan Y. Deng0Research Centre, Centre hospitalier de l’Université de Montréal, Montréal, QC H2X 0A9, CanadaPossessing blood pressure in normal ranges is considered healthy, and does not warrant medical attention for obvious clinical reasons. However, to realize normotension and then maintain it even when confronted with a hypertensive threat must have its biological ‘shield of armour’. While sensitivity to hypertension has been widely recognized and studied, inherent mechanisms that enable a physiological resistance to hypertension to occur have received little attention. Recent advances in normotension genetics have produced unexpected insights. A hypertension ‘suppressor’ likely inhabits the normotensive genome of inbred Lewis rats. This suppressor behaves as a ‘master’ control capable of functionally abrogating the effects of hypertension-promoting alleles from multiple quantitative trait loci. This conceptual advancement lays the foundation for uncovering an anti-hypertension gene. Discovering its identity will assist our attempts at developing innovative diagnostic and therapeutic strategies for circumventing and treating hypertension. This new domain of suppressing hypertension goes beyond the conventional pharmacological treatments of hypertension before symptoms appear. For this purpose, a valid theoretical basis and framework is needed that can interpret the experimental data and produce testable predictions for authenticating, enriching or amending the normotension paradigm in the future.https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304119genetics of normotensionhypertension suppressionregulatory hierarchy
spellingShingle Alan Y. Deng
Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
Reviews in Cardiovascular Medicine
genetics of normotension
hypertension suppression
regulatory hierarchy
title Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
title_full Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
title_fullStr Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
title_full_unstemmed Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
title_short Genetics of Normotension Preventing Hypertension Leads to a Novel Physiological Paradigm
title_sort genetics of normotension preventing hypertension leads to a novel physiological paradigm
topic genetics of normotension
hypertension suppression
regulatory hierarchy
url https://www.imrpress.com/journal/RCM/23/4/10.31083/j.rcm2304119
work_keys_str_mv AT alanydeng geneticsofnormotensionpreventinghypertensionleadstoanovelphysiologicalparadigm