颗粒酶-K对高血压调控作用的研究进展
Research Progress on the Regulatory Role of Granzyme-K in Hypertension
DOI: 10.12677/acm.2025.1582448, PDF,   
作者: 宿 昕*:内蒙古科技大学包头医学院研究生院,内蒙古 包头;陈伟楠:内蒙古自治区人民医院心血管内科,内蒙古 呼和浩特
关键词: 高血压颗粒酶-K血管内皮功能障碍免疫炎症反应Hypertension Granzyme-K Vascular Endothelial Dysfunction Immunoinflammatory Response
摘要: 高血压是严重威胁人类健康的重大疾病,既往研究主要关注于RAS激活、交感增强及血管平滑肌细胞(VSMC)功能异常。最近研究表明,在高血压发生发展过程中,机体免疫系统的异常激活及慢性炎症反应是导致高血压发生发展的关键因素。其介导的CD8 < sup > + < /sup > T细胞活化、血管内皮损伤及免疫衰老进程,可能通过重塑血管微环境、激活炎症信号网络参与高血压的发生发展。尽管现有文献尚未直接探讨GZMK与高血压的关联,但基于GZMK在炎症组织浸润、血管内皮损伤及衰老免疫中的核心作用,深入剖析其潜在的调控路径将为高血压的精准治疗提供新靶点。
Abstract: Hypertension is a major disease that seriously threatens human health. Previous studies have mainly focused on RAS activation, sympathetic hyperactivity, and abnormal functions of vascular smooth muscle cells (VSMCs). Recent studies have shown that abnormal activation of the body’s immune system and chronic inflammatory responses are key factors contributing to the occurrence and development of hypertension. The mediated CD8 < sup > + < /sup > T cell activation, vascular endothelial injury, and immunosenescence process may be involved in the occurrence and development of hypertension by remodeling the vascular microenvironment and activating the inflammatory signaling network. Although existing literature has not directly explored the association between GZMK and hypertension, based on the core role of GZMK in inflammatory tissue infiltration, vascular endothelial injury, and aging immunity, in-depth analysis of its potential regulatory pathways will provide new targets for the precise treatment of hypertension.
文章引用:宿昕, 陈伟楠. 颗粒酶-K对高血压调控作用的研究进展[J]. 临床医学进展, 2025, 15(8): 1980-1985. https://doi.org/10.12677/acm.2025.1582448

参考文献

[1] 陆微, 卢健棋, 张蕴力, 等. 基于血管内皮探讨高血压诱发心血管病变的研究进展[J]. 中国循证心血管医学杂志, 2025, 17(4): 510-512.
[2] 杨蓝蓝, 谭炜, 张灵, 等. 从免疫学角度论述高血压的发病机制[J]. 黑龙江医学, 2024, 48(21): 2677-2679+2682.
[3] 张江南. ANCA相关性血管炎免疫细胞谱系特点及临床分析[D]: [硕士学位论文]. 重庆: 中国人民解放军陆军军医大学, 2024.
[4] 高琳. 基于单细胞转录组测序技术研究滋肾活络方对自发性高血压大鼠心肌重塑的影响及机制[D]: [硕士学位论文]. 济南: 山东中医药大学, 2024.
[5] 蒙妮, 李文俊, 姬燕梅, 等. 免疫炎症与降低血压的相关研究进展[J]. 重庆医学, 2024, 53(7): 1089-1094.
[6] 沈一聪, 付毅. 免疫微环境与高血压[J]. 生命的化学, 2023, 43(7): 1059-1071.
[7] 李丹云, 朱成振, 杨斓, 等. 高血压中补体与T淋巴细胞的相互作用[J]. 医学研究与教育, 2022, 39(6): 9-14.
[8] 张娅袁, 杨莉, 倪晴, 等. 盐敏感性高血压免疫机制的研究进展[J]. 中华老年心脑血管病杂志, 2022, 24(7): 772-774.
[9] 杨锐. 高血压免疫微环境特征及外泌体干预对高血压微循环功能作用的研究[D]: [硕士学位论文]. 北京: 北京协和医学院, 2022.
[10] 葛伟鹏. 免疫球蛋白E在高血压中的作用与机制研究[D]: [博士学位论文]. 北京: 北京协和医学院, 2022.
[11] 史云聪, 左庆娟, 李刚. 免疫细胞和高血压[J]. 中华高血压杂志, 2020, 28(11): 1019-1024.
[12] 李育林, 赵明升, 张利宁. PVAT免疫微环境与血管疾病[J]. 中国免疫学杂志, 2019, 35(9): 1143-1149.
[13] 张丽丽, 史慧妍, 王舒. 免疫炎性反应与高血压前期及其靶器官损害的关系及针刺干预作用研究进展[J]. 针刺研究, 2018, 43(12): 754-758+766.
[14] 阮承超, 高平进. 免疫与炎症参与高血压发生发展的机制探讨[J]. 中华高血压杂志, 2017, 25(4): 319-321.
[15] 李文君, 田翠, 鄢雯, 等. 自然杀伤T细胞通过IL-10拮抗高血压心肌重塑[J]. 中国病理生理杂志, 2015, 31(10): 1799.
[16] 黄晶晶, 孙跃民. 高血压免疫机制的研究进展[J]. 中华高血压杂志, 2015, 23(8): 731-735.
[17] 郭统帅, 牟建军. 免疫系统与高血压发病关系的研究进展[J]. 中华高血压杂志, 2014, 22(10): 924-928.
[18] Wang, A.Z., Mashimo, B.L., Schaettler, M.O., Sherpa, N.D., Leavitt, L.A., Livingstone, A.J., et al. (2024) Glioblastoma-infiltrating CD8+ T Cells Are Predominantly a Clonally Expanded GZMK+ Effector Population. Cancer Discovery, 14, 1106-1131. [Google Scholar] [CrossRef] [PubMed]
[19] Mogilenko, D.A., Shpynov, O., Andhey, P.S., Arthur, L., Swain, A., Esaulova, E., et al. (2021) Comprehensive Profiling of an Aging Immune System Reveals Clonal GZMK+ CD8+ T Cells as Conserved Hallmark of Inflammaging. Immunity, 54, 99-115.e12. [Google Scholar] [CrossRef] [PubMed]
[20] Jonsson, A.H., Zhang, F., Dunlap, G., Gomez-Rivas, E., Watts, G.F.M., Faust, H.J., et al. (2022) Granzyme K+ CD8 T Cells Form a Core Population in Inflamed Human Tissue. Science Translational Medicine, 14, eabo0686. [Google Scholar] [CrossRef] [PubMed]
[21] Flemming, A. (2020) GZMK+ T Cells a Hallmark of Immune Ageing. Nature Reviews Immunology, 21, 1. [Google Scholar] [CrossRef] [PubMed]
[22] Li, C., Guo, H., Zhai, P., Yan, M., Liu, C., Wang, X., et al. (2023) Spatial and Single-Cell Transcriptomics Reveal a Cancer-Associated Fibroblast Subset in HNSCC That Restricts Infiltration and Antitumor Activity of CD8+ T Cells. Cancer Research, 84, 258-275. [Google Scholar] [CrossRef] [PubMed]
[23] Donado, C.A., Jonsson, A.H., Theisen, E., et al. (2024) Granzyme K Drives a Newly-Intensified Pathway of Complement Activation. bioRxiv. [Google Scholar] [CrossRef] [PubMed]
[24] Schalck, A., Sakellariou-Thompson, D., Forget, M., Sei, E., Hughes, T.G., Reuben, A., et al. (2022) Single-Cell Sequencing Reveals Trajectory of Tumor-Infiltrating Lymphocyte States in Pancreatic Cancer. Cancer Discovery, 12, 2330-2349. [Google Scholar] [CrossRef] [PubMed]
[25] Smit, V., de Mol, J., Schaftenaar, F.H., Depuydt, M.A.C., Postel, R.J., Smeets, D., et al. (2023) Single-Cell Profiling Reveals Age-Associated Immunity in Atherosclerosis. Cardiovascular Research, 119, 2508-2521. [Google Scholar] [CrossRef] [PubMed]