Scientists find root cause of high blood pressure

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High blood pressure, also called hypertension, is a serious health problem in the United States. It affects more than 116 million adults and greatly increases the risk of heart disease and stroke—two of the leading causes of death. In 2020 alone, high blood pressure contributed to or caused over 670,000 deaths.

Many people with high blood pressure struggle to control it, even with medication. However, a recent study from the University of Virginia has made an important discovery that could lead to better treatments in the future.

Scientists have found a key process in the body that helps control blood pressure. Understanding this process could help doctors develop new treatments that work more effectively and with fewer side effects.

Blood pressure is controlled in part by calcium levels in the smooth muscle cells that line blood vessels. These cells use calcium to help blood vessels tighten or relax, keeping blood pressure at a healthy level.

Doctors often prescribe medications called calcium channel blockers to lower blood pressure. These drugs reduce the amount of calcium entering the cells, helping blood vessels relax. However, calcium is important for many other functions in the body, so these medications can cause unwanted side effects.

The new study has uncovered something surprising. Researchers found two tiny structures inside smooth muscle cells, called “nanodomains,” that play a major role in blood pressure control. These nanodomains act like messengers, signaling blood vessels to tighten or relax depending on what the body needs.

In healthy people, these signals stay balanced. But in those with high blood pressure, the signals that tighten blood vessels are too strong, while the signals that help them relax are too weak. This keeps blood vessels too tight, leading to higher blood pressure.

This discovery is exciting because it offers a new way to treat high blood pressure. Instead of blocking calcium throughout the body, future treatments could target these specific nanodomains. This could help lower blood pressure without affecting other important functions of calcium.

While more research is needed to develop these new treatments, this study is a big step toward a better understanding of how the body controls blood pressure.

By addressing the root cause of high blood pressure instead of just treating the symptoms, scientists hope to create safer and more effective medications. This could help millions of people reduce their risk of heart disease, stroke, and other serious health problems.

For now, this research provides new hope in the fight against high blood pressure, a condition that affects so many lives.

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