PMID- 28724611 OWN - NLM STAT- MEDLINE DCOM- 20171017 LR - 20220408 IS - 1522-1466 (Electronic) IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 313 IP - 4 DP - 2017 Oct 1 TI - Tumor necrosis factor-alpha, kidney function, and hypertension. PG - F1005-F1008 LID - 10.1152/ajprenal.00535.2016 [doi] AB - Hypertension is considered to be a low-grade inflammatory condition characterized by the presence of various proinflammatory cytokines. Tumor necrosis factor-alpha (TNF-alpha) is a constituent of the proinflammatory cytokines that is associated with salt-sensitive hypertension (SSH) and related renal injury. Elevated angiotensin II (ANG II) and other factors such as oxidative stress conditions promote TNF-alpha formation. Many recent studies have provided evidence that TNF-alpha exerts a direct renal action by regulating hemodynamic and excretory function in the kidney. The cytokine incites a strong natriuretic response and plays a part in regulation of the intrarenal renin-angiotensin system. The exact mechanistic role of TNF-alpha in the development of SSH is as yet poorly understood. While TNF-alpha antagonism has been shown to attenuate hypertensive responses in many hypertensive animal models, contrasting findings demonstrate that the direct systemic administration of TNF-alpha usually induces hypotensive as well as natriuretic responses, indicating a counterregulatory role of TNF-alpha in SSH. Differential activities of two cell surface receptors of TNF-alpha (receptor type 1 and type 2) may explain the contradictory functions of TNF-alpha in the setting of hypertension. This short review will evaluate ongoing research studies that investigate the action of TNF-alpha within the kidney and its role as an influential pathophysiological variable in the development of SSH and renal injury. This information may help to develop specific TNF-alpha receptor targeting as an effective treatment strategy in this clinical condition. CI - Copyright (c) 2017 the American Physiological Society. FAU - Mehaffey, Eamonn AU - Mehaffey E AD - Department of Physiology, Tulane Hypertension and Renal Center of Excellence, Tulane University School of Medicine, New Orleans, Louisiana. FAU - Majid, Dewan S A AU - Majid DSA AD - Department of Physiology, Tulane Hypertension and Renal Center of Excellence, Tulane University School of Medicine, New Orleans, Louisiana majid@tulane.edu. LA - eng GR - P30 GM103337/GM/NIGMS NIH HHS/United States GR - R01 HL066432/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review DEP - 20170719 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Inflammation Mediators) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (Sodium Chloride, Dietary) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - *Blood Pressure MH - Humans MH - Hypertension/immunology/*metabolism/physiopathology MH - Inflammation/immunology/*metabolism/physiopathology MH - Inflammation Mediators/immunology/*metabolism MH - Kidney/immunology/*metabolism/physiopathology MH - Receptors, Tumor Necrosis Factor, Type I/metabolism MH - Receptors, Tumor Necrosis Factor, Type II/metabolism MH - Renin-Angiotensin System MH - Signal Transduction MH - Sodium Chloride, Dietary/*adverse effects MH - Tumor Necrosis Factor-alpha/immunology/*metabolism PMC - PMC5668589 OTO - NOTNLM OT - TNF-alpha OT - inflammatory cytokines OT - natriuresis OT - renin-angiotensin system EDAT- 2017/07/21 06:00 MHDA- 2017/10/19 06:00 PMCR- 2018/10/01 CRDT- 2017/07/21 06:00 PHST- 2016/10/31 00:00 [received] PHST- 2017/06/30 00:00 [revised] PHST- 2017/07/15 00:00 [accepted] PHST- 2017/07/21 06:00 [pubmed] PHST- 2017/10/19 06:00 [medline] PHST- 2017/07/21 06:00 [entrez] PHST- 2018/10/01 00:00 [pmc-release] AID - ajprenal.00535.2016 [pii] AID - F-00535-2016 [pii] AID - 10.1152/ajprenal.00535.2016 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2017 Oct 1;313(4):F1005-F1008. doi: 10.1152/ajprenal.00535.2016. Epub 2017 Jul 19.