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February 21, 2026Hypertension Research4 citationsOpen Access

The sympathetic nervous system in the pathophysiology of hypertension: Mechanistic insights and therapeutic implications

NSNaoyoshi Sakitani

Key Result

Renal denervation shows variable efficacy for blood pressure reduction across patient cohorts with hypertension involving sympathetic nervous system overactivity.

Key Points

  • The objective is to explore how the sympathetic nervous system contributes to hypertension and identify new therapeutic approaches.
  • Review of recent basic research findings on sympathetic regulation in hypertension.
  • Analysis of mechanisms involved in sympathetic overactivity.
  • Discussion of therapeutic implications based on current insights.
  • Sympathetic nervous system significantly elevates blood pressure in hypertension.
  • Identified new mechanisms of sympathetic overactivity.
  • Highlighted potential novel therapeutic strategies to manage hypertension.

PICO

P
Population
Patients with hypertension and sympathetic nervous system overactivity
I
Intervention / Comparator
Renal denervation vs Pharmacological or no intervention
O
Primary Outcome
Blood pressure reduction

Limitations

  • The review primarily summarizes findings from animal and ex vivo models with unclear relevance to humans.
  • Limited direct clinical trial data with exact quantitative outcomes presented.
  • Heterogeneity in patient response to renal denervation noted, requiring better patient selection methods.

Abstract

Abstract The sympathetic nervous system plays a pivotal role in the pathophysiology of hypertension. Although the contribution of the sympathetic nervous system to an elevation of blood pressure is well established, the determinants of persistent sympathetic overactivity remain incompletely understood. This review summarizes the findings of recent basic research that have expanded the understanding of sympathetic regulation in hypertension, highlighting emerging mechanisms and providing insights into the development of novel therapeutic strategies.

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Cite This Study

Naoyoshi Sakitani (2026) conducted a review in Patients with hypertension and sympathetic nervous system overactivity. Renal denervation vs. Pharmacological or no intervention was evaluated on Blood pressure reduction. Renal denervation shows variable efficacy for blood pressure reduction across patient cohorts with hypertension involving sympathetic nervous system overactivity.

synapsesocial.com/papers/69994c4b873532290d020a92https://doi.org/10.1038/s41440-026-02589-6
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