The mechanisms linking hypertension to cognitive decline remain unclear. Schaeffer et al. show that angiotensin II damages endothelium, oligodendrocyte precursors, and interneurons via AT1 signaling, independent of blood pressure. Targeting this pathway may protect the brain beyond pressure control alone.1.
Reid et al. (2026) studied this question. Angiotensin II drives early brain injury by damaging endothelium, oligodendrocyte precursors, and interneurons via AT1 signaling, independent of blood pressure.