The concept of crosstalk-directed embryological target mining and its application to essential hypertension treatment failures

J Clin Hypertens (Greenwich). 2017 May;19(5):530-533. doi: 10.1111/jch.12978. Epub 2017 Feb 21.

Abstract

This review aims to introduce the novel concept of embryological target mining applied to interorgan crosstalk network genesis, and applies embryological target mining to multidrug-resistant essential hypertension (a prototype, complex, undertreated, multiorgan systemic syndrome) to uncover new treatment targets and critique why existing strategies fail. Briefly, interorgan crosstalk pathways represent the next frontier for target mining in molecular medicine. This is because stereotyped stepwise organogenesis presents a unique opportunity to infer interorgan crosstalk pathways that may be crucial to discovering novel treatment targets. Insights gained from this review will be applied to patient management in a clinician-directed fashion.

Keywords: denervation; hypertension resistant to conventional therapy; hypertension, essential; radiology, interventional.

Publication types

  • Review

MeSH terms

  • Data Mining / methods*
  • Dopaminergic Neurons / drug effects
  • Drug Resistance
  • Embryology
  • Essential Hypertension / drug therapy*
  • Essential Hypertension / metabolism
  • Humans
  • Kidney / innervation
  • Kidney / physiopathology
  • Kidney / surgery
  • Molecular Medicine / methods*
  • Organogenesis
  • Thiazides / therapeutic use
  • Treatment Failure*
  • Tretinoin / metabolism

Substances

  • Thiazides
  • Tretinoin