Abstract-There is considerable evidence that essential hypertension is closely linked to the growth, development, and aging of human beings. It is imperative, therefore, to introduce biological indicators of growth and aging into models developed to provide a better understanding of the etiology of essential hypertension. One of these indicators may well be the age-dependent telomere attrition rate in somatic cells. Telomere attrition registers the replicative history of somatic cells. As such, it chronicles not only the growth that results from the replication of somatic cells but also their turnover-a process that is strongly linked to inflammation and oxidative stress, which are key factors in the biology of human aging. Key Words: hypertension, essential Ⅲ aging Ⅲ genetics Ⅲ oxidative stress Ⅲ cardiovascular diseases
Genetic Information, Biological Meaning, and the Limits of Present Models of Essential HypertensionThe search for the causes of essential hypertension has recently produced a stream of reports about variant genes that may raise blood pressure in humans, yet only modest understanding has been gained about the genetic determinants of this complex human trait. For all their power and sophistication, molecular biology and computational genomics will be less helpful in elucidating the causes of essential hypertension if models constructed to explain this disorder are incomplete.Regardless of the question of what constitutes a gene, it is one thing to understand what a gene does; it is quite another to figure out the ultimate role of the gene in the broader context of the organism. This was clearly articulated by E.F. Keller, who states, "Recent developments in molecular biology have given us a new appreciation of the magnitude of the gap between genetic information and biological meaning." 1 When attempts are made to model the functional relevance of a gene by extrapolating from the cellular to the systemic levels, often the most obvious predictions turn out to be incorrect. The experience with "knockout" mice clearly illustrates this point. 2 Disabling a specific gene in a mouse does not always result in a living mouse that exhibits the anticipated phenotype based on a priori knowledge of gene function. Misunderstanding about the functions of the targeted gene only partially explains the failure to generate the anticipated phenotype. More often the unanticipated outcome relates to insufficient appreciation of the paramount effect of the biological milieu within which the targeted gene gives rise to phenotypic expressions. This is particularly applicable to complex genetic traits, which generally reflect the input of several or many genes that often interact, not only among themselves and with other genes, but also with the environment.Primary hypertension is classified as monogenic hypertension or essential hypertension. Monogenic forms of hypertension result from major gene mutations that primarily influence one biological system. 3 Each one of these mutations wreaks such physiological havoc that i...