Gluckman P D, Hanson M A
Centre for Human Evolution, Adaptation and Disease, Liggins Institute, University of Auckland, Auckland, New Zealand.
J Intern Med. 2007 May;261(5):461-71. doi: 10.1111/j.1365-2796.2007.01802.x.
The conceptual basis of the 'developmental origins' paradigm has converged on the role of developmental plasticity responding to signals from the early environment, with heightened risk of disease if the induced phenotype does not match the later environment. Nevertheless, numerous questions remain, including the current burden of disease that can be attributed to early environmental factors; the pathways, mechanisms and windows of plasticity; the identification of early markers of environmentally induced change; and the feasibility, costs and benefits of intervention. A focused agenda of research is needed to convince policy makers of the importance of developmental factors in human disease.
“发育起源”范式的概念基础已聚焦于发育可塑性对早期环境信号作出反应的作用,即如果诱导的表型与后期环境不匹配,疾病风险就会增加。然而,仍有许多问题存在,包括可归因于早期环境因素的当前疾病负担;可塑性的途径、机制和窗口期;环境诱导变化的早期标志物的识别;以及干预的可行性、成本和效益。需要一个重点突出的研究议程,以使政策制定者相信发育因素在人类疾病中的重要性。