Bezek Stefan, Ujhazy Eduard, Dubovicky Michal, Mach Mojmir
Institute of Experimental Pharmacology, Slovak Academy of Sciences, Bratislava, Slovakia.
Neuro Endocrinol Lett. 2008 Oct;29(5):620-6.
Foetal growth from conception to birth is a complex process predetermined by the genetic configuration of the foetus, the availability of nutrients and oxygen to the foetus, maternal nutrition and various growth factors and hormones of maternal, foetal and placental origin. Maintenance of the optimal foetal environment is the key factor of the future quality of life. Such conditions like inadequate nutrition and oxygen supply, infection, hypertension, gestational diabetes or drug abuse by the mother, expose the foetus to nonphysiological environment. In conditions of severe intrauterine deprivation, there is a potential loss of structural units within the developing organ systems affecting their functionality and efficiency. Extensive human epidemiologic and animal model data indicate that during critical periods of prenatal and postnatal mammalian development, nutrition and other environmental stimuli influence developmental pathways and thereby induce permanent changes in metabolism and chronic disease susceptibility. The studies reviewed in this article show how environmental factors influence a diverse array of molecular mechanisms and consequently alter disease risk including diseases such as metabolic syndrome and cardiovascular diseases, insulin resistance and diabetes mellitus, neuropsychiatric disorders, osteoporosis, asthma and immune system diseases.
从受孕到出生,胎儿的生长是一个复杂的过程,由胎儿的基因构成、胎儿可获得的营养和氧气、母体营养以及母体、胎儿和胎盘来源的各种生长因子和激素预先决定。维持最佳的胎儿环境是未来生活质量的关键因素。诸如营养和氧气供应不足、感染、高血压、妊娠期糖尿病或母亲药物滥用等情况,会使胎儿暴露于非生理环境中。在严重的宫内剥夺情况下,发育中的器官系统内的结构单元可能会损失,从而影响其功能和效率。大量的人类流行病学和动物模型数据表明,在哺乳动物产前和产后发育的关键时期,营养和其他环境刺激会影响发育途径,从而导致新陈代谢的永久性变化和慢性病易感性。本文所综述的研究表明,环境因素如何影响各种各样的分子机制,进而改变疾病风险,包括代谢综合征和心血管疾病、胰岛素抵抗和糖尿病、神经精神疾病、骨质疏松症、哮喘和免疫系统疾病等。