Department of Pediatrics and European Laboratory for the Investigation of Food Induced Diseases, University of Naples 'Federico II', Naples, Italy.
Nutr Res Rev. 2011 Dec;24(2):198-205. doi: 10.1017/S0954422411000102. Epub 2011 Oct 18.
A growing number of studies focusing on the developmental origin of health and disease hypothesis have identified links among early nutrition, epigenetic processes and diseases also in later life. Different epigenetic mechanisms are elicited by dietary factors in early critical developmental ages that are able to affect the susceptibility to several diseases in adulthood. The studies here reviewed suggest that maternal and neonatal diet may have long-lasting effects in the development of non-communicable chronic adulthood diseases, in particular the components of the so-called metabolic syndrome, such as insulin resistance, type 2 diabetes, obesity, dyslipidaemia, hypertension, and CVD. Both maternal under- and over-nutrition may regulate the expression of genes involved in lipid and carbohydrate metabolism. Early postnatal nutrition may also represent a vital determinant of adult health by making an impact on the development and function of gut microbiota. An inadequate gut microbiota composition and function in early life seems to account for the deviant programming of later immunity and overall health status. In this regard probiotics, which have the potential to restore the intestinal microbiota balance, may be effective in preventing the development of chronic immune-mediated diseases. More recently, the epigenetic mechanisms elicited by probiotics through the production of SCFA are hypothesised to be the key to understand how they mediate their numerous health-promoting effects from the gut to the peripheral tissues.
越来越多的研究关注健康和疾病发生的起源假说,这些研究已经确定了早期营养、表观遗传过程和晚年疾病之间的联系。不同的表观遗传机制是由早期关键发育时期的饮食因素引发的,这些机制能够影响成年后多种疾病的易感性。本综述中的研究表明,母体和新生儿的饮食可能对非传染性慢性成年疾病的发展具有持久影响,特别是所谓的代谢综合征的成分,如胰岛素抵抗、2 型糖尿病、肥胖、血脂异常、高血压和心血管疾病。母体营养不足和营养过剩都可能调节参与脂质和碳水化合物代谢的基因的表达。早期的产后营养也可能通过影响肠道微生物群的发育和功能对成年健康产生重要影响。在生命早期,肠道微生物群组成和功能的不足似乎导致了后来免疫和整体健康状况的异常编程。在这方面,益生菌具有恢复肠道微生物群平衡的潜力,可能有助于预防慢性免疫介导性疾病的发生。最近,益生菌通过产生短链脂肪酸引发的表观遗传机制被假设为理解它们如何从中肠到外周组织发挥其众多促进健康作用的关键。