Eberle Claudia, Ament Christoph
Medical Clinic and Policlinic IV, Ludwig Maximilian University of Munich, 80336 Munich, Germany ; Division of Endocrinology, Diabetes and Clinical Nutrition, University Hospital of Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland.
ISRN Pediatr. 2012;2012:975685. doi: 10.5402/2012/975685. Epub 2012 Nov 20.
A wealth of epidemiological, clinical, and experimental studies have been linked to poor intrauterine conditions as well as metabolic and associated cardiovascular changes postnatal. These are novel perspectives connecting the altered intrauterine milieu to a rising number of metabolic diseases, such as diabetes, obesity, and hypercholesterolemia as well as the Metabolic Syndrome (Met S). Moreover, metabolic associated atherosclerotic diseases are connected to perigestational maternal health. The "Thrifty Phenotype Hypothesis" introduced cross-generational links between poor conditions during gestation and metabolic as well as cardiovascular alterations postnatal. Still, mechanisms altering the intrauterine milieu causing metabolic and associated atherosclerotic diseases are currently poorly understood. This paper will give novel insights in fundamental concepts connected to specific molecular mechanisms "programming" diabetes and associated metabolic as well as cardiovascular diseases.
大量的流行病学、临床和实验研究表明,子宫内环境不佳以及出生后代谢和相关心血管变化之间存在关联。这些是将子宫内环境改变与越来越多的代谢性疾病联系起来的新观点,如糖尿病、肥胖症、高胆固醇血症以及代谢综合征(Met S)。此外,代谢相关的动脉粥样硬化疾病与围孕期母亲健康有关。“节俭表型假说”提出了孕期不良状况与出生后代谢及心血管改变之间的跨代联系。然而,目前人们对改变子宫内环境导致代谢和相关动脉粥样硬化疾病的机制了解甚少。本文将对与“编程”糖尿病及相关代谢和心血管疾病的特定分子机制相关的基本概念给出新的见解。