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表观遗传学与慢性非传染性疾病的起源。

Epigenetics and early life origins of chronic noncommunicable diseases.

机构信息

Center on Early Life Origins of Disease, Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.

出版信息

J Adolesc Health. 2013 Feb;52(2 Suppl 2):S14-21. doi: 10.1016/j.jadohealth.2012.04.019.

Abstract

In light of the increasing threats of chronic noncommunicable diseases in developing countries, the growing recognition of the early life origins of chronic disease, and innovative breakthroughs in biomedical research and technology, it is imperative that we harness cutting-edge data to improve health promotion and maintenance. It is well recognized that chronic diseases are complex traits affected by a wide range of environmental and genetic factors; however, the role of epigenetic factors, particularly with regard to early life origins, remains largely unexplored. Given the unique properties of the epigenome-functionality during critical time windows, such as the intrauterine period, heritability, and reversibility-enhancing our understanding of epigenetic mechanisms may offer new opportunities for the development of novel early prediction and prevention paradigms. This may present an unparalleled opportunity to offer maternal and child health professionals important tools with the translational value to predict, detect, and prevent disease at an early age, long before its clinical occurrence, and as such, break lifelong and transgenerational cycles of disease. In doing so, modern technology can be leveraged to make great contributions to population health, quality of life, and reducing the burdensome economic costs of noncommunicable diseases in developing countries.

摘要

鉴于发展中国家慢性非传染性疾病威胁日益严重,人们越来越认识到慢性病的早期起源,以及生物医学研究和技术的创新突破,我们必须利用最新数据来改善健康促进和维持。人们普遍认识到,慢性病是受多种环境和遗传因素影响的复杂特征;然而,表观遗传因素的作用,特别是在早期起源方面,在很大程度上仍未得到探索。鉴于表观基因组在关键时间窗口(如宫内期)的功能、遗传性和可逆转性等独特特性,增强我们对表观遗传机制的理解可能为开发新的早期预测和预防范式提供新的机会。这可能为母婴健康专业人员提供重要工具,具有预测、检测和预防疾病的转化价值,在疾病临床发生之前及早发现疾病,从而打破疾病的终身和跨代循环。通过这样做,现代技术可以为人口健康、生活质量以及减少发展中国家非传染性疾病的沉重经济成本做出巨大贡献。

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