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[健康与成人疾病的发育起源(DOHaD):三十多年来一个概念的演变]

[Developmental origin of health and adult diseases (DOHaD): evolution of a concept over three decades].

作者信息

Charles Marie-Aline, Delpierre Cyrille, Bréant Bernadette

机构信息

Inserm, UMR1153, centre de recherche en épidémiologie et biostatistiques, Sorbonne Paris-Cité (CRESS), équipe de recherche sur les origines précoces de la santé et du développement de l'enfant; Paris Descartes université, 16, avenue Paul Vaillant Couturier, F-94807 Villejuif, France.

UMR1027, université Toulouse III, équipe cancer et maladies chroniques : inégalités sociales de santé, accès primaire et secondaire aux soins, 37, allées Jules Guesde, 31069 Toulouse, France.

出版信息

Med Sci (Paris). 2016 Jan;32(1):15-20. doi: 10.1051/medsci/20163201004. Epub 2016 Feb 5.

Abstract

In the 1980s, D. Barker and his team proposed the hypothesis of a fetal origin of adult diseases. The concept subsequently evolved into the developmental origins of health and diseases. Progresses in various domains such as social epidemiology, neuroscience, toxicology have contributed to establish the early years of life as a key period for future health. Finally, epigenetics has provided biological plausibility to long-term programming of health by early exposures. The convergence of all these currents has led to conceptualize human health in a complex and dynamic continuum, the Lifecourse Health Development, beginning in the prenatal period and covering the whole life. Many animal models have been developed to try to unravel the mechanisms involved. Their contributions are described in this paper with the example of type 2 diabetes.

摘要

20世纪80年代,D. 巴克及其团队提出了成人疾病胎儿起源假说。这一概念随后演变为健康与疾病的发育起源。社会流行病学、神经科学、毒理学等各个领域的进展促使人们将生命早期确立为未来健康的关键时期。最后,表观遗传学为早期暴露对健康的长期编程提供了生物学合理性依据。所有这些潮流的汇聚使得人们将人类健康概念化为一个复杂且动态的连续体,即生命历程健康发展,始于孕期并贯穿一生。人们已经开发了许多动物模型来试图揭示其中涉及的机制。本文以2型糖尿病为例描述了它们的贡献。

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