孕期应激会引发未折叠蛋白反应,从而导致心脏缺陷。

Gestational stress induces the unfolded protein response, resulting in heart defects.

作者信息

Shi Hongjun, O'Reilly Victoria C, Moreau Julie L M, Bewes Therese R, Yam Michelle X, Chapman Bogdan E, Grieve Stuart M, Stocker Roland, Graham Robert M, Chapman Gavin, Sparrow Duncan B, Dunwoodie Sally L

机构信息

The Victor Chang Cardiac Research Institute, Sydney, New South Wales 2010, Australia St Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney, New South Wales 2010, Australia.

The Victor Chang Cardiac Research Institute, Sydney, New South Wales 2010, Australia.

出版信息

Development. 2016 Jul 15;143(14):2561-72. doi: 10.1242/dev.136820.

Abstract

Congenital heart disease (CHD) is an enigma. It is the most common human birth defect and yet, even with the application of modern genetic and genomic technologies, only a minority of cases can be explained genetically. This is because environmental stressors also cause CHD. Here we propose a plausible non-genetic mechanism for induction of CHD by environmental stressors. We show that exposure of mouse embryos to short-term gestational hypoxia induces the most common types of heart defect. This is mediated by the rapid induction of the unfolded protein response (UPR), which profoundly reduces FGF signaling in cardiac progenitor cells of the second heart field. Thus, UPR activation during human pregnancy might be a common cause of CHD. Our findings have far-reaching consequences because the UPR is activated by a myriad of environmental or pathophysiological conditions. Ultimately, our discovery could lead to preventative strategies to reduce the incidence of human CHD.

摘要

先天性心脏病(CHD)是一个谜。它是最常见的人类出生缺陷,然而,即使应用现代遗传和基因组技术,也只有少数病例能够从基因角度得到解释。这是因为环境应激源也会导致先天性心脏病。在此,我们提出一种由环境应激源诱发先天性心脏病的合理非遗传机制。我们发现,将小鼠胚胎暴露于短期孕期缺氧环境会诱发最常见类型的心脏缺陷。这是由未折叠蛋白反应(UPR)的快速诱导介导的,该反应会显著降低第二心脏场心脏祖细胞中的FGF信号传导。因此,人类孕期UPR激活可能是先天性心脏病的常见病因。我们的发现具有深远影响,因为UPR会被多种环境或病理生理状况激活。最终,我们的发现可能会带来预防策略,以降低人类先天性心脏病的发病率。

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