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母体营养与后代骨质疏松症的发育起源:潜在机制与临床意义。

Maternal nutrition and the developmental origins of osteoporosis in offspring: Potential mechanisms and clinical implications.

机构信息

1 Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

2 Department of Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.

出版信息

Exp Biol Med (Maywood). 2018 Jun;243(10):836-842. doi: 10.1177/1535370218779024. Epub 2018 May 23.

Abstract

Osteoporosis, the most frequent metabolic disorder of bone, is a complex disease with a multifactorial origin that is influenced by genes and environments. However, the pathogenesis of osteoporosis has not been fully elucidated. The theory of "Developmental Origins of Health and Disease" indicates that early life environment exposure determines the risks of cardiometabolic diseases in adulthood. However, investigations into the effects of maternal nutrition and nutrition exposure during early life on the development of osteoporosis are limited. Recently, emerging evidence has strongly suggested that maternal nutrition has long-term influences on bone metabolism in offspring, and epigenetic modifications maybe the underlying mechanisms of this process. This review aimed to address maternal nutrition and its implications for the developmental origins of osteoporosis in offspring. It is novel in providing a theoretical basis for the early prevention of osteoporosis. Impact statement Our review aimed to address maternal nutrition and its implications for the developmental origins of osteoporosis in offspring, that can novelly provide a theoretical basis for the early prevention of osteoporosis.

摘要

骨质疏松症是最常见的骨骼代谢紊乱疾病,是一种具有多因素起源的复杂疾病,受基因和环境的影响。然而,骨质疏松症的发病机制尚未完全阐明。“健康与疾病的发育起源”理论表明,早期生活环境暴露决定了成年后患心脏代谢疾病的风险。然而,关于母体营养和生命早期营养暴露对骨质疏松症发展的影响的研究还很有限。最近,新出现的证据强烈表明,母体营养对后代的骨骼代谢有长期影响,表观遗传修饰可能是这一过程的潜在机制。本综述旨在探讨母体营养及其对子代骨质疏松症发育起源的影响。它为骨质疏松症的早期预防提供了理论依据,具有新颖性。

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