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围产期激素印记异常的骨骼表现:综述

Bone Manifestation of Faulty Perinatal Hormonal Imprinting: A Review.

作者信息

Csaba G

机构信息

Department of Genetics, Cell and Immunobiology, Semmelweis University, Budapest, Hungary.

出版信息

Curr Pediatr Rev. 2019;15(1):4-9. doi: 10.2174/1573396315666181126110110.

Abstract

Hormonal imprinting takes place at the first encounter between the developing receptor and its target hormone and the encounter determines the receptor's binding capacity for life. In the critical period of development, when the window for imprinting is open, the receptor can be misdirected by related hormones, synthetic hormones, and industrial or communal endocrine disruptors which cause faulty hormonal imprinting with life-long consequences. Considering these facts, the hormonal imprinting is a functional teratogen provoking alterations in the perinatal (early postnatal) period. One single encounter with a low dose of the imprinter in the critical developmental period is enough for the formation of faulty imprinting, which is manifested later, in adult age. This has been justified in the immune system, in sexuality, in animal behavior and brain neurotransmitters etc. by animal experiments and human observations. This review points to the faulty hormonal imprinting in the case of bones (skeleton), by single or repeated treatments. The imprinting is an epigenetic alteration which is inherited to the progeny generations. From clinical aspect, the faulty imprinting can have a role in the pathological development of the bones as well, as in the risk of osteoporotic fractures, etc.

摘要

激素印记发生在发育中的受体与其靶激素首次相遇之时,且这种相遇决定了受体一生的结合能力。在发育的关键时期,即印记窗口开启时,受体可能会被相关激素、合成激素以及工业或公共内分泌干扰物误导,从而导致错误的激素印记,并产生终身后果。考虑到这些事实,激素印记是一种功能性致畸原,会在围产期(出生后早期)引发改变。在关键发育时期单次接触低剂量的印记物就足以形成错误的印记,这种印记会在成年后显现出来。动物实验和人体观察已在免疫系统、性行为、动物行为和脑神经递质等方面证实了这一点。本综述指出,通过单次或重复治疗,骨骼(骨架)会出现错误的激素印记。印记是一种表观遗传改变,会遗传给后代。从临床角度来看,错误的印记也可能在骨骼的病理发育中起作用,比如骨质疏松性骨折的风险等。

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