López Miguel, Lage Ricardo, Mendieta Hugo, González Ruth, Diéguez Carlos
a Postdoctoral Research Associate, University of Santiago de Compostela, Department of Physiology, School of Medicine, c/ San Francisco s/n 15782. Santiago de Compostela (A Coruña), Spain.
b Student, University of Santiago de Compostela, Department of Physiology, School of Medicine, c/ San Francisco s/n 15782. Santiago de Compostela (A Coruña), Spain.
Expert Rev Endocrinol Metab. 2006 Sep;1(5):651-659. doi: 10.1586/17446651.1.5.651.
The prevalence of overweight and obesity in most developed countries has markedly increased during the last several decades. In addition to genetic, hormonal and metabolic influences, epigenetic environmental factors, such as fetal and neonatal nutrition, play a key role in the development of obesity. Interestingly, becoming overweight during critical developmental periods of fetal and/or neonatal life has been shown to continue throughout juvenile life into adulthood. In spite of this evidence, the specific biological mechanisms underlying this fetal/neonatal programming are not perfectly understood. However, it is clear that circulating hormones, such as insulin, leptin and ghrelin, play a critical role in the development and programming of hypothalamic circuits regulating food intake and bodyweight homeostasis.
在过去几十年中,大多数发达国家超重和肥胖的患病率显著上升。除了遗传、激素和代谢影响外,表观遗传环境因素,如胎儿和新生儿营养,在肥胖的发生发展中起关键作用。有趣的是,在胎儿和/或新生儿生命的关键发育时期超重已被证明会持续到青少年期直至成年。尽管有这些证据,但这种胎儿/新生儿编程背后的具体生物学机制尚未完全明了。然而,很明显,循环激素,如胰岛素、瘦素和胃饥饿素,在调节食物摄入和体重稳态的下丘脑回路的发育和编程中起关键作用。