Limesand Sean W, Thornburg Kent L, Harding Jane E
S Limesand, Animal Sciences, University of Arizona, Tucson, 85719, United States.
K Thornburg, Heart Research Center, Oregon Health and Science University, Portland, 97239, United States.
J Endocrinol. 2019 May 1. doi: 10.1530/JOE-19-0227.
This special issue for the Journal of Endocrinology celebrates the 30th anniversary of David Barker's seminal findings that led to the scientific field of the Developmental Origins of Health and Disease (DOHaD). In 1989, Barker and colleagues reported that low birth weight and weight at one year, proxies for fetal growth restriction, were related to an individual's risk for developing hypertension and cardiovascular heart disease. Barker's initial epidemiological studies also demonstrated that low birth weight was predictive of later glucose intolerance, Type 2 Diabetes, and other metabolic-related diseases. As the developmental origins concept developed, the number of epidemiological studies continued to expand globally, consistently demonstrating the higher risk of developing chronic degenerative diseases if one was born small. In this thematic issue on the early origins of disease, there are a series of review articles and research papers that capture the impact of early events on endocrine systems, as major mechanisms underlying Barker's original observations. Importantly, over the past 30 years as the DOHaD concept has become widely accepted, we have seen it applied to an ever expanding breadth of human health problems. This expansion is evidenced by the growth of new model systems and establishment of new causal relationships in neuroendocrinology, reproductive systems, obesity, and behavior. The importance the DOHaD concept, its continued evolution, and new underlying mechanism are captured in the articles of this issue dedicated to Professor Barker's legacy.
《内分泌学杂志》的这一特刊庆祝大卫·巴克的开创性发现发表30周年,这些发现催生了健康与疾病的发育起源(DOHaD)这一科学领域。1989年,巴克及其同事报告称,低出生体重和一岁时的体重作为胎儿生长受限的指标,与个体患高血压和心血管疾病的风险相关。巴克最初的流行病学研究还表明,低出生体重可预测日后的葡萄糖耐量异常、2型糖尿病及其他代谢相关疾病。随着发育起源概念的发展,全球范围内的流行病学研究数量持续增加,始终表明出生时体重较轻者患慢性退行性疾病的风险更高。在这个关于疾病早期起源的专题中,有一系列综述文章和研究论文探讨了早期事件对内分泌系统的影响,这是巴克最初观察结果背后的主要机制。重要的是,在过去30年里,随着DOHaD概念被广泛接受,我们看到它被应用于越来越广泛的人类健康问题。新模型系统的发展以及神经内分泌学、生殖系统、肥胖症和行为学中新因果关系的建立证明了这种扩展。本期专门探讨巴克教授遗产的文章阐述了DOHaD概念的重要性、其持续演变及新的潜在机制。