Greco Emanuela A, Lenzi Andrea, Migliaccio Silvia, Gessani Sandra
Section of Medical Pathophysiology, Endocrinology and Food Sciences, Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Department of Movement, Human and Health Sciences, Foro Italico University of Rome, Rome, Italy.
Front Genet. 2019 Sep 11;10:795. doi: 10.3389/fgene.2019.00795. eCollection 2019.
Metabolic chronic diseases, also named noncommunicable diseases (NCDs), are considered multifactorial pathologies, which are dramatically increased during the last decades. Noncommunicable diseases such as cardiovascular diseases, obesity, diabetes mellitus, cancers, and chronic respiratory diseases markedly increase morbidity, mortality, and socioeconomic costs. Moreover, NCDs induce several and complex clinical manifestations that lead to a gradual deterioration of health status and quality of life of affected individuals. Multiple factors are involved in the development and progression of these diseases such as sedentary behavior, smoking, pollution, and unhealthy diet. Indeed, nutrition has a pivotal role in maintaining health, and dietary imbalances represent major determinants favoring chronic diseases through metabolic homeostasis alterations. In particular, it appears that specific nutrients and adequate nutrition are important in all periods of life, but they are essential during specific times in early life such as prenatal and postnatal phases. Indeed, epidemiologic and experimental studies report the deleterious effects of an incorrect nutrition on health status several decades later in life. During the last decade, a growing interest on the possible role of epigenetic mechanisms as link between nutritional imbalances and NCDs development has been observed. Finally, because of the pivotal role of the hormones in fat, carbohydrate, and protein metabolism regulation throughout life, it is expected that any hormonal modification of these processes can imbalance metabolism and fat storage. Therefore, a particular interest to several chemicals able to act as endocrine disruptors has been recently developed. In this review, we will provide an overview and discuss the epigenetic role of some specific nutrients and chemicals in the modulation of physiological and pathological mechanisms.
代谢性慢性疾病,也称为非传染性疾病(NCDs),被认为是多因素病理状态,在过去几十年中显著增加。心血管疾病、肥胖症、糖尿病、癌症和慢性呼吸道疾病等非传染性疾病显著增加了发病率、死亡率和社会经济成本。此外,非传染性疾病会引发多种复杂的临床表现,导致受影响个体的健康状况和生活质量逐渐恶化。这些疾病的发生和发展涉及多种因素,如久坐不动、吸烟、污染和不健康饮食。事实上,营养在维持健康方面起着关键作用,饮食不均衡通过代谢稳态改变成为引发慢性病的主要决定因素。特别是,特定营养素和充足的营养在生命的各个阶段都很重要,但在生命早期的特定时期,如产前和产后阶段,它们至关重要。的确,流行病学和实验研究报告了不正确的营养在几十年后的生命中对健康状况的有害影响。在过去十年中,人们越来越关注表观遗传机制作为营养失衡与非传染性疾病发展之间联系的可能作用。最后,由于激素在一生中对脂肪、碳水化合物和蛋白质代谢调节中起着关键作用,预计这些过程的任何激素改变都可能使代谢和脂肪储存失衡。因此,最近人们对几种能够充当内分泌干扰物的化学物质产生了特别的兴趣。在这篇综述中,我们将概述并讨论一些特定营养素和化学物质在调节生理和病理机制方面的表观遗传作用。