Department of Molecular Genetics, University of Toronto, Toronto, ON, Canada.
Division of Newborn Medicine, Department of Medicine, Boston Children's Hospital, Boston, MA, USA.
J Perinatol. 2021 May;41(5):928-939. doi: 10.1038/s41372-020-00871-0. Epub 2020 Nov 28.
There is growing clinical and experimental evidence to suggest that maternal obesity increases children's susceptibility to neurodevelopmental and neuropsychiatric disorders. Given the worldwide obesity epidemic, it is crucial that we acquire a thorough understanding of the available evidence, identify gaps in knowledge, and develop an agenda for intervention. This review synthesizes human and animal studies investigating the association between maternal obesity and offspring brain health. It also highlights key mechanisms underlying these effects, including maternal and fetal inflammation, alterations to the microbiome, epigenetic modifications of neurotrophic genes, and impaired dopaminergic and serotonergic signaling. Lastly, this review highlights several proposed interventions and priorities for future investigation.
越来越多的临床和实验证据表明,母亲肥胖会增加儿童患神经发育和神经精神疾病的易感性。鉴于全球肥胖症的流行,我们必须彻底了解现有证据,发现知识空白,并制定干预议程。这篇综述综合了人类和动物研究,探讨了母亲肥胖与后代大脑健康之间的关联。它还强调了这些影响的关键机制,包括母体和胎儿炎症、微生物组的改变、神经营养基因的表观遗传修饰以及多巴胺能和 5-羟色胺能信号的受损。最后,这篇综述强调了一些提出的干预措施和未来研究的重点。