Hsu Chien-Ning, Tain You-Lin
Department of Pharmacy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.
School of Pharmacy, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Biomedicines. 2021 May 31;9(6):623. doi: 10.3390/biomedicines9060623.
Increasing evidence suggests that fetal programming through environmental exposure during a critical window of early life leads to long-term detrimental outcomes, by so-called developmental origins of health and disease (DOHaD). Hypertension can originate in early life. Animal models are essential for providing convincing evidence of a causal relationship between diverse early-life insults and the developmental programming of hypertension in later life. These insults include nutritional imbalances, maternal illnesses, exposure to environmental chemicals, and medication use. In addition to reviewing the various insults that contribute to hypertension of developmental origins, this review focuses on the benefits of animal models in addressing the underlying mechanisms by which early-life interventions can reprogram disease processes and prevent the development of hypertension. Our understanding of hypertension of developmental origins has been enhanced by each of these animal models, narrowing the knowledge gap between animal models and future clinical translation.
越来越多的证据表明,在生命早期的关键窗口期通过环境暴露进行的胎儿编程会导致长期的有害后果,即所谓的健康与疾病的发育起源(DOHaD)。高血压可能起源于生命早期。动物模型对于提供令人信服的证据,证明各种早期生活中的不良因素与后期高血压的发育编程之间的因果关系至关重要。这些不良因素包括营养失衡、母体疾病、接触环境化学物质以及药物使用。除了回顾导致发育起源性高血压的各种不良因素外,本综述还着重探讨了动物模型在揭示早期生活干预可重新编程疾病进程并预防高血压发生的潜在机制方面的益处。这些动物模型中的每一个都增进了我们对发育起源性高血压的理解,缩小了动物模型与未来临床转化之间的知识差距。