Department of Advanced Medical and Surgical Sciences (DAMSS), University of Campania "Luigi Vanvitelli,", Naples, Italy.
Pathology Unit, Department of Public Health, School of Medicine, University of Naples "Federico II,", Naples, Italy.
J Vasc Res. 2022;59(1):61-68. doi: 10.1159/000518513. Epub 2021 Sep 14.
Increasing evidence suggests that maternal cholesterol represents an important risk factor for atherosclerotic disease in offspring already during pregnancy, although the underlying mechanisms have not yet been elucidated. Eighteen human fetal aorta samples were collected from the spontaneously aborted fetuses of normal cholesterolemic and hypercholesterolemic mothers. Maternal total cholesterol levels were assessed during hospitalization. DNA methylation profiling of the whole SREBF2 gene CpG island was performed (p value <0.05). The Mann-Whitney U test was used for comparison between the 2 groups. For the first time, our study revealed that in fetal aortas obtained from hypercholesterolemic mothers, the SREBF2 gene shows 4 significant differentially hypermethylated sites in the 5'UTR-CpG island. This finding indicates that more effective long-term primary cardiovascular prevention programs need to be designed for the offspring of mothers with hypercholesterolemia. Further studies should be conducted to clarify the epigenetic mechanisms underlying the association between early atherogenesis and maternal hypercholesterolemia during pregnancy.
越来越多的证据表明,母体胆固醇是后代在妊娠期间发生动脉粥样硬化疾病的一个重要危险因素,尽管其潜在机制尚未阐明。本研究从正常胆固醇血症和高胆固醇血症母亲自然流产的胎儿中收集了 18 个人类胎儿主动脉样本。在住院期间评估了母体总胆固醇水平。对整个 SREBF2 基因 CpG 岛的 DNA 甲基化谱进行了分析(p 值 <0.05)。使用 Mann-Whitney U 检验比较了两组。本研究首次揭示,在从高胆固醇血症母亲获得的胎儿主动脉中,SREBF2 基因在 5'UTR-CpG 岛中显示出 4 个明显的超甲基化差异位点。这一发现表明,需要为高胆固醇血症母亲的后代设计更有效的长期一级心血管预防计划。应进一步开展研究,以阐明妊娠期间早期动脉粥样硬化形成与母体高胆固醇血症之间的表观遗传机制。