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克服宫内生长受限所致代谢综合征的治疗进展

Therapeutic advances in overcoming intrauterine growth restriction induced metabolic syndrome.

作者信息

Mutamba Alpha Kalonda, He Xiaori, Wang Tao

机构信息

Department of Pediatrics, Neonatology, The Second Xiangya Hospital, Central South University, Changsha, China.

Laboratory of Neonatal Disease, Institute of Pediatrics, Central South University, Changsha, China.

出版信息

Front Pediatr. 2023 Jan 11;10:1040742. doi: 10.3389/fped.2022.1040742. eCollection 2022.

Abstract

Intrauterine growth restriction (IUGR) remains a great public health challenge as it affects neonatal survival and influences their normal biological development and metabolism. Several clinical researches have revealed the occurrence of metabolic syndrome, such as insulin resistance, obesity, type 2 diabetes mellitus, oxidative stress, dyslipidemia, as direct results of IUGR. Therefore, it is essential to understand its underlying mechanism, impact and develop effective therapies. The purpose of this work is to review the current knowledge on IUGR induced metabolic syndrome and relevant therapies. Here in, we elaborate on the characteristics and causes of IUGR by pointing out recent research findings. Furthermore, we discuss the impact of IUGR on different organs of the body, followed by preclinical studies on IUGR using suitable animal models. Additionally, various metabolic disorders with their genetic implications, such as insulin resistance, type 2 diabetes mellitus, dyslipidemia, obesity are detailed. Finally, the current therapeutic options used in the treatment of IUGR are summarized with some prospective therapies highlighted.

摘要

宫内生长受限(IUGR)仍然是一个重大的公共卫生挑战,因为它影响新生儿存活,并影响其正常的生物学发育和新陈代谢。多项临床研究表明,代谢综合征的出现,如胰岛素抵抗、肥胖、2型糖尿病、氧化应激、血脂异常,是IUGR的直接后果。因此,了解其潜在机制、影响并开发有效的治疗方法至关重要。这项工作的目的是综述目前关于IUGR诱导的代谢综合征及相关治疗方法的知识。在此,我们通过指出最近的研究发现来阐述IUGR的特征和病因。此外,我们讨论IUGR对身体不同器官的影响,随后是使用合适动物模型对IUGR进行的临床前研究。此外,还详细介绍了各种代谢紊乱及其遗传影响,如胰岛素抵抗、2型糖尿病、血脂异常、肥胖。最后,总结了目前用于治疗IUGR的治疗选择,并强调了一些前瞻性治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff59/9875160/e1a746c8c2f7/fped-10-1040742-g001.jpg

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