Women's Reproductive Health Research Center, Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Department of Microbiology, Immunology and Physiology, Meharry Medical College, Nashville, TN 37208, USA.
Mar Drugs. 2023 Feb 27;21(3):161. doi: 10.3390/md21030161.
New bronchopulmonary dysplasia (BPD) is a neonatal disease that is theorized to begin in utero and manifests as reduced alveolarization due to inflammation of the lung. Risk factors for new BPD in human infants include intrauterine growth restriction (IUGR), premature birth (PTB) and formula feeding. Using a mouse model, our group recently reported that a paternal history of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) exposure increased his offspring's risk of IUGR, PTB, and new BPD. Additionally, formula supplementation of these neonates worsened the severity of pulmonary disease. In a separate study, we reported that a paternal preconception fish oil diet prevented TCDD-driven IUGR and PTB. Not surprisingly, eliminating these two major risk factors for new BPD also significantly reduced development of neonatal lung disease. However, this prior study did not examine the potential mechanism for fish oil's protective effect. Herein, we sought to determine whether a paternal preconception fish oil diet attenuated toxicant-associated lung inflammation, which is an important contributor to the pathogenesis of new BPD. Compared to offspring of standard diet TCDD-exposed males, offspring of TCDD-exposed males provided a fish oil diet prior to conception exhibited a significant reduction in pulmonary expression of multiple pro-inflammatory mediators (, , ). Additionally, neonatal lungs of pups born to fish oil treated fathers exhibited minimal hemorrhaging or edema. Currently, prevention of BPD is largely focused on maternal strategies to improve health (e.g., smoking cessation) or reduce risk of PTB (e.g., progesterone supplementation). Our studies in mice support a role for also targeting paternal factors to improve pregnancy outcomes and child health.
新的支气管肺发育不良(BPD)是一种新生儿疾病,据推测它始于宫内,并表现为由于肺部炎症导致的肺泡化减少。人类婴儿新 BPD 的危险因素包括宫内生长受限(IUGR)、早产(PTB)和配方奶喂养。我们的研究小组最近使用小鼠模型报告称,父亲有 2,3,7,8-四氯二苯并对二恶英(TCDD)暴露史会增加其后代发生 IUGR、PTB 和新 BPD 的风险。此外,这些新生儿的配方奶补充会加重肺部疾病的严重程度。在另一项研究中,我们报告称,父亲在受孕前食用鱼油可以预防 TCDD 引起的 IUGR 和 PTB。毫不奇怪,消除新 BPD 的这两个主要危险因素也显著降低了新生儿肺部疾病的发生。然而,之前的研究并没有检查鱼油保护作用的潜在机制。在这里,我们试图确定父亲在受孕前的鱼油饮食是否减轻了与毒物相关的肺部炎症,这是新 BPD 发病机制的一个重要因素。与标准饮食 TCDD 暴露雄性后代的后代相比,TCDD 暴露雄性的后代在受孕前给予鱼油饮食表现出多个促炎介质(、、)在肺部表达的显著减少。此外,来自鱼油处理父亲的新生儿的肺部几乎没有出血或水肿。目前,BPD 的预防主要集中在改善母亲健康(例如戒烟)或降低 PTB 风险(例如孕激素补充)的策略上。我们在小鼠中的研究支持也针对父亲因素来改善妊娠结局和儿童健康的作用。