Mo Jiaying, Liu Xuanqi, Huang Yutong, He Renke, Zhang Yu, Huang Hefeng
Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.
The Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Med Rev (2021). 2022 Nov 11;2(5):450-470. doi: 10.1515/mr-2022-0027. eCollection 2022 Oct.
The occurrence and mechanisms of developmental adult diseases have gradually attracted attention in recent years. Exposure of gametes and embryos to adverse environments, especially during plastic development, can alter the expression of certain tissue-specific genes, leading to increased susceptibility to certain diseases in adulthood, such as diabetes, cardiovascular disease, neuropsychiatric, and reproductive system diseases, etc. The occurrence of chronic disease in adulthood is partly due to genetic factors, and the remaining risk is partly due to environmental-dependent epigenetic information alteration, including DNA methylation, histone modifications, and noncoding RNAs. Changes in this epigenetic information potentially damage our health, which has also been supported by numerous epidemiological and animal studies in recent years. Environmental factors functionally affect embryo development through epimutation, transmitting diseases to offspring and even later generations. This review mainly elaborated on the concept of developmental origins of adult diseases, and revealed the epigenetic mechanisms underlying these events, discussed the theoretical basis for the prevention and treatment of related diseases.
近年来,成年期发育性疾病的发生及其机制逐渐受到关注。配子和胚胎暴露于不良环境中,尤其是在可塑性发育期间,可改变某些组织特异性基因的表达,导致成年后对某些疾病的易感性增加,如糖尿病、心血管疾病、神经精神疾病和生殖系统疾病等。成年期慢性病的发生部分归因于遗传因素,其余风险部分归因于环境依赖性表观遗传信息改变,包括DNA甲基化、组蛋白修饰和非编码RNA。这种表观遗传信息的变化可能损害我们的健康,近年来众多的流行病学和动物研究也证实了这一点。环境因素通过表观突变在功能上影响胚胎发育,将疾病传递给后代甚至更晚的世代。本综述主要阐述了成年期疾病发育起源的概念,揭示了这些事件背后的表观遗传机制,探讨了相关疾病防治的理论基础。