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围产期损伤影响海马的发育、形态和功能 二部分:临床前研究。

Perinatal compromise affects development, form, and function of the hippocampus part two; preclinical studies.

机构信息

The Ritchie Centre, Hudson Institute of Medical Research, Clayton, VIC, Australia.

Department of Obstetrics and Gynaecology, Monash University, Clayton, VIC, Australia.

出版信息

Pediatr Res. 2024 Jun;95(7):1709-1719. doi: 10.1038/s41390-024-03144-0. Epub 2024 Mar 22.

Abstract

The hippocampus is a vital brain structure deep in the medial temporal lobe that mediates a range of functions encompassing emotional regulation, learning, memory, and cognition. Hippocampal development is exquisitely sensitive to perturbations and adverse conditions during pregnancy and at birth, including preterm birth, fetal growth restriction (FGR), acute hypoxic-ischaemic encephalopathy (HIE), and intrauterine inflammation. Disruptions to hippocampal development due to these conditions can have long-lasting functional impacts. Here, we discuss a range of preclinical models of prematurity and FGR and conditions that induce hypoxia and inflammation, which have been critical in elucidating the underlying mechanisms and cellular and subcellular structures implicated in hippocampal dysfunction. Finally, we discuss potential therapeutic targets to reduce the burden of these perinatal insults on the developing hippocampus. IMPACT: The review explores the preclinical literature examining the association between pregnancy and birth complications, and hippocampal form and function. The developmental processes and cellular mechanisms that are disrupted within the hippocampus following perinatal compromise are described, and potential therapeutic targets are discussed.

摘要

海马体是位于内侧颞叶深部的一个重要脑结构,介导着一系列功能,包括情绪调节、学习、记忆和认知。海马体的发育对妊娠和出生期间的各种干扰和不利条件非常敏感,包括早产、胎儿生长受限(FGR)、急性缺氧缺血性脑病(HIE)和宫内炎症。这些情况导致的海马体发育障碍可能会产生持久的功能影响。在这里,我们讨论了一系列早产和 FGR 的临床前模型,以及诱导缺氧和炎症的情况,这些模型对于阐明与海马体功能障碍相关的潜在机制以及涉及的细胞和亚细胞结构至关重要。最后,我们讨论了潜在的治疗靶点,以减轻这些围产期损伤对发育中海马体的负担。影响:本综述探讨了检查妊娠和分娩并发症与海马体形态和功能之间关联的临床前文献。描述了围产期损伤后海马体内部被破坏的发育过程和细胞机制,并讨论了潜在的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef5/11245392/1325ac37e2b2/41390_2024_3144_Fig1_HTML.jpg

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