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母孕期应激和延髓多巴胺代谢改变对子代心血管的年龄和性别依赖性影响。

Age- and sex-dependent cardiovascular impact of maternal perinatal stress and altered dopaminergic metabolism in the medulla oblongata of the offspring.

机构信息

Laboratory of Centre for Preclinical Research, Department of Experimental and Clinical Physiology, Medical University of Warsaw, Warsaw, Poland.

Department of Coronary Artery Disease and Cardiac Rehabilitation, National Institute of Cardiology, Warsaw, Poland.

出版信息

Am J Physiol Heart Circ Physiol. 2024 Sep 1;327(3):H614-H630. doi: 10.1152/ajpheart.00548.2023. Epub 2024 Jul 19.

Abstract

Maternal major depressive disorder with peripartum onset presents health risks to the mother and the developing fetus. Using a rat model of chronic mild stress, we previously reported on the neurodevelopmental impact of maternal perinatal stress on their offspring. This study examined the cardiovascular impact of maternal perinatal stress on their offspring. The cardiovascular impact was assessed in terms of blood pressure and echocardiographic parameters. The results examined by a three-way ANOVA showed a significant association of cardiovascular parameters with maternal perinatal stress and offspring sex and age. Increased blood pressure was observed in adolescent female and adult male offspring of stress-exposed dams. Echocardiography showed an increase in left atrial dimension and a reduction in left ventricular systolic function in adolescent stress-exposed female offspring. Increased interventricular septum thickness at end-diastole and left ventricular diastolic dysfunction were observed in adult stress-exposed male offspring. The underlying mechanisms of cardiovascular impact were examined in stress-exposed adult offspring by assessing the levels of neurotransmitters and their metabolites in the medulla oblongata using high-performance liquid chromatography. A significant decrease in homovanillic acid, a dopamine metabolite and indicator of dopaminergic activity, was observed in adult stress-exposed female offspring. These results suggest a significant sex- and age-dependent impact of maternal stress during the peripartum period on the cardiovascular system in the offspring that extends to adulthood and suggests a multigenerational effect. The presented data urgently need follow-up to confirm their potential clinical and public health relevance. We demonstrate that maternal perinatal stress is associated with sex- and age-dependent impact on the cardiovascular system in their offspring. The effect was most significant in adolescent female and adult male offspring. Observed changes in hemodynamic parameters and dopaminergic activity of the medulla oblongata are novel results relevant to understanding the cardiovascular impact of maternal perinatal stress on the offspring. The cardiovascular changes observed in adult offspring suggest a potential long-term, multigenerational impact of maternal perinatal stress.

摘要

围产期发病的产妇重度抑郁症会对母亲和发育中的胎儿带来健康风险。我们曾使用慢性轻度应激大鼠模型,报告过围产期母体应激对后代的神经发育影响。本研究检测了母体围产期应激对后代心血管的影响。心血管影响通过血压和超声心动图参数进行评估。三因素方差分析的结果表明,心血管参数与母体围产期应激、后代性别和年龄显著相关。应激暴露母鼠的青春期雌性和成年雄性后代的血压升高。超声心动图显示,青春期应激暴露雌性后代的左心房内径增加,左心室收缩功能降低。成年应激暴露雄性后代的舒张末期室间隔厚度增加,左心室舒张功能障碍。通过高效液相色谱法评估延髓神经递质及其代谢物水平,检测到应激暴露成年后代的心血管影响的潜在机制。应激暴露成年雌性后代的多巴胺代谢产物高香草酸(homovanillic acid)显著降低,这是多巴胺活性的指标。这些结果表明,围产期母体应激对后代心血管系统具有显著的性别和年龄依赖性影响,这种影响会持续到成年期,并暗示存在多代效应。目前迫切需要进一步的研究来确认其潜在的临床和公共卫生相关性。我们的研究表明,母体围产期应激与后代心血管系统的性别和年龄依赖性影响有关。在青春期雌性和成年雄性后代中,这种影响最为显著。观察到的血流动力学参数和延髓多巴胺能活性的变化是理解母体围产期应激对后代心血管影响的新结果。成年后代中观察到的心血管变化提示母体围产期应激可能存在长期的、多代的影响。

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