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Nutrient-restricted fetus and the cardio-renal connection in hypertensive offspring
Jeffrey S Gilbert1, Laura A Cox, Graham Mitchell
1Department of Obstetrics and Gynecology, Center for Pregnancy and Newborn Research, University of Texas Health Science Center, San Antonio, TX 78229, USA. gilbertj@uthscsa.edu
Insights
A poor fetal environment increases offspring's risk for hypertension and cardiovascular disease. Research explores mechanisms and potential therapies for these developmental origins of disease.
Area of Science:
- Developmental biology
- Cardiovascular science
- Public health
Background:
- A suboptimal intrauterine environment negatively impacts fetal development and postpartum health.
- Epidemiological studies link socioeconomic status and low birth weight to increased incidence of hypertension, diabetes, obesity, and cardiovascular disease.
- Maternal stressors in animal models affect fetal development, leading to elevated offspring blood pressure.
Purpose of the Study:
- To review recent research on the link between suboptimal intrauterine conditions and cardiovascular/renal phenotypes.
- To refine hypotheses regarding the developmental origins of hypertension and cardiovascular disease.
- To highlight the need for therapeutic strategies to mitigate these risks.
Main Methods:
- Review of epidemiological and experimental studies.
- Analysis of mechanisms contributing to hypertension (vascular dysfunction, altered cardio-renal function).
- Examination of animal models of developmental hypertension.
Main Results:
- Suboptimal intrauterine environments contribute to vascular dysfunction and altered cardio-renal structure/function in offspring.
- These changes increase susceptibility to hypertension and cardiovascular disease.
- Several mechanisms are implicated in the development of hypertension.
Conclusions:
- A suboptimal intrauterine environment is a significant risk factor for developing hypertension and cardiovascular disease.
- Understanding these developmental origins is crucial for identifying therapeutic targets.
- Further research is needed to develop interventions to ameliorate these adverse outcomes.
Abstract:
A suboptimal intrauterine environment has a number of deleterious effects on fetal development and postpartum health outcomes. Epidemiological studies on several human populations have linked socioeconomic status and low birth weight to an increased incidence of diseases such as hypertension, diabetes, obesity and cardiovascular disease. A growing number of experimental studies in a variety of animal models demonstrate that maternal stressors, such as nutrition and reduced uterine perfusion, affect the intrauterine milieu and result in increased blood pressure in offspring. Several mechanisms appear to contribute to hypertension, including vascular dysfunction and increased peripheral resistance, altered cardio-renal structure and alterations in cardio-renal function. Although many studies have characterized models of developmentally generated hypertension, few have begun to seek therapeutic modalities to ameliorate its incidence. This review discusses recent work that refines hypotheses linking a suboptimal intrauterine environment to cardiovascular and renal phenotypes that have increased susceptibility to cardiovascular disease and hypertension.
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