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Epigenetic mechanisms of perinatal programming of hypothalamic-pituitary-adrenal function and health
Michael J Meaney1, Moshe Szyf, Jonathan R Seckl
1McGill Program for Study of Genes, Environment and Health, McGill University, Montreal, Canada. michael.meaney@mcgill.ca
Insights
Maternal stress and undernutrition impact offspring health by affecting fetal growth and programming the hypothalamic-pituitary-adrenal (HPA) axis. These environmental factors influence birth weight and long-term metabolic and cardiovascular risks.
Area of Science:
- Reproductive biology
- Developmental neuroscience
- Endocrinology
Background:
- Environmental factors during pregnancy significantly influence maternal-fetal interactions.
- Maternal undernutrition and stress are linked to adverse birth outcomes like low birth weight.
- Low birth weight is a predictor of long-term metabolic and cardiovascular disease in offspring.
Purpose of the Study:
- To investigate the role of the hypothalamic-pituitary-adrenal (HPA) axis in mediating the effects of maternal adversity on offspring health.
- To elucidate how maternal physiological and behavioral changes program fetal HPA axis activity.
Main Methods:
- The study focuses on the mechanisms linking maternal environmental exposures to fetal development and HPA axis programming.
- Analysis involves understanding the role of adrenal glucocorticoids in mediating fetal growth responses to maternal stress.
- Investigates how maternal physiology and behavior alterations influence offspring HPA axis activity.
Main Results:
- Maternal adversity negatively impacts fetal growth, partly mediated by adrenal glucocorticoids.
- Environmental adversities alter maternal physiology and behavior.
- These maternal changes are implicated in programming the offspring's HPA axis activity.
Conclusions:
- The HPA axis is a key mediator of how maternal environmental factors affect offspring health outcomes.
- Maternal stress and undernutrition can lead to lasting health risks in offspring through developmental programming.
- Understanding these pathways is crucial for developing interventions to improve long-term health trajectories.
Abstract:
Environmental effects on the materno-foetal interaction determine birth outcomes that predict health over the lifespan. Thus, maternal undernutrition or stress associate with low birth weight, leading to an increased risk of metabolic and cardiovascular illness in the offspring. We argue that these effects are, in part, mediated by direct and indirect effects on the hypothalamic-pituitary-adrenal (HPA) axis such that (i) the effect of maternal adversity on foetal growth is mediated by adrenal glucocorticoids and (ii) environmental adversity alters maternal physiology and behaviour, which then programs HPA activity in the offspring.
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