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The Peter Pan paradigm
J Craig Cohen1, Janet E Larson
1The Brady Laboratory, Section of Neonatology, Department of Pediatrics, Stony Brook University Medical Center, Stony Brook, NY 11794, USA. jcraig.cohen@stonybrook.edu
Abstract:
Genetic and environmental agents that disrupt organogenesis are numerous and well described. Less well established, however, is the role of delay in the developmental processes that yield functionally immature tissues at birth. Evidence is mounting that organs do not continue to develop postnatally in the context of these organogenesis insults, condemning the patient to utilize under-developed tissues for adult processes. These poorly differentiated organs may appear histologically normal at birth but with age may deteriorate revealing progressive or adult-onset pathology. The genetic and molecular underpinning of the proposed paradigm reveals the need for a comprehensive systems biology approach to evaluate the role of maternal-fetal environment on organogenesis."You may delay, but time will not" Benjamin Franklin, USA Founding Father.
Insights
Developmental delays during organogenesis can lead to functionally immature tissues at birth. These under-developed organs may present as normal initially but can cause progressive adult-onset pathology, necessitating a systems biology approach.
Area of Science:
- Developmental biology
- Pathology
- Systems biology
Background:
- Organogenesis can be disrupted by genetic and environmental factors.
- The impact of developmental delays on postnatal organ function is not well understood.
- Impaired organ development may lead to delayed-onset or progressive adult pathologies.
Purpose of the Study:
- To explore the role of delayed development in organogenesis.
- To investigate the long-term consequences of functionally immature tissues at birth.
- To highlight the need for a systems biology approach in studying the maternal-fetal environment's impact on organ development.
Main Methods:
- Review of existing evidence on organogenesis insults.
- Analysis of the progression of pathology in under-developed organs.
- Conceptual framework for a systems biology approach.
Main Results:
- Delayed development, rather than direct insults, can result in functionally immature organs.
- These organs may exhibit normal histology at birth but deteriorate with age.
- Progressive or adult-onset pathology can arise from early developmental delays.
Conclusions:
- Developmental timing is critical for ensuring mature organ function.
- Under-developed organs pose a risk for future health complications.
- A comprehensive systems biology approach is required to understand the maternal-fetal environment's influence on organogenesis and long-term health outcomes.
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