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[Early origins of arterial hypertension and cardiovascular diseases]
Umberto Simeoni1, Isabelle Ligi, Isabelle Grandvuillemin
1Médecine néonatale, Pôle parents-enfants, Hôpital de la Conception, AP-HM et UMR 608, Inserm - 147 bid Baille 13005 Marseille, Aix-Marseille Université. UmbertoSimeoni@ap-hm.fr
Insights
Early life environmental exposures can lead to lifelong health issues, including hypertension and obesity. Understanding developmental programming is key to preventing adult diseases through early interventions.
Area of Science:
- Developmental biology
- Environmental health
- Preventive medicine
Context:
- Most adult mortality causes in industrialized nations originate in early development.
- The conception-to-infancy period is highly sensitive to environmental factors, causing physiological malprogramming.
- Perinatal insults are linked to adult conditions like obesity, cancer, and behavioral disorders.
Purpose:
- To review the mechanisms of early developmental programming of adult diseases, using hypertension as a model.
- To explore the continuum from normal development to disease, the role of nutrition, and early biomarkers.
- To highlight the global challenge of developmental origins of health and disease (DOHaD) in emerging economies.
Summary:
- Early life insults, particularly impacting the kidney and vasculature, can program long-term health outcomes.
- Nutritional and epigenetic factors play crucial roles in the developmental origins of cardiovascular and metabolic disorders.
- Research focuses on early nutritional and lifestyle interventions to mitigate lifelong disease risks.
Impact:
- Informs strategies for preventing chronic diseases by targeting early life stages.
- Highlights the importance of DOHaD research in addressing global health challenges.
- Emphasizes the need for early nutritional and lifestyle interventions for lifelong health and well-being.
Abstract:
Research has shown that most of the principal causes of mortality in industrialized countries have their roots in early development. Thus, the period from conception through pregnancy to early infancy is uniquely sensitive to long-lasting effects of environmental insults, potentially leading to physiological malprogramming and lifelong disease. Beyond the classical association between low birth weight and increased coronary mortality in adulthood, peri-conceptional and perinatal insults can set the scene for later obesity, cancer and behavioral disorders. Taking the developmental programming of hypertension as an example, this review addresses the remarkably similar mechanisms of early programming, particularly those involving the kidney and vasculature ; the continuum between normality and disease ; the role of early and later nutrition ; and early biomarkers and epigenetic mechanisms of later cardiovascular and metabolic disorders. The developmental origins of adult health and disease represent a global research challenge as emerging countries undergo major nutritional and environmental upheavals. Much research is focused on the benefits of early nutritional and lifestyle interventions, in both animal models and human studies.
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