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Published on: May 6, 2013
The prenatal environment and type 1 diabetes.
1Division of Epidemiology, Norwegian Institute of Public Health, PO Box 4404 Nydalen, NO-0403 Oslo, Norway. lars.christian.stene@fhi.no
Diabetologia
|May 10, 2013
Summary
Environmental factors influence type 1 diabetes (T1D) aetiology. This review explores the intrauterine environment
Area of Science:
- Immunology
- Endocrinology
- Epidemiology
Background:
- Environmental factors are implicated in type 1 diabetes (T1D) development.
- The role of the intrauterine environment in T1D is under investigation.
- Autoantibodies for T1D can be detected early, suggesting prenatal environmental influences.
Purpose of the Study:
- To review the potential role of the intrauterine environment in the aetiology of type 1 diabetes.
- To examine evidence for maternal factors influencing T1D risk.
Main Methods:
- Literature review of existing studies on maternal and intrauterine factors in type 1 diabetes.
- Analysis of associations between maternal age, birthweight, mode of delivery, and T1D risk.
- Consideration of evidence from enteroviral infections and nutritional exposures.
Main Results:
- Indirect evidence suggests a potential protective effect of the intrauterine environment.
- Maternal T1D is less likely to be transmitted than paternal T1D.
- Increased risk associated with maternal age and high birthweight is weak and heterogeneous.
- Caesarean section delivery shows a slightly increased risk, possibly due to reduced microbial exposure.
Conclusions:
- Circumstantial evidence suggests maternal/intrauterine conditions may modulate genetic risk for T1D.
- The precise timing and mechanisms of environmental influence before or after birth remain unclear.
- Further research is needed to establish a causal link between the intrauterine environment and T1D development.
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