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Teratogenicity01:07

Teratogenicity

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
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The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
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Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
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Cushing Syndrome II: Pathophysiology01:19

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Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features...
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Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids01:21

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Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
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Related Experiment Video

Updated: Apr 29, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
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Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

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Glucocorticoids and fetal programming part 1: Outcomes.

Vasilis G Moisiadis1, Stephen G Matthews2

  • 1Department of Physiology, University of Toronto, Medical Sciences Building, 1 King's College Circle, Toronto, ON M5S 1A8, Canada.

Nature Reviews. Endocrinology
|May 28, 2014
PubMed
Summary

Fetal exposure to glucocorticoids can alter the developing hypothalamic-pituitary-adrenal (HPA) axis, impacting lifelong health and even future generations. This programming affects brain growth, behavior, and chronic disease risk.

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Area of Science:

  • Developmental biology
  • Endocrinology
  • Neuroscience

Background:

  • Fetal development is crucial for long-term health.
  • The fetus is vulnerable to stimuli causing adverse health outcomes.
  • Glucocorticoids regulate gene expression for growth and maturation.

Purpose of the Study:

  • To investigate the long-term programming effects of fetal glucocorticoid exposure on the hypothalamic-pituitary-adrenal (HPA) axis.
  • To understand how this programming influences brain development, behavior, and chronic disease susceptibility.
  • To examine the intergenerational transmission of these effects.

Main Methods:

  • Studies investigating fetal exposure to glucocorticoids.
  • Analysis of HPA axis function and programming.
  • Assessment of brain growth and behavioral outcomes.
  • Evaluation of chronic disease markers (metabolic, cardiovascular).
  • Examination of epigenetic inheritance across generations.

Main Results:

  • Fetal glucocorticoid exposure can lead to persistent HPA axis dysfunction.
  • Programmed HPA axis dysfunction is linked to impaired brain growth and altered behavior.
  • Increased susceptibility to metabolic and cardiovascular diseases is associated with this programming.
  • Glucocorticoid-mediated programming effects can be transmitted across maternal and paternal lineages.

Conclusions:

  • Fetal programming by glucocorticoids has profound, lifelong impacts on HPA axis function.
  • These effects extend to brain development, behavior, and chronic disease risk.
  • Intergenerational transmission highlights the lasting consequences of fetal environment on health.