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A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Perinatal inflammation: a common factor in the early origins of cardiovascular disease?
Maria U Nguyen1, Megan J Wallace1, Salvatore Pepe2
1The Ritchie Centre, Hudson Institute of Medical Research, 27-31 Wright Street, Clayton, VIC 3168, Australia Department of Obstetrics and Gynaecology, Monash University, Wellington Road, Clayton, VIC 3800, Australia.
Insights
Cardiovascular disease begins in early life, influenced by perinatal factors like inflammation. Understanding these origins, particularly chorioamnionitis, offers new avenues for early detection and prevention of atherosclerosis.
Area of Science:
- Cardiovascular Science
- Developmental Biology
- Perinatal Medicine
Background:
- Cardiovascular disease is a leading global health issue, with traditional risk factors explaining only a portion of its prevalence.
- Atherosclerosis originates in early life, presenting a critical window for intervention.
- Perinatal factors, including maternal health conditions and lifestyle, are linked to adverse cardiovascular outcomes later in life.
Purpose of the Study:
- To review current research on the early-life origins of atherosclerosis and cardiovascular disease.
- To emphasize the role of perinatal inflammation, specifically chorioamnionitis, in cardiovascular risk.
- To explore how early inflammatory events contribute to the development of cardiovascular disease.
Main Methods:
- Literature review of epidemiological and experimental studies.
- Synthesis of data on intrauterine growth, prematurity, and maternal risk factors.
- Analysis of research investigating perinatal infection and inflammation (chorioamnionitis).
Main Results:
- Early-life factors like poor intrauterine growth and prematurity are associated with cardiovascular issues.
- Maternal conditions (hypercholesterolemia, diabetes, obesity, smoking) impact offspring cardiovascular health.
- Emerging evidence links chorioamnionitis to cardiac and vascular dysfunction.
Conclusions:
- Early-life inflammatory events are significant contributors to cardiovascular risk.
- Perinatal inflammation, including chorioamnionitis, may be a key mechanism in atherosclerosis development.
- Understanding these early origins is crucial for developing strategies to prevent adult cardiovascular disease.
Abstract:
Cardiovascular disease continues to be the leading cause of global morbidity and mortality. Traditional risk factors account for only part of the attributable risk. The origins of atherosclerosis are in early life, a potential albeit largely unrecognized window of opportunity for early detection and treatment of subclinical cardiovascular disease. There are robust epidemiological data indicating that poor intrauterine growth and/or prematurity, and perinatal factors such as maternal hypercholesterolaemia, smoking, diabetes and obesity, are associated with adverse cardiovascular intermediate phenotypes in childhood and adulthood. Many of these early-life risk factors result in a heightened inflammatory state. Inflammation is a central mechanism in the development of atherosclerosis and cardiovascular disease, but few studies have investigated the role of overt perinatal infection and inflammation (chorioamnionitis) as a potential contributor to cardiovascular risk. Limited evidence from human and experimental models suggests an association between chorioamnionitis and cardiac and vascular dysfunction. Early life inflammatory events may be an important mechanism in the early development of cardiovascular risk and may provide insights into the associations between perinatal factors and adult cardiovascular disease. This review aims to summarise current data on the early life origins of atherosclerosis and cardiovascular disease, with particular focus on perinatal inflammation.
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