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Published on: September 10, 2013
Mechanisms of Glucocorticoid Action During Development
Jonathan T Busada1, John A Cidlowski1
1Molecular Endocrinology Group, Signal Transduction Laboratory, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, United States.
Insights
Glucocorticoids are vital hormones during pregnancy, crucial for fetal development, especially lung maturation. However, excessive exposure can harm fetal growth and long-term health.
Area of Science:
- Endocrinology
- Developmental Biology
- Reproductive Medicine
Background:
- Glucocorticoids, produced by the adrenal cortex, are key stress hormones.
- Fetal serum glucocorticoid levels are low but surge before birth, impacting organ development.
- Maternal glucocorticoid administration aids fetal lung maturation but excessive levels pose risks.
Purpose of the Study:
- To review mechanisms controlling glucocorticoid signaling in pregnancy.
- To provide an overview of glucocorticoid signaling's impact on fetal development.
Main Methods:
- Literature review of existing research on glucocorticoids and fetal development.
- Analysis of studies on glucocorticoid signaling pathways during gestation.
Main Results:
- Glucocorticoids are essential for fetal lung, and other organ system development.
- Excessive glucocorticoid signaling can impede fetal and placental growth.
- Prenatal glucocorticoid exposure may program later-life disease risk.
Conclusions:
- Glucocorticoid signaling tightly regulates fetal development.
- Balancing glucocorticoid levels is critical for healthy pregnancy outcomes.
- Understanding these mechanisms is vital for managing high-risk pregnancies.
Abstract:
Glucocorticoids are primary stress hormones produced by the adrenal cortex. The concentration of serum glucocorticoids in the fetus is low throughout most of gestation but surge in the weeks prior to birth. While their most well-known function is to stimulate differentiation and functional development of the lungs, glucocorticoids also play crucial roles in the development of several other organ systems. Mothers at risk of preterm delivery are administered glucocorticoids to accelerate fetal lung development and prevent respiratory distress. Conversely, excessive glucocorticoid signaling is detrimental for fetal development; slowing fetal and placental growth and programming the individual for disease later in adult life. This review explores the mechanisms that control glucocorticoid signaling during pregnancy and provides an overview of the impact of glucocorticoid signaling on fetal development.
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