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Published on: June 29, 2013
Fetal Origins of Hypertension
Yuichiro Arima1,2, Koichi Nishiyama3, Yasuhiro Izumiya4
1Department of Cardiovascular Medicine, Kumamoto University, Kumamoto, Japan. arimay@kumamoto-u.ac.jp.
Insights
Perinatal growth disturbances can impact cardiovascular development, potentially leading to hypertension later in life. Understanding these early life effects is crucial for preventing high blood pressure.
Area of Science:
- Cardiovascular Development
- Hypertension Pathophysiology
- Developmental Origins of Disease
Background:
- Hypertension affects 1.13 billion globally, with multifactorial causes including arterial and cardiac issues.
- Perinatal growth disturbances are linked to increased hypertension prevalence, but mechanisms remain unclear.
- The perinatal period is critical for cardiovascular system development.
Purpose of the Study:
- To explore the role of perinatal development in cardiovascular health.
- To investigate the impact of developmental disturbances on hypertension.
- To synthesize evidence from murine models and clinical studies.
Main Methods:
- Focus on perinatal cardiovascular development in murine models.
- Analysis of organ, blood, and heart growth characteristics.
- Review of clinical studies on the developmental origins of hypertension.
- Presentation of animal model data on developmental stress and arterial pathology.
Main Results:
- Individual organs, blood, vessels, and the heart exhibit distinct perinatal growth patterns.
- Developmental disturbances and stress can affect arterial pathology.
- Clinical and animal studies provide insights into hypertension's developmental origins.
Conclusions:
- Improving understanding of perinatal events and clinical findings offers new perspectives on fetal origins of hypertension.
- Early life development significantly influences long-term cardiovascular health.
- Further research into developmental origins is key to addressing hypertension prevalence.
Abstract:
Hypertension is a common noncommunicable disease. According to the World Health Organization, 1.13 billion people were suffering from hypertension in the year 2015. High blood pressure, hypertension, has a multifactorial etiology. Arterial atherosclerotic changes, systolic or diastolic dysfunction of the heart, and other noncardiac factors are involved. Epidemiological evidence has revealed that perinatal growth disturbance elevates the prevalence of hypertension. However, the specific effects of developmental disturbances on the pathological process of hypertension are poorly understood. Recently, it has become apparent that the perinatal period plays many essential roles in cardiovascular development. In this chapter, we focus on the perinatal development of the cardiovascular system, especially in murine models. Individual organs, blood, blood vessels, and the heart show unique growth characteristics during this period. We also introduce evidence from related clinical studies regarding the developmental origins of hypertension. Finally, evidence from several animal models is presented to reveal the effects of developmental disturbance or stress on arterial pathology. Improving our understanding of both developmental events and the results of clinical studies will give fresh insight into the fetal origins of hypertension.
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