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Published on: July 19, 2011
Low Birth Weight, Blood Pressure and Renal Susceptibility
Laura E Coats1, Gwendolyn K Davis1, Ashley D Newsome1
1Department of Physiology and Biophysics, Mississippi Center for Excellence in Perinatal Health, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA.
Insights
Fetal development impacts adult kidney health. Interventions during pregnancy can mitigate risks of kidney disease originating from placental dysfunction and growth restriction.
Area of Science:
- Perinatal medicine
- Nephrology
- Developmental origins of health and disease
Background:
- Reduced nephron number is linked to hypertension and kidney disease.
- Low birth weight and perinatal history influence renal risk.
- Placental dysfunction and intrauterine growth restriction are key concerns.
Purpose of the Study:
- Highlight the clinical significance of fetal origins of renal risk.
- Discuss interventions for pregnancies with placental dysfunction and growth restriction.
- Mitigate developmental origins of kidney disease without harming the fetus.
Main Methods:
- Literature review of current findings.
- Analysis of studies on placental dysfunction and intrauterine growth restriction.
- Exploration of therapeutic interventions.
Main Results:
- Reduced nephron number contributes to hypertension and kidney disease.
- Perinatal factors like birth weight are crucial for assessing renal risk.
- Placental dysfunction and growth restriction increase susceptibility to renal injury.
Conclusions:
- Early life factors significantly impact long-term kidney health.
- Identifying safe therapeutic interventions is critical for at-risk pregnancies.
- Further research is needed to protect fetal kidney development.
Purpose Of The Review:
The purpose of this review is to highlight the clinical significance of increased renal risk that has its origins in fetal life. This review will also discuss the critical need to identify therapeutic interventions for use in a pregnancy complicated by placental dysfunction and intrauterine growth restriction that can mitigate the developmental origins of kidney disease without inflicting additional harm on the developing fetus.
Recent Findings:
A reduction in nephron number is a contributory factor in the pathogenesis of hypertension and kidney disease in low birth weight individuals. Reduced nephron number may heighten susceptibility to a secondary renal insult, and recent studies suggest that perinatal history including birth weight should be considered in the assessment of renal risk in kidney donors. This review highlights current findings related to placental dysfunction, intrauterine growth restriction, increased risk for renal injury and disease, and potential therapeutic interventions.
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