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Exploring the Role of Maternal Nutritional Epigenetics in Congenital Heart Disease
Radha O Joshi1, Subramanian Chellappan2, Prachi Kukshal1
1Department of Genomics Research, Sri Sathya Sai Sanjeevani Research Foundation, Palwal, Haryana, India.
Insights
Maternal nutrition during pregnancy influences fetal development, impacting congenital heart disease (CHD) risk. Research into nutritional epigenetics is crucial for preventing this common birth defect.
Area of Science:
- Developmental Biology
- Epigenetics
- Public Health
Background:
- Congenital heart disease (CHD) is a leading cause of infant mortality worldwide.
- While genetic factors are known, the multifactorial etiology, including sporadic cases, necessitates exploring environmental influences.
- Fetal development, particularly cardiac formation, is sensitive to periconceptional maternal nutrition.
Purpose of the Study:
- To emphasize the significance of maternal nutritional epigenetics in congenital heart disease.
- To review current research and identify limitations in understanding the link between maternal diet and CHD.
- To highlight nutrition as a modifiable factor for CHD prevention.
Main Methods:
- Literature review of existing studies on epigenetics, maternal nutrition, and congenital heart disease.
- Analysis of research gaps and limitations in current methodologies.
- Synthesis of findings to underscore the importance of future research directions.
Main Results:
- The etiology of CHD is complex, involving both genetic and environmental factors.
- Epigenetic modifications during the periconceptional period are influenced by maternal diet.
- Limited research currently exists on maternal nutritional epigenetics and its direct impact on CHD incidence.
Conclusions:
- Further in-depth research into maternal nutritional epigenetics is essential for understanding CHD.
- Nutrition represents a potentially modifiable environmental factor to reduce the global burden of CHD.
- Future studies should focus on the periconceptional period and specific dietary components.
Abstract:
Congenital heart disease (CHD) is one of the major debilitating birth defects resulting in significant impact on neonatal and child mortality globally. The etiology of CHD is complex and multifactorial. Many causative genes responsible for CHDs have been identified from the familial forms previously. Still, the non-Mendelian inheritance and predominant sporadic cases have stimulated research to understand the epigenetic basis and environmental impact on the incidence of CHD. The fetal epigenetic programming affecting cardiac development is susceptible to the availability of key dietary factors during the crucial periconceptional period. This article highlights the need and importance of in-depth research in the new emerging area of maternal nutritional epigenetics and CHD. It summarizes the current research and underlines the limitations in these types of studies. This review will benefit the future research on nutrition as a modifiable environmental factor to decrease the incidence of CHD.
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