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Metabolic Syndrome Programming and Reprogramming: Mechanistic Aspects of Oxidative Stress
You-Lin Tain1,2, Chien-Ning Hsu3,4
1Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.
Abstract:
Metabolic syndrome (MetS) is a worldwide public health issue characterized by a set of risk factors for cardiovascular disease. MetS can originate in early life by developmental programming. Increasing evidence suggests that oxidative stress, which is characterized as an imbalance between reactive oxygen species (ROS), nitric oxide (NO), and antioxidant systems, plays a decisive role in MetS programming. Results from human and animal studies indicate that maternal-derived insults induce MetS later in life, accompanied by oxidative stress programming of various organ systems. On the contrary, perinatal use of antioxidants can offset oxidative stress and thereby prevent MetS traits in adult offspring. This review provides an overview of current knowledge about the core mechanisms behind MetS programming, with particular focus on the occurrence of oxidative-stress-related pathogenesis as well as the use of potential oxidative-stress-targeted interventions as a reprogramming strategy to avert MetS of developmental origins. Future clinical studies should provide important proof of concept for the effectiveness of these reprogramming interventions to prevent a MetS epidemic.
Insights
Metabolic syndrome (MetS) can originate in early life due to developmental programming and oxidative stress. Perinatal antioxidant use may prevent MetS traits by targeting this oxidative stress.
Area of Science:
- Developmental biology
- Cardiovascular health
- Oxidative stress research
Background:
- Metabolic syndrome (MetS) is a global health concern, increasing cardiovascular disease risk.
- MetS can be programmed during early development, with oxidative stress playing a key role.
- Maternal insults during development are linked to later-life MetS and organ system oxidative stress.
Purpose of the Study:
- To review the mechanisms of MetS programming.
- To highlight the role of oxidative stress in MetS pathogenesis.
- To explore antioxidant interventions for preventing developmental MetS.
Main Methods:
- Literature review of human and animal studies.
- Focus on oxidative stress mechanisms and antioxidant interventions.
- Analysis of developmental programming in MetS.
Main Results:
- Oxidative stress, an imbalance of reactive oxygen species (ROS) and antioxidants, is central to MetS programming.
- Maternal factors can induce MetS and oxidative stress programming in offspring.
- Antioxidant administration during the perinatal period shows potential in preventing MetS traits.
Conclusions:
- Oxidative stress is a critical factor in the developmental origins of MetS.
- Targeting oxidative stress with antioxidants is a promising strategy for MetS prevention.
- Further clinical studies are needed to validate these interventions for preventing a MetS epidemic.
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