通过胎盘进行母胎交叉交谈:对后代发育和新陈代谢的影响
Avery C Kramer1, Thomas Jansson1, Tracy L Bale1
1Departments of Obstetrics & Gynecology, Psychiatry and Pediatrics, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA.
概括
不理想的子宫内环境,特别是胎盘功能改变,可能导致心脏代谢和神经精神疾病. 针对胎盘的干预措施可以预防未来几代人的慢性疾病.
科学领域:
- 发育生物学是发展生物学.
- 孕产妇和胎儿的医学
- 代谢性疾病研究研究.
背景情况:
- 流行病学和动物研究将低于最佳的子宫内环境与心脏代谢和神经精神疾病联系起来.
- 胎盘功能的改变是母亲环境和胎儿发育之间的潜在调解者.
- 胎盘通过营养感应,运输调制和细胞外囊泡信号传输影响胎儿组织的发育.
研究的目的:
- 审查关于母亲-胎盘-胎儿界面在子宫内编程中的作用的证据.
- 为了探索参与该接口的信号通路 (mTOR,腺素,OGT).
- 讨论母亲饮食和压力对胎儿发育和疾病易感性的影响.
主要方法:
- 对流行病学和动物实验数据的审查.
- 对胎盘功能及其在胎儿发育中的作用的分析.
- 专注于信号通路和母亲的影响.
主要成果:
- 孕产妇 - 胎盘 - 胎儿接口对于子宫内编程至关重要.
- 信号通路如mTOR,阿迪波涅丁和OGT是关键的调节者.
- 母亲因素 (饮食,压力) 显著影响胎儿发育和疾病风险.
- 胎儿生长限制会增加晚年患慢性病的易感性.
结论:
- 胎盘功能的改变是将子宫内环境与晚年疾病联系起来的关键机制.
- 针对胎盘功能提供了预防心脏代谢疾病的潜力.
- 了解母胎交叉对话对于未来的预防策略至关重要.
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