孕产妇肥胖和胎盘功能:孕产妇与胎儿轴的损伤
Frank Louwen1, Nina-Naomi Kreis1, Andreas Ritter1
1Obstetrics and Prenatal Medicine, Gynecology and Obstetrics, University Hospital Frankfurt, J. W. Goethe-University, Theodor Stern-Kai 7, 60590, Frankfurt, Germany.
Archives of gynecology and obstetrics
|March 18, 2024
概括
孕产妇的肥胖会导致影响胎儿发育的胎盘缺陷. 了解这些胎盘变化对于预防后代的不良健康结果至关重要.
科学领域:
- 生殖生物学 生殖生物学
- 健康和疾病的发育起源 (DOHaD)
- 公共卫生 公共卫生
背景情况:
- 孕产妇肥胖是一个日益严重的全球健康问题,与代谢功能障碍和炎症有关.
- 它对母亲和后代的健康产生负面影响.
- 胎盘在调解这些不良影响方面发挥着至关重要的作用.
研究的目的:
- 审查当前关于胎盘功能障碍在孕产妇肥胖的数据.
- 要强调胎盘缺陷如何将母亲的肥胖与胎儿的不良结果联系起来.
主要方法:
- 审查关于母亲肥胖和胎盘功能现有的科学文献.
- 合成关于胎盘缺陷的数据,包括新陈代谢,炎症和表观遗传学.
主要成果:
- 孕产妇的肥胖导致广泛的胎盘缺陷,影响脂质和葡萄糖代谢,应激反应,免疫调节和表观遗传学.
- 这些缺陷会造成有害的子宫内环境.
- 胎盘作为母亲肥胖对胎儿不利影响的关键调解者.
结论:
- 孕产妇的肥胖严重扰乱胎盘功能,影响胎儿的发育.
- 针对性干预需要对胎盘分子变化的进一步研究.
- 预防胎儿的表观遗传和代谢编程是一个关键目标.
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