暴露于极端高温会增加早产风险:假设的病理生理机制
Isidore Mushimiyimana1, Lauren Richardison1, Ananth Kumar Kammala1
1Department of Obstetrics & Gynecology, Division of Basic Science and Translational Research, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
概括
环境温度升高是早产 (PTB) 的环境风险因素. 本综述探讨了潜在的热引起的病理生理机制,包括代谢障碍和炎症,有助于PTB.
科学领域:
- 生殖生物学 生殖生物学
- 环境健康 环境健康
- 新生儿死亡率 新生儿死亡率
背景情况:
- 在全球范围内,早产 (PTB) 是新生儿死亡的主要原因.
- 流行病学研究将环境温度升高与PTB风险增加联系起来.
- 全球变暖趋势加剧了人们对怀孕期间暴露于热量的担忧.
研究的目的:
- 审查和提出潜在的病理生理机制,将热暴露与早产联系起来.
- 阐明阻碍热相关PTB治疗发展的不清楚机制.
- 整合关于怀孕生理学,分娩和温度影响的知识.
主要方法:
- 文献综述整合了关于怀孕生理学,分娩和温度影响的知识.
- 识别和建议多种热诱导的病理生理路径.
- 概述未来的实验方法来验证拟议的机制.
主要成果:
- 环境温度升高是PTB的一个已确定的风险因素.
- 提出的机制包括代谢障碍,线粒体功能障碍,炎症,内皮功能障碍,氧化应激和改变细胞命运.
- 特定的PTB几率增加与热浪和温度上升有关.
结论:
- 了解热引起的病理生理机制对于开发针对PTB的干预措施至关重要.
- 需要进一步的研究来实验验证拟议的途径.
- 缓解热暴露可能是减少全球PTB率的关键策略.
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