Prenatal stress and developmental programming of human health and disease risk: concepts and integration of empirical findings

被引:177
作者
Entringer, Sonja [1 ]
Buss, Claudia [1 ]
Wadhwa, Pathik D. [1 ,2 ,3 ,4 ]
机构
[1] Univ Calif Irvine, UC Irvine Dev Hlth & Dis Res Program, Dept Psychiat & Human Behav, Sch Med,Gillespie Neurosci Res Facil 3117, Irvine, CA 92697 USA
[2] Univ Calif Irvine, Sch Med, Dept Obstet & Gynecol, Irvine, CA 92697 USA
[3] Univ Calif Irvine, Sch Med, Dept Pediat, Irvine, CA 92697 USA
[4] Univ Calif Irvine, Sch Med, Dept Epidemiol, Irvine, CA 92697 USA
关键词
childhood obesity; developmental programming; maternal-placental-fetal endocrine and immune processes; metabolic function; prenatal stress; CORTICOTROPIN-RELEASING HORMONE; PITUITARY-ADRENAL-FUNCTION; FETAL-GROWTH RESTRICTION; CRF-BINDING PROTEIN; GLUCOCORTICOID-RECEPTOR; MATERNAL PLASMA; BIRTH-WEIGHT; INFLAMMATORY CYTOKINES; CELL-DEVELOPMENT; ADIPOSE-TISSUE;
D O I
10.1097/MED.0b013e3283405921
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review The concept of the developmental origins of health and disease susceptibility is rapidly attracting interest and gaining prominence as a complementary approach to understanding the causation of many complex common disorders that confer a major burden of disease; however several important issues and questions remain to be addressed, particularly in the context of humans. Recent findings In this review we enunciate some of these questions and issues, review empirical evidence primarily from our own recent studies on prenatal stress and stress biology, and discuss putative maternal-placental-fetal endocrine and immune/inflammatory candidate mechanisms that may underlie and mediate short-term and long-term effects of prenatal stress on the developing human embryo and fetus, with a specific focus on body composition, metabolic function, and obesity risk. Summary The implications for research and clinical practice are discussed with a summary of recent advances in noninvasive methods to characterize fetal, newborn, infant, and child developmental and health-related processes that, when coupled with available state-of-the-art statistical modeling approaches for longitudinal, repeated measures time series analysis, now afford unprecedented opportunities to explore and uncover the developmental origins of human health and disease.
引用
收藏
页码:507 / 516
页数:10
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