Developmental plasticity and human disease: research directions

被引:129
作者
Gluckman, P. D.
Hanson, M. A.
机构
[1] Univ Auckland, Liggins Inst, Ctr Human Evolut Adaptat & Dis, Auckland, New Zealand
[2] Natl Res Ctr Growth & Dev, Auckland, New Zealand
[3] Univ Southampton, Ctr Dev Origins Hlth & Dis, Southampton, Hants, England
关键词
fetal growth retardation; insulin resistance; leptin; obesity; pregnancy; type 2 diabetes mellitus;
D O I
10.1111/j.1365-2796.2007.01802.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The conceptual basis of the 'developmental origins' paradigm has converged on the role of developmental plasticity responding to signals from the early environment, with heightened risk of disease if the induced phenotype does not match the later environment. Nevertheless, numerous questions remain, including the current burden of disease that can be attributed to early environmental factors; the pathways, mechanisms and windows of plasticity; the identification of early markers of environmentally induced change; and the feasibility, costs and benefits of intervention. A focused agenda of research is needed to convince policy makers of the importance of developmental factors in human disease.
引用
收藏
页码:461 / 471
页数:11
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