Fetal origins of the metabolic syndrome

The natural history of metabolic syndrome and polycystic ovary syndrome (PCOS), which shares many components of metabolic syndrome, may originate in intrauterine life. Evidence from epidemiological observations, clinical, and experimental animal studies suggest that the nutritional, hormonal, and me...

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Veröffentlicht in:Annals of the New York Academy of Sciences 2010-09, Vol.1205 (1), p.148-155
Hauptverfasser: Xita, Nektaria, Tsatsoulis, Agathocles
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Tsatsoulis, Agathocles
description The natural history of metabolic syndrome and polycystic ovary syndrome (PCOS), which shares many components of metabolic syndrome, may originate in intrauterine life. Evidence from epidemiological observations, clinical, and experimental animal studies suggest that the nutritional, hormonal, and metabolic environment afforded by the mother may permanently program differentiating target tissues of the offspring toward the development of metabolic syndrome/PCOS phenotype in adult life. The mechanisms of fetal programming are not well understood. Thus, the altered tissue differentiation may be the result of fetal adaptive responses representing homeostatic adaptations due to alterations in fetal nutrition. Also, tissues under the influence of androgen excess may be directed toward a more masculine phenotype with regard to reproductive, neuroendocrine, and metabolic traits, while the importance of epigenetics in fetal origin of metabolic syndrome/PCOS cannot be overlooked.
doi_str_mv 10.1111/j.1749-6632.2010.05658.x
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subjects Adult
Female
Fetal Development - physiology
fetal programming
Humans
Insulin
Metabolic syndrome
Metabolic Syndrome - etiology
Models, Biological
PCOS
Polycystic ovary syndrome
Pregnancy
Prenatal Exposure Delayed Effects - etiology
Risk Factors
title Fetal origins of the metabolic syndrome
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