Glucocorticoids and neuro- and behavioural development

Glucocorticoids and neuro- and behavioural development
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DOI:
10.1016/j.siny.2008.11.002
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发表时间:
2009-06-01
影响因子:
3
通讯作者:
Almeida, Osborne F. X.
Almeida, Osborne F. X.
中科院分区:
医学3区
文献类型:
--
作者:
Mesquita, Ana Raquel;Wegerich, Yvonne;Almeida, Osborne F. X.

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Epidemiological evidence links exposure to stress hormones during fetal or early postnatal development with lifetime prevalence of cardiac, metabolic, auto-immune, neurological and psychiatric disorders. This has led to the concept of 'developmental programming through stress'. Importantly, these effects (specifically, hypertension, hyperglycaemia and neurodevelopmental and behavioural abnormalities) can be reproduced by exposure to high glucocorticoid levels, indicating a crucial role of glucocorticoids in their causation. However, there can be important differences in outcome, depending on the exact time of exposure, as well as duration and receptor selectivity of the glucocorticoid applied. The mechanisms underlying programming by stress are still unclear but it appears that these environmental perturbations exploit epigenetic modifications of DNA and/or histories to induce stable modifications of gene expression. Programming of neuro- and behavioural development by glucocorticoids and stress are important determinants of lifetime health and should be a consideration when choosing treatments in obstetric and neonatal medicine. (C) 2008 Elsevier Ltd. All rights reserved.