2014
DOI: 10.1038/nrendo.2014.74
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Glucocorticoids and fetal programming part 2: mechanisms

Abstract: The lifelong health of an individual is shaped during critical periods of development. The fetus is particularly susceptible to internal and external stimuli, many of which can alter developmental trajectories and subsequent susceptibility to disease. Glucocorticoids are critical in normal development of the fetus, as they are involved in the growth and maturation of many organ systems. The surge in fetal glucocorticoid levels that occurs in most mammalian species over the last few days of pregnancy is an impo… Show more

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Cited by 353 publications
(347 citation statements)
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“…It is important to note that programming mechanisms remain out of reach in humans, notably with regard to the tissue-specific nature of epigenetic modifications, because the tissues of interest, such as the hippocampus, hypothalamus, or pituitary, escape investigation. Nevertheless epigenetic imprints probably represent a critical component of the programming process and could be partly responsible for the long-range effects of antenatal glucocorticoid exposure on neurologic, cardiovascular, and metabolic function through their persistent effects on the HPA axis (56). Epigenetic programming of neuroendocrine and behavioral phenotypes has some sex specificity (26).…”
Section: Discussionmentioning
confidence: 99%
“…It is important to note that programming mechanisms remain out of reach in humans, notably with regard to the tissue-specific nature of epigenetic modifications, because the tissues of interest, such as the hippocampus, hypothalamus, or pituitary, escape investigation. Nevertheless epigenetic imprints probably represent a critical component of the programming process and could be partly responsible for the long-range effects of antenatal glucocorticoid exposure on neurologic, cardiovascular, and metabolic function through their persistent effects on the HPA axis (56). Epigenetic programming of neuroendocrine and behavioral phenotypes has some sex specificity (26).…”
Section: Discussionmentioning
confidence: 99%
“…Taken together, the metabolism of maternal steroids and the transport of steroids/metabolites are likely to influence the exposure of developing embryos to maternal steroids and subsequently influence how maternal steroids impact development. Both of these processes have been suggested to be vital, protecting developing embryos from the potentially detrimental effects of increased glucocorticoid exposure during maternal stress [36]. Here, we test the hypothesis that embryos of non-amniotic vertebrates can modulate their exposure to maternal glucocorticoids and buffer themselves from the effects of maternal stress using threespine stickleback (Gasterosteus aculeatus) as a model.…”
Section: Introductionmentioning
confidence: 99%
“…In the longer-term, excess glucocorticoid exposure has been associated with the life-long function of the HPA axis in the offspring, and has been hypothesized to increase susceptibility to a variety of conditions including depression, hypertension, type 2 diabetes mellitus, and cognitive impairments [42,46]. The fetus is somewhat buffered from the effects of high maternal cortisol concentrations through the activity of the 11-β-hydroxysteroid dehydrogenase (HSD)-2 enzyme in the placenta, which converts maternal cortisol to an inactive cortisone [47]. Yet this is not a perfect barrier and fetal and maternal cortisol concentrations are highly correlated suggesting that abnormally high maternal cortisol concentrations could affect the developing fetus [48].…”
Section: Discussionmentioning
confidence: 99%