Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes

Maternal diabetes is a prevalent pathology that increases the risk of cardiovascular diseases in the offspring, the heart being one of the main target organs affected from the fetal stage until the adult life. Metabolic, pro-oxidant, and proinflammatory alterations in the fetal heart constitute the...

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Main Authors: Romina Higa, María Laura Leonardi, Alicia Jawerbaum
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.760251/full
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author Romina Higa
Romina Higa
María Laura Leonardi
María Laura Leonardi
Alicia Jawerbaum
Alicia Jawerbaum
author_facet Romina Higa
Romina Higa
María Laura Leonardi
María Laura Leonardi
Alicia Jawerbaum
Alicia Jawerbaum
author_sort Romina Higa
collection DOAJ
description Maternal diabetes is a prevalent pathology that increases the risk of cardiovascular diseases in the offspring, the heart being one of the main target organs affected from the fetal stage until the adult life. Metabolic, pro-oxidant, and proinflammatory alterations in the fetal heart constitute the first steps in the adverse fetal programming of cardiovascular disease in the context of maternal diabetes. This review discusses both human and experimental studies addressing putative mechanisms involved in this fetal programming of heart damage in maternal diabetes. These include cardiac epigenetic changes, alterations in cardiac carbohydrate and lipid metabolism, damaging effects caused by a pro-oxidant and proinflammatory environment, alterations in the cardiac extracellular matrix remodeling, and specific signaling pathways. Putative actions to prevent cardiovascular impairments in the offspring of mothers with diabetes are also discussed.
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spelling doaj.art-88b103fc12c244f1a4dfb850b08ec1da2022-12-21T21:27:10ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-11-011210.3389/fphys.2021.760251760251Intrauterine Programming of Cardiovascular Diseases in Maternal DiabetesRomina Higa0Romina Higa1María Laura Leonardi2María Laura Leonardi3Alicia Jawerbaum4Alicia Jawerbaum5Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, ArgentinaLaboratory of Reproduction and Metabolism, CONICET-Universidad de Buenos Aires, CEFYBO, Buenos Aires, ArgentinaFacultad de Medicina, Universidad de Buenos Aires, Buenos Aires, ArgentinaLaboratory of Reproduction and Metabolism, CONICET-Universidad de Buenos Aires, CEFYBO, Buenos Aires, ArgentinaFacultad de Medicina, Universidad de Buenos Aires, Buenos Aires, ArgentinaLaboratory of Reproduction and Metabolism, CONICET-Universidad de Buenos Aires, CEFYBO, Buenos Aires, ArgentinaMaternal diabetes is a prevalent pathology that increases the risk of cardiovascular diseases in the offspring, the heart being one of the main target organs affected from the fetal stage until the adult life. Metabolic, pro-oxidant, and proinflammatory alterations in the fetal heart constitute the first steps in the adverse fetal programming of cardiovascular disease in the context of maternal diabetes. This review discusses both human and experimental studies addressing putative mechanisms involved in this fetal programming of heart damage in maternal diabetes. These include cardiac epigenetic changes, alterations in cardiac carbohydrate and lipid metabolism, damaging effects caused by a pro-oxidant and proinflammatory environment, alterations in the cardiac extracellular matrix remodeling, and specific signaling pathways. Putative actions to prevent cardiovascular impairments in the offspring of mothers with diabetes are also discussed.https://www.frontiersin.org/articles/10.3389/fphys.2021.760251/fullheartoffspringanimal modelhumansdiabetes mellitusintrauterine programming
spellingShingle Romina Higa
Romina Higa
María Laura Leonardi
María Laura Leonardi
Alicia Jawerbaum
Alicia Jawerbaum
Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
Frontiers in Physiology
heart
offspring
animal model
humans
diabetes mellitus
intrauterine programming
title Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
title_full Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
title_fullStr Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
title_full_unstemmed Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
title_short Intrauterine Programming of Cardiovascular Diseases in Maternal Diabetes
title_sort intrauterine programming of cardiovascular diseases in maternal diabetes
topic heart
offspring
animal model
humans
diabetes mellitus
intrauterine programming
url https://www.frontiersin.org/articles/10.3389/fphys.2021.760251/full
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