PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE

Modern clinical practice for the care of the prematurely born infants has markedly improved their rates of survival. Since the clinical follow-up is of short duration, only limited data are available to relate diseases in adult life to events and interventions in the neonatal period. The major facto...

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Main Authors: O. P. Kovtun, P. B. Tsyv'yan
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2014-10-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/146
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author O. P. Kovtun
P. B. Tsyv'yan
author_facet O. P. Kovtun
P. B. Tsyv'yan
author_sort O. P. Kovtun
collection DOAJ
description Modern clinical practice for the care of the prematurely born infants has markedly improved their rates of survival. Since the clinical follow-up is of short duration, only limited data are available to relate diseases in adult life to events and interventions in the neonatal period. The major factors that could have a programming (which could lead to disease) effect include: 1) intrauterine growth restriction; 2) interruption of pregnancy with change in oxygenation and water environment; 3) nutritional and pharmacological protocols for clinical care. The available clinical and experimental data are discussed in the context of perturbations in DNA methylation and its possible programming effects. The consequences of antenatal and postnatal administration of glucocorticoids are discussed. We speculate that premature interruption of pregnancy and neonatal interventions by affecting DNA methylation may cause programming effects on the immature baby.
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spelling doaj.art-e0002b3dbad14660a9a55425e931b5642023-09-03T13:24:23Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352014-10-01135263010.15690/vsp.v13i5.1146146PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CAREO. P. Kovtun0P. B. Tsyv'yan1Уральский государственный медицинский университет, ЕкатеринбургУральский государственный медицинский университет, Екатеринбург,; НИИ охраны материнства и младенчества, Екатеринбург; Институт иммунологии и физиологии, Екатеринбург,Modern clinical practice for the care of the prematurely born infants has markedly improved their rates of survival. Since the clinical follow-up is of short duration, only limited data are available to relate diseases in adult life to events and interventions in the neonatal period. The major factors that could have a programming (which could lead to disease) effect include: 1) intrauterine growth restriction; 2) interruption of pregnancy with change in oxygenation and water environment; 3) nutritional and pharmacological protocols for clinical care. The available clinical and experimental data are discussed in the context of perturbations in DNA methylation and its possible programming effects. The consequences of antenatal and postnatal administration of glucocorticoids are discussed. We speculate that premature interruption of pregnancy and neonatal interventions by affecting DNA methylation may cause programming effects on the immature baby.https://vsp.spr-journal.ru/jour/article/view/146преждевременное рождениепрограммирование заболеванийметилирование днк
spellingShingle O. P. Kovtun
P. B. Tsyv'yan
PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
Вопросы современной педиатрии
преждевременное рождение
программирование заболеваний
метилирование днк
title PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
title_full PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
title_fullStr PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
title_full_unstemmed PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
title_short PREMATURE BIRTH AND DISEASE PROGRAMMING. CONTRIBUTION OF NEONATAL INTENSIVE CARE
title_sort premature birth and disease programming contribution of neonatal intensive care
topic преждевременное рождение
программирование заболеваний
метилирование днк
url https://vsp.spr-journal.ru/jour/article/view/146
work_keys_str_mv AT opkovtun prematurebirthanddiseaseprogrammingcontributionofneonatalintensivecare
AT pbtsyvyan prematurebirthanddiseaseprogrammingcontributionofneonatalintensivecare