Fetal programming of coronary heart disease

Barker, David J.P. (2002) Fetal programming of coronary heart disease. Trends in Endocrinology and Metabolism, 13, (9), 364-368. (doi:10.1016/S1043-2760(02)00689-6).


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People who develop coronary heart disease grow differently from other people both in utero and during childhood. Slow growth during fetal life and infancy is followed by accelerated weight gain in childhood. Two disorders that predispose to coronary heart disease, type 2 diabetes and hypertension, are preceded by similar paths of growth. Mechanisms underlying this are thought to include the development of insulin resistance in utero, reduced numbers of nephrons associated with small body size at birth and altered programming of the micro-architecture and function of the liver. Slow fetal growth might also heighten the body's stress responses and increase vulnerability to poor living conditions in later life. Coronary heart disease appears to be a developmental disorder that originates through two widespread biological phenomena, developmental plasticity and compensatory growth.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1016/S1043-2760(02)00689-6
Related URLs:
Keywords: coronary heart disease, development, diabetes, birth weight fetus, hypertension, molecular medicine, endocrinology, physiology, development
Subjects: R Medicine > RG Gynecology and obstetrics
Q Science > QP Physiology
Q Science > QH Natural history > QH301 Biology
Divisions : University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
ePrint ID: 25227
Accepted Date and Publication Date:
November 2002Published
Date Deposited: 07 Apr 2006
Last Modified: 31 Mar 2016 11:47
URI: http://eprints.soton.ac.uk/id/eprint/25227

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