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Environmental exposures around conception: developmental pathways leading to lifetime disease risk

Environmental exposures around conception: developmental pathways leading to lifetime disease risk
Environmental exposures around conception: developmental pathways leading to lifetime disease risk

Environment around conception can influence the developmental programme with lasting effects on gestational and postnatal phenotype and with consequences for adult health and disease risk. Peri-conception exposure comprises a crucial part of the 'Developmental Origins of Health and Disease' (DOHaD) concept. In this review, we consider the effects of maternal undernutrition experienced during the peri-conception period in select human models and in a mouse experimental model of protein restriction. Human datasets indicate that macronutrient deprivation around conception affect the epigenome, with enduring effects on cardiometabolic and neurological health. The mouse model, comprising maternal low protein diet exclusively during the peri-conception period, has revealed a stepwise progression in altered developmental programming following induction through maternal metabolite deficiency. This progression includes differential effects in extra-embryonic and embryonic cell lineages and tissues, leading to maladaptation in the growth trajectory and increased chronic disease comorbidities. The timeline embraces an array of mechanisms across nutrient sensing and signalling, cellular, metabolic, epigenetic and physiological processes with a coordinating role for mTORC1 signalling proposed. Early embryos appear active participants in environmental sensing to optimise the developmental programme for survival but with the trade-off of later disease. Similar adverse health outcomes may derive from other peri-conception environmental experiences, including maternal overnutrition, micronutrient availability, pollutant exposure and assisted reproductive treatments (ART) and support the need for preconception health before pregnancy.

animals, environmental exposure/adverse effects, epigenomics, female, fertilization, mice, overnutrition, pregnancy, reproduction
1660-4601
Fleming, Tom P.
2abf761a-e5a1-4fa7-a2c8-12e32d5d4c03
Sun, Congshan
e8a7d9d7-2273-4236-9cbe-a1d1835f794f
Denisenko, Oleg
ff4478dd-c2c4-4033-964f-47f39a0f825d
Caetano, Laura
d1300a72-715f-4371-9246-92372d114584
Aljahdali, Anan
21e1661f-3827-4bfa-bfdd-2d56ee764948
Gould, Joanna M.
96c504c1-273b-4104-98e6-87931fe763bf
Khurana, Pooja
c383f4cc-30dd-417a-b7bb-7999b3c73d9a
Fleming, Tom P.
2abf761a-e5a1-4fa7-a2c8-12e32d5d4c03
Sun, Congshan
e8a7d9d7-2273-4236-9cbe-a1d1835f794f
Denisenko, Oleg
ff4478dd-c2c4-4033-964f-47f39a0f825d
Caetano, Laura
d1300a72-715f-4371-9246-92372d114584
Aljahdali, Anan
21e1661f-3827-4bfa-bfdd-2d56ee764948
Gould, Joanna M.
96c504c1-273b-4104-98e6-87931fe763bf
Khurana, Pooja
c383f4cc-30dd-417a-b7bb-7999b3c73d9a

Fleming, Tom P., Sun, Congshan, Denisenko, Oleg, Caetano, Laura, Aljahdali, Anan, Gould, Joanna M. and Khurana, Pooja (2021) Environmental exposures around conception: developmental pathways leading to lifetime disease risk. International Journal of Environmental Research and Public Health, 18 (17), [9380]. (doi:10.3390/ijerph18179380).

Record type: Review

Abstract

Environment around conception can influence the developmental programme with lasting effects on gestational and postnatal phenotype and with consequences for adult health and disease risk. Peri-conception exposure comprises a crucial part of the 'Developmental Origins of Health and Disease' (DOHaD) concept. In this review, we consider the effects of maternal undernutrition experienced during the peri-conception period in select human models and in a mouse experimental model of protein restriction. Human datasets indicate that macronutrient deprivation around conception affect the epigenome, with enduring effects on cardiometabolic and neurological health. The mouse model, comprising maternal low protein diet exclusively during the peri-conception period, has revealed a stepwise progression in altered developmental programming following induction through maternal metabolite deficiency. This progression includes differential effects in extra-embryonic and embryonic cell lineages and tissues, leading to maladaptation in the growth trajectory and increased chronic disease comorbidities. The timeline embraces an array of mechanisms across nutrient sensing and signalling, cellular, metabolic, epigenetic and physiological processes with a coordinating role for mTORC1 signalling proposed. Early embryos appear active participants in environmental sensing to optimise the developmental programme for survival but with the trade-off of later disease. Similar adverse health outcomes may derive from other peri-conception environmental experiences, including maternal overnutrition, micronutrient availability, pollutant exposure and assisted reproductive treatments (ART) and support the need for preconception health before pregnancy.

Text
ijerph-18-09380 - Version of Record
Available under License Creative Commons Attribution.
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More information

Accepted/In Press date: 3 September 2021
e-pub ahead of print date: 6 September 2021
Keywords: animals, environmental exposure/adverse effects, epigenomics, female, fertilization, mice, overnutrition, pregnancy, reproduction

Identifiers

Local EPrints ID: 480898
URI: http://eprints.soton.ac.uk/id/eprint/480898
ISSN: 1660-4601
PURE UUID: fed935d9-6563-4a0f-ab92-12bc5bfb2dbc

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Date deposited: 10 Aug 2023 16:47
Last modified: 17 Mar 2024 04:02

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Contributors

Author: Tom P. Fleming
Author: Congshan Sun
Author: Oleg Denisenko
Author: Laura Caetano
Author: Anan Aljahdali
Author: Joanna M. Gould
Author: Pooja Khurana

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