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Fatty acids profile in pregnancies affected by neural tube defects. 受神经管缺陷影响的孕妇的脂肪酸概况。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-23 DOI: 10.1017/S2040174424000278
Kaouther Nasri, Hana Fenina, Salma Kloula Ben Ghorbal, Dhouha Maamer, Nadia Ben Jamaa, Moncef Feki, Soumeya Siala Gaigi

This study aimed to determine if maternal fatty acids (FA) levels during pregnancy are associated with the occurrence of neural tube defects (NTDs) and to explore the correlation between FA and maternal vitamin D, homocysteine, vitamin B12, and folate in cases. Plasma FA composition was assessed using capillary gas chromatography. Comparisons between cases and controls were performed by independent samples t-test for continuous variables. Cases had significantly higher levels of heptadecanoic acid, linolelaidic acid, and arachidonic acid (ARA):(eicosapentaenoic acid+docosahexaenoic acid) ratio than controls (p < 0.05). Nervonic acid, ARA, adrenic acid, eicosapentaenoic acid, docosahexaenoic acid, and omega-3 polyunsaturated fatty acids (n-3 PUFA) levels were significantly lower in cases (p < 0.05). Maternal 25-hydroxyvitamin D (25(OH)D) levels were positively correlated with maternal polyunsaturated fatty acids and omega-6 polyunsaturated fatty acids. RBC folate levels were negatively correlated with n-3 PUFA.Further research is required to clarify the association of FA metabolism with NTDs.

本研究旨在确定孕期母体脂肪酸(FA)水平是否与神经管畸形(NTD)的发生有关,并探讨FA与母体维生素D、同型半胱氨酸、维生素B12和叶酸之间的相关性。使用毛细管气相色谱法评估血浆中的脂肪酸组成。病例与对照组之间的比较采用连续变量的独立样本 t 检验。病例的十七酸、亚油酸和花生四烯酸(ARA):(二十碳五烯酸+二十二碳六烯酸)比值明显高于对照组(P < 0.05)。病例的神经氨酸、ARA、肾上腺酸、二十碳五烯酸、二十二碳六烯酸和欧米伽-3 多不饱和脂肪酸(n-3 PUFA)水平明显低于对照组(p < 0.05)。母体 25- 羟维生素 D(25(OH)D)水平与母体多不饱和脂肪酸和ω-6 多不饱和脂肪酸呈正相关。需要开展进一步研究,以明确脂肪酸代谢与 NTD 的关系。
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引用次数: 0
Early life stress exacerbates the obesogenic and anxiogenic effects of a Western diet without worsening cardiac ischaemic tolerance in male mice 早期生活压力会加剧西方饮食的肥胖和焦虑效应,但不会恶化雄性小鼠的心脏缺血耐受性
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-18 DOI: 10.1017/s2040174424000205
Kai Robertson, Tia A. Griffith, Tessa J. Helman, Kyle Hatton-Jones, Saba Naghipour, Dylan A. Robertson, Jason N. Peart, John P. Headrick, Eugene F. Du Toit
Early life stress (ELS) and a Western diet (WD) promote mood and cardiovascular disorders, however, how these risks interact in disease pathogenesis is unclear. We assessed effects of ELS with or without a subsequent WD on behaviour, cardiometabolic risk factors, and cardiac function/ischaemic tolerance in male mice. Fifty-six new-born male C57BL/6J mice were randomly allocated to a control group (CON) undisturbed before weaning, or to maternal separation (3h/day) and early (postnatal day 17) weaning (MSEW). Mice consumed standard rodent chow (CON, n = 14; MSEW, n = 15) or WD chow (WD, n = 19; MSEW + WD, n = 19) from week 8 to 24. Fasted blood was sampled and open field test and elevated plus maze (EPM) tests undertaken at 7, 15, and 23 weeks of age, with hearts excised at 24 weeks for Langendorff perfusion (evaluating pre- and post-ischaemic function). MSEW alone transiently increased open field activity at 7 weeks; body weight and serum triglycerides at 4 and 7 weeks, respectively; and final blood glucose levels and insulin resistance at 23 weeks. WD increased insulin resistance and body weight gain, the latter potentiated by MSEW. MSEW + WD was anxiogenic, reducing EPM open arm activity vs. WD alone. Although MSEW had modest metabolic effects and did not influence cardiac function or ischaemic tolerance in lean mice, it exacerbated weight gain and anxiogenesis, and improved ischaemic tolerance in WD fed animals. MSEW-induced increases in body weight (obesity) in WD fed animals in the absence of changes in insulin resistance may have protected the hearts of these mice.
早期生活压力(ELS)和西式饮食(WD)会导致情绪和心血管疾病,但这些风险如何在疾病发病过程中相互作用尚不清楚。我们评估了ELS和随后的WD对雄性小鼠的行为、心脏代谢风险因素和心脏功能/缺血耐受性的影响。56只新生雄性C57BL/6J小鼠被随机分配到对照组(CON),断奶前不受干扰,或分配到母体分离(3小时/天)和早期(出生后第17天)断奶(MSEW)组。从第 8 周到第 24 周,小鼠食用标准啮齿动物饲料(CON,n = 14;MSEW,n = 15)或 WD 饲料(WD,n = 19;MSEW + WD,n = 19)。在 7、15 和 23 周龄时抽取空腹血液样本并进行开阔地测试和高架加迷宫(EPM)测试,在 24 周龄时切除心脏进行 Langendorff 灌注(评估缺血前后的功能)。单用 MSEW 可在 7 周时短暂增加空场活动;分别在 4 周和 7 周时增加体重和血清甘油三酯;在 23 周时增加最终血糖水平和胰岛素抵抗。WD 增加了胰岛素抵抗和体重增加,后者因 MSEW 而增强。MSEW + WD 有致焦虑作用,与单独使用 WD 相比,可减少 EPM 的张臂活动。虽然 MSEW 对代谢的影响不大,也不会影响瘦小鼠的心脏功能或缺血耐受性,但它会加剧体重增加和焦虑症的产生,并改善喂养 WD 动物的缺血耐受性。在胰岛素抵抗性没有发生变化的情况下,MSEW诱导的WD喂养动物体重增加(肥胖)可能保护了这些小鼠的心脏。
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引用次数: 0
Investigating the IGF axis as a pathway for intergenerational effects 研究作为代际效应途径的 IGF 轴
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-18 DOI: 10.1017/s2040174424000266
Haley B. Ragsdale, Aaron A. Miller, Thomas W. McDade, Nanette R. Lee, Isabelita N. Bas, Christopher W. Kuzawa
Early nutritional and growth experiences can impact development, metabolic function, and reproductive outcomes in adulthood, influencing health trajectories in the next generation. The insulin-like growth factor (IGF) axis regulates growth, metabolism, and energetic investment, but whether it plays a role in the pathway linking maternal experience with offspring prenatal development is unclear. To test this, we investigated patterns of maternal developmental weight gain (a proxy of early nutrition), young adult energy stores, age, and parity as predictors of biomarkers of the pregnancy IGF axis (n = 36) using data from the Cebu Longitudinal Health and Nutrition Survey in Metro Cebu, Philippines. We analyzed maternal conditional weight measures at 2, 8, and 22 years of age and leptin at age 22 (a marker of body fat/energy stores) in relation to free IGF-1 and IGFBP-3 in mid/late pregnancy (mean age = 27). Maternal IGF axis measures were also assessed as predictors of offspring fetal growth. Maternal age, parity, and age 22 leptin were associated with pregnancy free IGF-1, offspring birth weight, and offspring skinfold thickness. We find that free IGF-1 levels in pregnancy are more closely related to nutritional status in early adulthood than to preadult developmental nutrition and demonstrate significant effects of young adult leptin on offspring fetal fat mass deposition. We suggest that the previously documented finding that maternal developmental nutrition predicts offspring birth size likely operates through pathways other than the maternal IGF axis, which reflects more recent energy status.
早期的营养和生长经历会影响发育、代谢功能和成年后的生殖结果,从而影响下一代的健康轨迹。胰岛素样生长因子(IGF)轴调节生长、代谢和能量投资,但它是否在母体经历与后代产前发育的联系途径中发挥作用尚不清楚。为了验证这一点,我们利用菲律宾宿务大区宿务纵向健康和营养调查的数据,研究了作为妊娠 IGF 轴生物标志物预测因子的母体发育期体重增加(早期营养的代表)、年轻成人能量储存、年龄和胎次的模式(n = 36)。我们分析了孕中期/孕晚期(平均年龄=27岁)孕妇2岁、8岁和22岁时的条件体重测量值和22岁时的瘦素(体脂/能量储存的标志物)与游离IGF-1和IGFBP-3的关系。母体 IGF 轴指标还被评估为后代胎儿生长的预测因子。母体年龄、胎次和 22 岁瘦素与妊娠游离 IGF-1、后代出生体重和后代皮褶厚度相关。我们发现,妊娠期游离 IGF-1 水平与成年早期营养状况的关系比与成年前发育营养状况的关系更为密切,并证明了年轻成人瘦素对后代胎儿脂肪沉积的显著影响。我们认为,之前记录的母体发育营养预测后代出生体型的发现可能是通过母体 IGF 轴以外的途径进行的,而母体 IGF 轴反映的是更近期的能量状态。
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引用次数: 0
The interactive effects of gestational obesity and maternal high- and normal-protein diets on food intake, body weight, composition, and glucose metabolism in male offspring of obese Wistar rats 妊娠肥胖与母体高蛋白和正常蛋白饮食对肥胖 Wistar 大鼠雄性后代食物摄入量、体重、成分和糖代谢的交互影响
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-18 DOI: 10.1017/s2040174424000254
Alireza Jahan-mihan
More than two-thirds of women during childbearing years (20–39 years old) are overweight or obese in the United States, with protein intake among 20–49-year-old women being 1.6 times higher than recommended (75.4 g/day versus 46 g/day) that can be considered as a relatively high-protein diet (HPD). Both gestational obesity and HPDs during gestation adversely affect offspring health. This study investigates the impact of HPDs fed during gestation and lactation on obese mothers and their offspring in Wistar rats. Dams randomized to either a normal-protein diet (NPD) or HPD (n = 12/group). Pups from each maternal group were weaned to either NPD or HPD for 17 weeks (n = 12/group). No effect of maternal or weaning diet on food intake, body weight, or body fat/weight ratio was observed. However, NPD dams exhibited higher glucose area under the curve compared with HPD dams (p < 0.03). At weaning, offspring born to NPD dams showed higher fasting plasma glucose (P < 0.03) and insulin/glucose ratio (P = 0.05) than those born to HPD dams. The Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) index was higher in offspring born to NPD dams (P < 0.04) and weaned to NPD (P < 0.05) at week 17. These findings underscore the role of high-protein maternal and weaning diets in pregnancy outcomes for obese mothers, particularly in glucose homeostasis, although gestational obesity may overshadow other parameters. Further research is needed to fully understand the impact on both maternal and offspring health and their underlying mechanisms in this context.
在美国,超过三分之二的育龄妇女(20-39 岁)超重或肥胖,其中 20-49 岁妇女的蛋白质摄入量是建议摄入量的 1.6 倍(75.4 克/天对 46 克/天),可视为相对高蛋白饮食(HPD)。妊娠期肥胖和妊娠期高蛋白饮食都会对后代健康产生不利影响。本研究调查了妊娠期和哺乳期喂食高蛋白膳食对肥胖母鼠及其后代 Wistar 大鼠的影响。母鼠随机选择正常蛋白质饮食(NPD)或 HPD(n = 12/组)。每组母鼠的幼鼠在断奶后 17 周内食用 NPD 或 HPD(n = 12/组)。没有观察到母体或断奶饮食对食物摄入量、体重或体脂/体重比有任何影响。然而,与 HPD 母鼠相比,NPD 母鼠的葡萄糖曲线下面积更高(p < 0.03)。断奶时,NPD 母鼠的后代比 HPD 母鼠的后代表现出更高的空腹血浆葡萄糖(P < 0.03)和胰岛素/葡萄糖比率(P = 0.05)。胰岛素抵抗的稳态模型评估(HOMA-IR)指数在NPD母体所生的后代中更高(P <0.04),在第17周断奶时为NPD(P <0.05)。这些发现强调了高蛋白母体饮食和断奶饮食在肥胖母亲妊娠结局中的作用,尤其是在葡萄糖稳态中的作用,尽管妊娠肥胖可能会掩盖其他参数。要充分了解在这种情况下对母体和后代健康的影响及其内在机制,还需要进一步的研究。
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引用次数: 0
Early-life family meal participation and anthropometric measures at 4 years of age. 早年参与家庭膳食和 4 岁时的人体测量指标。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-09 DOI: 10.1017/S2040174424000217
Elisabet Rudjord Hillesund, Linda Reme Sagedal, Nina Cecilie Øverby

Early-life family meal participation has been associated with several aspects of nutritional health, but longitudinal associations with linear growth have not yet been investigated. The aim of this study was to investigate whether family meal participation at 12 months of age associates with anthropometric measures 3 years later. We used follow-up data from children born to mothers in the Norwegian Fit for Delivery trial (NFFD) and included 368 first-borns with dietary and anthropometric data at 12 months and 4 years of age. We treated the sample as a cohort and conducted subgroup analyses by randomization status. A family meal participation score was used as exposure, and weight, height, and body mass index (BMI) as outcomes in crude and multivariable linear regression models adjusted for maternal education, randomization status, and child sex.Higher family meal participation score at 12 months was positively associated with length at 12 months (B = 0.198, 95% CI 0.028, 0.367, p = 0.022) and 4 years (B = 0.283, 95% CI 0.011, 0.555, p = 0.042) in multivariable models. After additional adjustment for maternal height the associations attenuated and were no longer significant. An inverse association with BMI at 4 years of age was observed in children born to mothers that had been exposed to the NFFD intervention (B = -0.144, 95% CI -0.275, -0.014, p = 0.030), but attenuated after adjustment for maternal BMI.The longitudinal association observed between early family meal participation and child height was largely explained by maternal height. The relationship with BMI differed according to maternal participation in a lifestyle intervention trial during pregnancy.

早期家庭用餐与营养健康的多个方面有关,但与线性生长的纵向关系尚未得到研究。本研究旨在调查12个月大时的家庭用餐情况是否与3年后的人体测量指标有关。我们使用了挪威适宜分娩试验(NFFD)中母亲所生儿童的随访数据,其中包括368名头胎婴儿在12个月大和4岁时的饮食和人体测量数据。我们将样本视为队列,并根据随机化状况进行了分组分析。在调整了母亲教育程度、随机化状况和儿童性别的粗线性回归模型和多变量线性回归模型中,我们将家庭膳食参与得分作为暴露量,将体重、身高和体重指数(BMI)作为结果。在多变量模型中,12 个月时家庭用餐参与度较高与 12 个月时身长(B = 0.198,95% CI 0.028,0.367,p = 0.022)和 4 年时身长(B = 0.283,95% CI 0.011,0.555,p = 0.042)呈正相关。在对母亲身高进行额外调整后,相关性减弱,不再显著。在接受过 NFFD 干预的母亲所生的儿童中,4 岁时的体重指数与体重指数呈负相关(B = -0.144,95% CI -0.275,-0.014,p = 0.030),但在调整了母亲的体重指数后,这种关系有所减弱。母亲在怀孕期间是否参加生活方式干预试验与母亲体重指数的关系有所不同。
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引用次数: 0
Assessing the causal relationship of birth weight and childhood obesity on osteoarthritis: a Mendelian randomization study. 评估出生体重和儿童肥胖对骨关节炎的因果关系:孟德尔随机研究。
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-03 DOI: 10.1017/S2040174424000114
Zengfeng Xin, Lingxiao Xu, Lingling Sun

Obesity is associated with osteoarthritis (OA), but few studies have used fetal origin to explore the association. Our study aims to disentangle the causality between birth weight, childhood obesity, and adult OA using Mendelian randomization (MR). We identified single nucleotide polymorphisms (SNPs) related to birth weight (n = 298,142) and childhood obesity (n = 24,160) from two genome-wide association studies contributed by the Early Growth Genetics Consortium. Summary statistics of OA and its phenotypes (knee, hip, spine, hand, thumb, and finger OA) from the Genetics of Osteoarthritis Consortium (n = 826,690) were used to estimate the effects of SNPs on OA. Multivariable MR (MVMR) was conducted to investigate the independent effects of exposures. It turned out that genetically predicted standard deviation increase in birth weight was not associated with OA. In contrast, there was a marginally positive effect of childhood obesity on total [odds ratio (OR) = 1.07, 95% confidence interval (CI) = 1.00, 1.15 using IVW], knee (OR = 1.13, 95% CI = 1.05, 1.22 using weighted median), hip (OR = 1.13, 95% CI = 1.04, 1.24 using IVW), and spine OA (OR = 1.12, 95% CI = 1.03, 1.22 using IVW), but not hand, thumb, or finger OA. MVMR indicated a potential adulthood body mass index-dependent causal pathway between childhood obesity and OA. In conclusion, no association of birth weight with OA was suggested. Childhood obesity, however, showed a causality with OA in weight-bearing joints, which seems to be a general association of obesity with OA.

肥胖与骨关节炎(OA)有关,但很少有研究利用胎儿来源来探讨这种关联。我们的研究旨在利用孟德尔随机化法(MR)厘清出生体重、儿童肥胖和成年骨关节炎之间的因果关系。我们从早期生长遗传学联合会(Early Growth Genetics Consortium)提供的两项全基因组关联研究中确定了与出生体重(n = 298,142 个)和儿童肥胖(n = 24,160 个)相关的单核苷酸多态性(SNPs)。骨关节炎遗传学联合会提供的 OA 及其表型(膝关节、髋关节、脊柱、手、拇指和手指 OA)的汇总统计数据(n = 826 690)用于估算 SNPs 对 OA 的影响。进行了多变量磁共振(MVMR)以研究暴露的独立影响。结果发现,遗传预测的出生体重标准偏差增加与 OA 无关。相比之下,儿童肥胖对总[使用 IVW 的几率比(OR)= 1.07,95% 置信区间(CI)= 1.00,1.15]、膝(OR = 1.13, 95% CI = 1.05, 1.22 using weighted median), hip (OR = 1.13, 95% CI = 1.04, 1.24 using IVW), and spine OA (OR = 1.12, 95% CI = 1.03, 1.22 using IVW), but not hand, thumb, or finger OA.MVMR表明,童年肥胖与OA之间可能存在依赖于成年体重指数的因果关系。总之,出生体重与 OA 之间没有关联。然而,儿童期肥胖与负重关节的OA存在因果关系,这似乎是肥胖与OA的普遍联系。
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引用次数: 0
Maternal birth weight is an indicator of preterm delivery: the Japan environment and children's study. 产妇出生体重是早产的指标:日本环境与儿童研究。
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-22 DOI: 10.1017/S2040174424000126
Rie Kudo, Noriyuki Iwama, Hirotaka Hamada, Hasumi Tomita, Kazuma Tagami, Natsumi Kumagai, Naoto Sato, Seiya Izumi, Kasumi Sakurai, Zen Watanabe, Mami Ishikuro, Taku Obara, Nozomi Tatsuta, Tetsuro Hoshiai, Hirohito Metoki, Masatoshi Saito, Junichi Sugawara, Shinichi Kuriyama, Takahiro Arima, Nobuo Yaegashi

This study aimed to investigate the association between maternal birth weight (MBW) with preterm delivery (PTD) in the Japanese population. To this end, a total of 78,972 Japanese pregnant women were included in a prospective birth cohort study. Multiple logistic regression and multinominal logistic regression models were applied to investigate the associations of MBW with PTD (delivery from 22 to < 37 weeks of gestation), early PTD (delivery from 22 to < 34 weeks), and late PTD (delivery from 34 to < 37 weeks). The results showed that MBW was inversely associated with PTD, early PTD, and late PTD (p-for-trend < 0.0001, 0.0014, and < 0.0001, respectively). The adjusted odds ratios per each 500 g of MBW decrease were 1.167 (95% confidence interval [CI]: 1.118-1.218) for PTD, 1.174 (95% CI: 1.070-1.287) for early PTD and 1.151 (95% CI: 1.098-1.206) for late PTD. The effect size of the association of MBW with early PTD was similar to that with late PTD. This study demonstrated for the first time an association of a low MBW with PTD, early PTD, and late PTD in a Japanese nationwide cohort.

本研究旨在调查日本人口中产妇出生体重(MBW)与早产(PTD)之间的关系。为此,一项前瞻性出生队列研究共纳入了 78,972 名日本孕妇。应用多元逻辑回归和多项式逻辑回归模型研究了 MBW 与早产(妊娠 22 周至小于 37 周分娩)、早期早产(妊娠 22 周至小于 34 周分娩)和晚期早产(妊娠 34 周至小于 37 周分娩)之间的关系。结果显示 MBW 与 PTD、早期 PTD 和晚期 PTD 成反比(p-趋势分别为 <0.0001、0.0014 和 <0.0001)。MBW 每减少 500 克,PTD 的调整几率比为 1.167(95% 置信区间 [CI]:1.118-1.218),早期 PTD 为 1.174(95% 置信区间:1.070-1.287),晚期 PTD 为 1.151(95% 置信区间:1.098-1.206)。MBW 与早期 PTD 的相关效应大小与晚期 PTD 相似。这项研究首次在日本全国性队列中证明了低 MBW 与 PTD、早期 PTD 和晚期 PTD 的关系。
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引用次数: 0
Long-term outcomes of visual motor integration and motor development children with retinopathy of prematurity. 早产儿视网膜病变患儿视觉运动整合和运动发育的长期结果。
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-10 DOI: 10.1017/S2040174424000151
Seval Kutlutürk Yıkılmaz, Gokhan Celik, Murat Gunay, Osman Kizilay, Zeliha Candan Algun

Premature infants have a risk of neurodevelopmental deficits. Little is known, however, about how retinopathy of prematurity (ROP) affects visual motor integration (VMI), which is necessary for both fine motor skills and further school abilities. Due to the systemic escape of bevacizumab in the treatment of ROP, concerns regarding the long-term neurodevelopmental effect of the drug have arisen. The aim is to evaluate VMI and motor development long-term outcomes after intravitreal bevacizumab (IVB) injection and laser treatment for ROP. Two groups of premature children were included: Bevacizumab group - 16 premature children who received IVB treatment and laser group - 23 premature children who underwent laser photocoagulation treatment in this single center cross-sectional study. At 2-6 years of age, VMI (Beery-Buktenica Developmental Test), motor development (Peabody Developmental Motor Scales-2), visual acuity, and refractive status were assessed. The incidence of abnormal visual function was significantly higher in bevacizumab group than in laser group (p = 0.022). The incidence of abnormal VMI skill was significantly higher in bevacizumab group than in laser group (p = 0.024). Incidences of abnormal gross, fine, and total motor skills were significantly higher in bevacizumab group compared to laser group (p < 0.05). Premature children who received bevacizumab for ROP demonstrated significantly lower VMI and motor development features than those with laser treatment at preschool age. Although our results suggest the relevance of bevacizumab injection in impaired VMI and motor development outcomes, general level of sickness rather than treatment might be the cause of delayed motor development.

早产儿有神经发育缺陷的风险。然而,人们对早产儿视网膜病变(ROP)如何影响视觉运动统合(VMI)知之甚少,而视觉运动统合是精细运动技能和进一步学习能力的必要条件。由于贝伐珠单抗在治疗早产儿视网膜病变的过程中会全身逃逸,因此人们对该药物对神经发育的长期影响产生了担忧。本研究旨在评估玻璃体内注射贝伐珠单抗(IVB)和激光治疗早产儿视网膜病变后 VMI 和运动发育的长期效果。研究对象包括两组早产儿:在这项单中心横断面研究中,贝伐单抗组--16 名早产儿接受了 IVB 治疗,激光组--23 名早产儿接受了激光光凝治疗。在 2-6 岁时,对 VMI(Beery-Buktenica 发育测试)、运动发育(Peabody 发育运动量表-2)、视力和屈光状态进行了评估。贝伐单抗组的视功能异常发生率明显高于激光组(P = 0.022)。贝伐单抗组的 VMI 技能异常发生率明显高于激光组(p = 0.024)。与激光组相比,贝伐单抗组大运动、精细运动和全面运动技能异常的发生率明显更高(p < 0.05)。接受贝伐珠单抗治疗的早产儿在学龄前的 VMI 和运动发育特征明显低于接受激光治疗的早产儿。尽管我们的研究结果表明,贝伐珠单抗注射剂与VMI和运动发育受损有关,但一般疾病水平而非治疗可能是导致运动发育迟缓的原因。
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引用次数: 0
Sodium overload during postnatal phases impairs diastolic function and exacerbates reperfusion arrhythmias in adult rats. 出生后钠离子超载会损害成年大鼠的舒张功能并加剧再灌注心律失常。
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-09 DOI: 10.1017/S204017442400014X
Marina Conceição Dos Santos Moreira, Allancer Divino de Carvalho Nunes, Paulo Ricardo Lopes, Cintia do Carmo Silva, Stefanne Madalena Marques, Lara Marques Naves, Matheus Lobo Perez Dias, Fernanda Cristina Alcântara Santos, Rodrigo Mello Gomes, Carlos Henrique Xavier, Carlos Henrique de Castro, Gustavo Rodrigues Pedrino

Sodium overload during childhood impairs baroreflex sensitivity and increases arterial blood pressure and heart rate in adulthood; these effects persist even after high-salt diet (HSD) withdrawal. However, the literature lacks details on the effects of HSD during postnatal phases on cardiac ischemia/reperfusion responses in adulthood. The current study aimed to elucidate the impact of HSD during infancy adolescence on isolated heart function and cardiac ischemia/reperfusion responses in adulthood. Male 21-day-old Wistar rats were treated for 60 days with hypertonic saline solution (NaCl; 0.3M; experimental group) or tap water (control group). Subsequently, both groups were maintained on a normal sodium diet for 30 days. Subsequently, the rats were euthanized, and their hearts were isolated and perfused according to the Langendorff technique. After 30 min of the basal period, the hearts were subjected to 20 min of anoxia, followed by 20 min of reperfusion. The basal contractile function was unaffected by HSD. However, HSD elevated the left ventricular end-diastolic pressure during reperfusion (23.1 ± 5.2 mmHg vs. 11.6 ± 1.4 mmHg; p < 0.05) and increased ectopic incidence period during reperfusion (208.8 ± 32.9s vs. 75.0 ± 7.8s; p < 0.05). In conclusion, sodium overload compromises cardiac function after reperfusion events, diminishes ventricular relaxation, and increases the severity of arrhythmias, suggesting a possible arrhythmogenic effect of HSD in the postnatal phases.

儿童期钠超载会损害气压反射敏感性,并在成年后增加动脉血压和心率;即使在停止高盐饮食(HSD)后,这些影响仍会持续。然而,关于出生后阶段的高盐饮食对成年后心脏缺血/再灌注反应的影响,缺乏详细的文献资料。本研究旨在阐明婴幼儿时期的 HSD 对成年后离体心脏功能和心脏缺血/再灌注反应的影响。21 天大的雄性 Wistar 大鼠接受高渗盐水(NaCl;0.3M;实验组)或自来水(对照组)治疗 60 天。随后,两组均以正常钠饮食维持 30 天。随后,对大鼠实施安乐死,并按照 Langendorff 技术分离和灌注大鼠心脏。基础期 30 分钟后,对大鼠心脏进行 20 分钟缺氧,然后再灌注 20 分钟。基础收缩功能不受 HSD 的影响。然而,HSD 升高了再灌注期间的左心室舒张末压(23.1 ± 5.2 mmHg vs. 11.6 ± 1.4 mmHg;p < 0.05),并增加了再灌注期间的异位发生期(208.8 ± 32.9s vs. 75.0 ± 7.8s;p < 0.05)。总之,钠负荷过重会损害再灌注事件后的心脏功能,降低心室松弛,并增加心律失常的严重程度,这表明 HSD 在出生后阶段可能具有致心律失常作用。
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引用次数: 0
Bocconia frutescens L. induces neurological defects in rat offspring Bocconia frutescens L.诱发大鼠后代神经系统缺陷
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-29 DOI: 10.1017/s2040174424000138
V.E. Bolado-García, A.A. Corona-Morales, M.A. Núñez-Murrieta, A.J. Martínez, Y.A. Gheno-Heredia, A. Sánchez-Medina, I. Santiago-Roque

Nearly 80% of the world’s population trusts traditional medicine and plant-based drug compounds to improve health, and more than 50% of women who participated in a study have used herbal remedies during pregnancy. Bocconia frutescens L. is a plant native to tropical America, where infusion of its leaves has been widely used for the treatment of several gastrointestinal disorders. We have already shown that orogastric consumption of B. frutescens L. during the organogenesis period at concentrations equivalent to human consumption produces teratogenic effects in rats, but effects on progeny development have not yet been studied. In this study, we aimed to investigate the possible association between the consumption of B. frutescens L. at a dose equivalent to that consumed by humans and the neurological development of rat progeny. Pregnant Wistar rats were administered lyophilized B. frutescens L. extract at 300 mg/kg/day or vehicle via the orogastric route during the organogenesis period (gestation days 7–13). The physical development and sensory and motor maturation of their offspring during lactation were analyzed with a battery of reflex and physical tests. B. frutescens L. produced a significant delay in physical development and sensorimotor maturation, compared to the control group. Proton nuclear magnetic resonance spectroscopy analysis showed signals for both flavonoids and alkaloids in the B. frutescens L. extract. We conclude that the delay in physical and neurological development could be interpreted as alterations in the maturation of some neuronal circuitries induced by B. frutescens L.

世界上有近 80% 的人相信传统医学和植物药物复合物来改善健康状况,参与一项研究的妇女中有 50% 以上在怀孕期间使用过草药疗法。Bocconia frutescens L. 是一种原产于美洲热带地区的植物,其叶片浸泡液被广泛用于治疗多种胃肠道疾病。我们已经证明,在大鼠器官形成期口服浓度相当于人类食用量的 Bocconia frutescens L. 会产生致畸效应,但对后代发育的影响尚未研究。在这项研究中,我们的目的是调查食用相当于人类食用剂量的洋二仙草与大鼠后代神经系统发育之间可能存在的联系。在大鼠器官形成期(妊娠第 7-13 天),通过口胃途径给妊娠 Wistar 大鼠服用冻干叶枯素提取物(300 毫克/千克/天)或药物。通过一系列反射和体能测试分析了哺乳期后代的体格发育、感官和运动成熟情况。与对照组相比,B.frutescens L.会导致后代的身体发育和感觉运动成熟明显延迟。质子核磁共振光谱分析显示,洋地黄提取物中含有黄酮类和生物碱信号。我们得出的结论是,身体和神经系统发育的延迟可解释为 B. frutescens L. 诱导的某些神经元回路成熟的改变。
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引用次数: 0
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Journal of Developmental Origins of Health and Disease
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