围产期处方阿片类药物暴露(DOPE)的发育结局。

NeuroImmune pharmacology and therapeutics Pub Date : 2023-11-27 eCollection Date: 2023-12-01 DOI:10.1515/nipt-2023-0017
Adrian Flores, Nghi M Nguyen, Gurudutt Pendyala
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引用次数: 0

摘要

在过去的20年里,研究人员发现大量证据表明,围产期阿片类药物暴露会导致后代发育障碍的风险增加,并持续到成年。阿片类药物用于治疗与妊娠、分娩和产后并发症有关的疼痛的情况一直在增加。结果,社区报告新生儿阿片类药物戒断综合征(NOWS)增加了300-400 %。NOWS代表了几种行为、表型和突触缺陷的初始阶段。本文综述了围产期处方阿片类药物暴露(DOPE)的发育结局。此外,我们还试图将这些发现与临床研究联系起来,这些研究描述了生命多个阶段的DOPE。由于导致DOPE的具体机制尚不清楚,本文旨在提供一个概念化所有年龄段的框架,并强调它们可能对长寿的影响。
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Developmental outcomes with perinatal exposure (DOPE) to prescription opioids.

Researchers have found considerable evidence in the past 20 years that perinatal opioid exposure leads to an increased risk of developmental disorders in offspring that persist into adulthood. The use of opioids to treat pain concerning pregnancy, delivery, and postpartum complications has been rising. As a result, communities have reported a 300-400 % increase in Neonatal Opioid Withdrawal Syndrome (NOWS). NOWS represents the initial stage of several behavioral, phenotypic, and synaptic deficits. This review article summarizes the Developmental Outcomes of Perinatal Exposure (DOPE) to prescription opioids. Moreover, we also seek to connect these findings to clinical research that describes DOPE at multiple stages of life. Since specific mechanisms that underlie DOPE remain unclear, this article aims to provide a framework for conceptualizing across all ages and highlight the implications they may have for longevity.

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