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PMID: 24863382 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Review

Glucocorticoids and fetal programming part 1: Outcomes.

Nature reviews. Endocrinology ·Vol. 10 ·No. 7 ·2014-07-00 ·Pages 391-402

Moisiadis VG, Matthews SG

Abstract

Fetal development is a critical period for shaping the lifelong health of an individual. However, the fetus is susceptible to internal and external stimuli that can lead to adverse long-term health consequences. Glucocorticoids are an important developmental switch, driving changes in gene regulation that are necessary for normal growth and maturation. The fetal hypothalamic-pituitary-adrenal (HPA) axis is particularly susceptible to long-term programming by glucocorticoids; these effects can persist throughout the life of an organism. Dysfunction of the HPA axis as a result of fetal programming has been associated with impaired brain growth, altered behaviour and increased susceptibility to chronic disease (such as metabolic and cardiovascular disease). Moreover, the effects of glucocorticoid-mediated programming are evident in subsequent generations, and transmission of these changes can occur through both maternal and paternal lineages.

MeSH Terms
Adult Animals Behavior, Animal/drug effects Betamethasone/adverse effects Child Dexamethasone/adverse effects Female Fetal Development/drug effects Fetus/drug effects Glucocorticoids/adverse effects,physiology Humans Hypothalamo-Hypophyseal System/drug effects,physiology Male Pituitary-Adrenal System/drug effects,physiology Pregnancy Premature Birth/physiopathology Prenatal Exposure Delayed Effects Stress, Physiological/physiology Stress, Psychological/physiopathology
Chemicals
Glucocorticoids Dexamethasone Betamethasone
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Moisiadis Vasilis G
Department of Physiology, University of Toronto, Medical Sciences Building, 1 King's College Circle, Toronto, ON M5S 1A8, Canada.
Matthews Stephen G
Departments of Obstetrics and Gynaecology, Medicine and Physiology, University of Toronto, Medical Sciences Building, 1 King's College Circle, Toronto, ON M5S 1A8, Canada.
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Article Info
Journal
Nature reviews. Endocrinology
Abbr.
Nat Rev Endocrinol
ISSN
1759-5037
Published
2014-07-00
Epub
2014-00-27
Pages
391-402
Language
English
Region
England
NLM ID
101500078
Subset
IM
Grants
Canadian Institutes of Health Research · 126166 · Canada
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