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Physiol. Rev. 85: 571-633, 2005; doi:10.1152/physrev.00053.2003
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Developmental Origins of the Metabolic Syndrome: Prediction, Plasticity, and Programming

I. Caroline Mcmillen and Jeffrey S. Robinson

Discipline of Physiology, School of Molecular and Biomedical Sciences, and Department Obstetrics and Gynaecology, University of Adelaide, Adelaide, Australia

The "fetal" or "early" origins of adult disease hypothesis was originally put forward by David Barker and colleagues and stated that environmental factors, particularly nutrition, act in early life to program the risks for adverse health outcomes in adult life. This hypothesis has been supported by a worldwide series of epidemiological studies that have provided evidence for the association between the perturbation of the early nutritional environment and the major risk factors (hypertension, insulin resistance, and obesity) for cardiovascular disease, diabetes, and the metabolic syndrome in adult life. It is also clear from experimental studies that a range of molecular, cellular, metabolic, neuroendocrine, and physiological adaptations to changes in the early nutritional environment result in a permanent alteration of the developmental pattern of cellular proliferation and differentiation in key tissue and organ systems that result in pathological consequences in adult life. This review focuses on those experimental studies that have investigated the critical windows during which perturbations of the intrauterine environment have major effects, the nature of the epigenetic, structural, and functional adaptive responses which result in a permanent programming of cardiovascular and metabolic function, and the role of the interaction between the pre- and postnatal environment in determining final health outcomes.





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Sucrose feeding during pregnancy and lactation elicits distinct metabolic response in offspring of an inbred genetic model of metabolic syndrome
Am J Physiol Endocrinol Metab, May 1, 2007; 292(5): E1318 - E1324.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
S. M. MacLaughlin, S. K. Walker, D. O. Kleemann, J. P. Sibbons, D. N. Tosh, S. Gentili, C. L. Coulter, and I. C. McMillen
Impact of Periconceptional Undernutrition on Adrenal Growth and Adrenal Insulin-Like Growth Factor and Steroidogenic Enzyme Expression in the Sheep Fetus during Early Pregnancy
Endocrinology, April 1, 2007; 148(4): 1911 - 1920.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
E. Lebenthal and D. M. Bier
Novel Concepts in the Developmental Origins of Adult Health and Disease
J. Nutr., April 1, 2007; 137(4): 1073 - 1075.
[Full Text] [PDF]


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J. Physiol.Home page
M. G. Frasch, T. Muller, C. Wicher, C. Weiss, M. Lohle, K. Schwab, H. Schubert, P. W. Nathanielsz, O. W. Witte, and M. Schwab
Fetal body weight and the development of the control of the cardiovascular system in fetal sheep
J. Physiol., March 15, 2007; 579(3): 893 - 907.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
A. M. Nuyt and M. Szyf
Developmental Programming Through Epigenetic Changes
Circ. Res., March 2, 2007; 100(4): 452 - 455.
[Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
G. Cambonie, B. Comte, C. Yzydorczyk, T. Ntimbane, N. Germain, N. L. O. Le, P. Pladys, C. Gauthier, I. Lahaie, D. Abran, et al.
Antenatal antioxidant prevents adult hypertension, vascular dysfunction, and microvascular rarefaction associated with in utero exposure to a low-protein diet
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2007; 292(3): R1236 - R1245.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
B. N. Van Vliet and L. L. Chafe
Maternal Endothelial Nitric Oxide Synthase Genotype Influences Offspring Blood Pressure and Activity in Mice
Hypertension, March 1, 2007; 49(3): 556 - 562.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
N. B. Ojeda, D. Grigore, L. L. Yanes, R. Iliescu, E. B. Robertson, H. Zhang, and B. T. Alexander
Testosterone contributes to marked elevations in mean arterial pressure in adult male intrauterine growth restricted offspring
Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2007; 292(2): R758 - R763.
[Abstract] [Full Text] [PDF]


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Reproductive SciencesHome page
O. Khorram, M. Momeni, M. Desai, and M. G. Ross
Nutrient Restriction In Utero Induces Remodeling of the Vascular Extracellular Matrix in Rat Offspring
Reproductive Sciences, January 1, 2007; 14(1): 73 - 80.
[Abstract] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
H. Dickinson, D. W. Walker, E. M. Wintour, and K. Moritz
Maternal dexamethasone treatment at midgestation reduces nephron number and alters renal gene expression in the fetal spiny mouse
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2007; 292(1): R453 - R461.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
E. Landmann, F. Geller, J. Schilling, S. Rudloff, E. Foeller-Gaudier, and L. Gortner
Absence of the Wild-type Allele (192 Base Pairs) of a Polymorphism in the Promoter Region of the IGF-I Gene but Not a Polymorphism in the Insulin Gene Variable Number of Tandem Repeat Locus Is Associated With Accelerated Weight Gain in Infancy
Pediatrics, December 1, 2006; 118(6): 2374 - 2379.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
G. Iniguez, K. Ong, R. Bazaes, A. Avila, T. Salazar, D. Dunger, and V. Mericq
Longitudinal Changes in Insulin-Like Growth Factor-I, Insulin Sensitivity, and Secretion from Birth to Age Three Years in Small-for-Gestational-Age Children
J. Clin. Endocrinol. Metab., November 1, 2006; 91(11): 4645 - 4649.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
F. Rahnama, F. Shafiei, P. D. Gluckman, M. D. Mitchell, and P. E. Lobie
Epigenetic Regulation of Human Trophoblastic Cell Migration and Invasion
Endocrinology, November 1, 2006; 147(11): 5275 - 5283.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. Thone-Reineke, P. Kalk, M. Dorn, S. Klaus, K. Simon, T. Pfab, M. Godes, P. Persson, T. Unger, and B. Hocher
High-protein nutrition during pregnancy and lactation programs blood pressure, food efficiency, and body weight of the offspring in a sex-dependent manner
Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2006; 291(4): R1025 - R1030.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. Yzydorczyk, F. Gobeil Jr., G. Cambonie, I. Lahaie, N. L. O. Le, S. Samarani, A. Ahmad, J. C. Lavoie, L. L. Oligny, P. Pladys, et al.
Exaggerated vasomotor response to ANG II in rats with fetal programming of hypertension associated with exposure to a low-protein diet during gestation
Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2006; 291(4): R1060 - R1068.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
M. Bursztyn, M.-L. Gross, T. Goltser-Dubner, N. Koleganova, T. Birman, Y. Smith, and I. Ariel
Adult Hypertension in Intrauterine Growth-Restricted Offspring of Hyperinsulinemic Rats: Evidence of Subtle Renal Damage
Hypertension, October 1, 2006; 48(4): 717 - 723.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
M. I. Hernandez, A. Martinez, T. Capurro, V. Pena, L. Trejo, A. Avila, T. Salazar, S. Asenjo, G. Iniguez, and V. Mericq
Comparison of Clinical, Ultrasonographic, and Biochemical Differences at the Beginning of Puberty in Healthy Girls Born Either Small for Gestational Age or Appropriate for Gestational Age: Preliminary Results
J. Clin. Endocrinol. Metab., September 1, 2006; 91(9): 3377 - 3381.
[Abstract] [Full Text] [PDF]


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J ANIM SCIHome page
G. Wu, F. W. Bazer, J. M. Wallace, and T. E. Spencer
BOARD-INVITED REVIEW: Intrauterine growth retardation: Implications for the animal sciences
J Anim Sci, September 1, 2006; 84(9): 2316 - 2337.
[Abstract] [Full Text] [PDF]


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ReproductionHome page
W. Y. Kwong, D. J Miller, E. Ursell, A. E Wild, A. P Wilkins, C. Osmond, F. W Anthony, and T. P Fleming
Imprinted gene expression in the rat embryo-fetal axis is altered in response to periconceptional maternal low protein diet.
Reproduction, August 1, 2006; 132(2): 265 - 277.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
D. S. Fernandez-Twinn, S. Ekizoglou, A. Wayman, C. J. Petry, and S. E. Ozanne
Maternal low-protein diet programs cardiac beta-adrenergic response and signaling in 3-mo-old male offspring
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2006; 291(2): R429 - R436.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
J. L. Segar, R. D. Roghair, E. M. Segar, M. C. Bailey, T. D. Scholz, and F. S. Lamb
Early gestation dexamethasone alters baroreflex and vascular responses in newborn lambs before hypertension
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2006; 291(2): R481 - R488.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
F. H. Bloomfield, P. L. van Zijl, M. K. Bauer, H. H. Phua, and J. E. Harding
Effect of pulsatile growth hormone administration to the growth-restricted fetal sheep on somatotrophic axis gene expression in fetal and placental tissues
Am J Physiol Endocrinol Metab, August 1, 2006; 291(2): E333 - E339.
[Abstract] [Full Text] [PDF]


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J EndocrinolHome page
M. E Trujillo-Ortega, D. Mota-Rojas, R. Hernandez-Gonzalez, E. Y. Velazquez-Armenta, A. A Nava-Ocampo, R. Ramirez-Necoechea, M. Becerril-Herrera, and M. Alonso-Spilsbury
Obstetric and neonatal outcomes to recombinant porcine somatotropin administered in the last third of pregnancy to primiparous sows.
J. Endocrinol., June 1, 2006; 189(3): 575 - 582.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
Y. Xu, S. J. Williams, D. O'Brien, and S. T. Davidge
Hypoxia or nutrient restriction during pregnancy in rats leads to progressive cardiac remodeling and impairs postischemic recovery in adult male offspring
FASEB J, June 1, 2006; 20(8): 1251 - 1253.
[Abstract] [Full Text] [PDF]


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Mayo Clin Proc.Home page
C. S. Stump, M. T. Hamilton, and J. R. Sowers
Effect of Antihypertensive Agents on the Development of Type 2 Diabetes Mellitus
Mayo Clin. Proc., June 1, 2006; 81(6): 796 - 806.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
M. Garg, M. Thamotharan, L. Rogers, S. Bassilian, W. N. P. Lee, and S. U. Devaskar
Glucose metabolic adaptations in the intrauterine growth-restricted adult female rat offspring
Am J Physiol Endocrinol Metab, June 1, 2006; 290(6): E1218 - E1226.
[Abstract] [Full Text] [PDF]


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J EndocrinolHome page
S. O Krechowec, M. Vickers, A. Gertler, and B. H Breier
Prenatal influences on leptin sensitivity and susceptibility to diet-induced obesity.
J. Endocrinol., May 1, 2006; 189(2): 355 - 363.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
A. L. Fowden, J. W. Ward, F. P. B. Wooding, A. J. Forhead, and M. Constancia
Programming placental nutrient transport capacity
J. Physiol., April 1, 2006; 572(1): 5 - 15.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
D. Feil, M. Lane, C. T. Roberts, R. L. Kelley, L. J. Edwards, J. G. Thompson, and K. L. Kind
Effect of culturing mouse embryos under different oxygen concentrations on subsequent fetal and placental development
J. Physiol., April 1, 2006; 572(1): 87 - 96.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
R. Novotny, Y. G. Daida, J. S. Grove, L. L. Marchand, and V. Vijayadeva
Asian Adolescents Have a Higher Trunk:Peripheral Fat Ratio than Whites
J. Nutr., March 1, 2006; 136(3): 642 - 647.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
Y.-Y. Yeh and S.-m. Yeh
Homocysteine-Lowering Action Is Another Potential Cardiovascular Protective Factor of Aged Garlic Extract
J. Nutr., March 1, 2006; 136(3): 745S - 749S.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
K. Zandi-Nejad, V. A. Luyckx, and B. M. Brenner
Adult Hypertension and Kidney Disease: The Role of Fetal Programming
Hypertension, March 1, 2006; 47(3): 502 - 508.
[Abstract] [Full Text] [PDF]


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PhysiologyHome page
A. L. Fowden, D. A. Giussani, and A. J. Forhead
Intrauterine Programming of Physiological Systems: Causes and Consequences
Physiology, February 1, 2006; 21(1): 29 - 37.
[Abstract] [Full Text] [PDF]




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