母体肥胖通过调节心肌代谢导致子代心肌肥大:研究进展与未来方向
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1.内蒙古医科大学基础医学院,呼和浩特 010110;2.呼和浩特市中医蒙医医院消化内科,呼和浩特 010050

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R-33

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Maternal obesity leads to cardiac hypertrophy in offspring via modulation of myocardial metabolism: current research and future perspectives
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1. School of Basic Medical Sciences, Inner Mongolia Medical University, Hohhot 010110, China. 2. Department of Gastroenterology, Hohhot Hospital of Traditional Chinese Medicine and Mongolian Medicine, Hohhot 010050

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    摘要:

    近年来,母体肥胖在子代心血管疾病发展中的作用引起了广泛的关注。不仅影响母亲健康,还可通过多种途径影响子代心血管系统发育,增加成年后患心脏病的风险。孕期高热量摄入导致孕妇肥胖,使胎儿暴露在宫内富营养环境中,促使心肌细胞适应性的调整脂肪酸、葡萄糖和酮体代谢等能源物质的摄取和消耗。近期研究表明,母体肥胖可以影响子代心肌代谢使其发生重构,心脏中的ROS增加,从而持续激活mTOR和Hippo通路,诱导心肌细胞增殖和肥大。另一方面,Hippo通路还可以作为心肌肥大的潜在治疗靶点。本综述的主要目的是概述母体肥胖如何通过影响胎儿期的心肌细胞代谢,进而促进子代心肌肥大的发展,探讨表观遗传学机制在调控心肌肥大的关键作用,同时讨论母体肥胖对后代心肌健康的远期效应。此外,本综述建议未来研究应放在深化代谢记忆、跨代遗传效应和早期生命干预策略方面。

    Abstract:

    The relationship between the pathogenesis of cardiovascular diseases in individuals and maternal obesity (MO) has attracted much recent attention. In addition to jeopardizing maternal health, MO increases the heart-attack risk in the offspring by affecting the development of the cardiovascular system. High prenatal calorie intake leads to fetal overnutrition, which affects the use of fatty acids, glucose, and ketones in cardiomyocytes. MO has been shown to affect the offspring via cardiomyocyte metabolism and remodeling, as well as increasing reactive oxygen species in the heart, thereby stimulating the mammalian target of rapamycin and Hippo pathways to induce cardiomyocyte proliferation and hypertrophy. Notably, the Hippo pathway could represent a potential therapeutic target for cardiomyocyte hypertrophy. This review considers the role of MO in regulating fetal cardiomyocyte metabolism and hypertrophy in the offspring, and the related epigenetic mechanism. We also discuss the long-term effects of MO on offspring cardiomyocyte health. The findings suggest that metabolic memory, cross-generational genetic effects, and early-life interventions may be important avenues for future research.

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李 琪,吉木斯,那顺巴雅尔.母体肥胖通过调节心肌代谢导致子代心肌肥大:研究进展与未来方向[J].中国比较医学杂志,2025,35(8):168~177.

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  • 收稿日期:2025-01-07
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  • 在线发布日期: 2025-09-29
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