The book consists of seven sections that will describe the role of early life events in determining long-term health outcomes and the mechanisms proposed to account for these effects. The first section describes the normal process of pregnancy and birth, the mechanisms driving parturition, and the essential prenatal and post natal requirements for optimal fetal development. This is followed by a chapter on the role of genetic versus epigenetic factors. Subsequent sections will describe programming effects on essential physiological systems known to be affected by pre-/post-natal factors. In each section an introductory chapter will describe basic findings and subsequent chapters will describe relevance in terms of human disease. A final section will address the way forward in terms of research and the development of optimal animal models to continue the research into this growing area of interest, and the clinical implications of these findings and health practice recommendations.
Introduction Section 1: The Physiology of Normal Pregnancy: Normal pregnancy and parturition. Genomic imprinting and epigenetic programming of fetal development.
Section 2: Prenatal Programming of the Neuroendocrine System: Developmental programming of hypothalamic pituitary adrenal axis axis. Neuroendocrine programming of adult disease. Maternal nutrition and later disease risk - cardiovascular
Section 3: Prenatal Programming of the Metabolic System Programming the fetal pancreatic axes. Prenatal programming, catch-up growth and metabolic homeostasis. Prenatal programming of postnatal obesity.
Section 4: Prenatal Programming of the Immune System Maternal alcohol consumoption and neuroendocrine immune interactions in the offspring. The Old Friends Hypothesis; how early contact with certain microorganisms may predetermine the efficiency of immunoregulatory circuits. Pathways mediating prenatal influences on immune development in the young infant. Role of prenatal events in the development of allergic disease. Pregnancy characteristics and asthma and allergies in off-spring.
Section 5: Prenatal Programming of Nociceptive System: Consequences of prenatal influences on functional indexes of nociceptive system during ontogeny. Long-term effects of repetitive pain in the neonatal period: neuronal vulnerability, imprinting, and plasticity.
Section 6: Prenatal Programming Of Adult Behaviour: The Role of Cytokine Network Activation in the epigenesis of developmental psychopathology. Prenatal androgens and the ontogeny of behaviour. The role of prenatal stress in the programming of behaviour. Prenatal programming of child behaviour; evidence and mechanisms.
Section 7: Research Guidelines And Implications For The Future: Clinical Applications And Considerations: The development of biologically relevant models for the study of the ontogeny of human disease. Prenatal glucocorticoid exposure and adult pathophysiology; clinical implications
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