Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development

A wealth of evidence showed that low birth weight is associated with environmental disruption during gestation, triggering embryotic or fetal adaptations and increasing the susceptibility of progeny to non-communicable diseases, including metabolic and cardiovascular diseases, obesity, and arterial...

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Autores principales: Vinícius Schiavinatto Mariano, Patrícia Aline Boer, José Antônio Rocha Gontijo
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/c89cbd86aa1d4ea899b8ae7063a8071f
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spelling oai:doaj.org-article:c89cbd86aa1d4ea899b8ae7063a8071f2021-11-17T07:01:11ZFetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development1664-042X10.3389/fphys.2021.704819https://doaj.org/article/c89cbd86aa1d4ea899b8ae7063a8071f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphys.2021.704819/fullhttps://doaj.org/toc/1664-042XA wealth of evidence showed that low birth weight is associated with environmental disruption during gestation, triggering embryotic or fetal adaptations and increasing the susceptibility of progeny to non-communicable diseases, including metabolic and cardiovascular diseases, obesity, and arterial hypertension. In addition, dietary disturbance during pregnancy in animal models has highlighted mechanisms that involve the genesis of arterial hypertension, particularly severe maternal low-protein intake (LP). Functional studies demonstrated that maternal low-protein intake leads to the renal decrease of sodium excretion and the dysfunction of the renin-angiotensin-aldosterone system signaling of LP offspring. The antinatriuretic effect is accentuated by a reduced number of nephron units and glomerulosclerosis, which are critical in establishing arterial hypertension phenotype. Also, in this way, studies have shown that the overactivity of the central and peripheral sympathetic nervous system occurs due to reduced sensory (afferent) renal nerve activity. As a result of this reciprocal and abnormal renorenal reflex, there is an enhanced tubule sodium proximal sodium reabsorption, which, at least in part, contributes directly to arterial hypertension development in some of the programmed models. A recent study has observed that significant changes in adrenal medulla secretion could be involved in the pathophysiological process of increasing blood pressure. Thus, this review aims to compile studies that link the central and peripheral sympathetic system activity mechanisms on water and salt handle and blood pressure control in the maternal protein-restricted offspring. Besides, these pathophysiological mechanisms mainly may involve the modulation of neurokinins and catecholamines pathways.Vinícius Schiavinatto MarianoPatrícia Aline BoerJosé Antônio Rocha GontijoFrontiers Media S.A.articlematernal low-protein dietcatecholaminesfetal programmingsympathetic nervous systemarterial hypertensionPhysiologyQP1-981ENFrontiers in Physiology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic maternal low-protein diet
catecholamines
fetal programming
sympathetic nervous system
arterial hypertension
Physiology
QP1-981
spellingShingle maternal low-protein diet
catecholamines
fetal programming
sympathetic nervous system
arterial hypertension
Physiology
QP1-981
Vinícius Schiavinatto Mariano
Patrícia Aline Boer
José Antônio Rocha Gontijo
Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
description A wealth of evidence showed that low birth weight is associated with environmental disruption during gestation, triggering embryotic or fetal adaptations and increasing the susceptibility of progeny to non-communicable diseases, including metabolic and cardiovascular diseases, obesity, and arterial hypertension. In addition, dietary disturbance during pregnancy in animal models has highlighted mechanisms that involve the genesis of arterial hypertension, particularly severe maternal low-protein intake (LP). Functional studies demonstrated that maternal low-protein intake leads to the renal decrease of sodium excretion and the dysfunction of the renin-angiotensin-aldosterone system signaling of LP offspring. The antinatriuretic effect is accentuated by a reduced number of nephron units and glomerulosclerosis, which are critical in establishing arterial hypertension phenotype. Also, in this way, studies have shown that the overactivity of the central and peripheral sympathetic nervous system occurs due to reduced sensory (afferent) renal nerve activity. As a result of this reciprocal and abnormal renorenal reflex, there is an enhanced tubule sodium proximal sodium reabsorption, which, at least in part, contributes directly to arterial hypertension development in some of the programmed models. A recent study has observed that significant changes in adrenal medulla secretion could be involved in the pathophysiological process of increasing blood pressure. Thus, this review aims to compile studies that link the central and peripheral sympathetic system activity mechanisms on water and salt handle and blood pressure control in the maternal protein-restricted offspring. Besides, these pathophysiological mechanisms mainly may involve the modulation of neurokinins and catecholamines pathways.
format article
author Vinícius Schiavinatto Mariano
Patrícia Aline Boer
José Antônio Rocha Gontijo
author_facet Vinícius Schiavinatto Mariano
Patrícia Aline Boer
José Antônio Rocha Gontijo
author_sort Vinícius Schiavinatto Mariano
title Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
title_short Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
title_full Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
title_fullStr Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
title_full_unstemmed Fetal Undernutrition Programming, Sympathetic Nerve Activity, and Arterial Hypertension Development
title_sort fetal undernutrition programming, sympathetic nerve activity, and arterial hypertension development
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/c89cbd86aa1d4ea899b8ae7063a8071f
work_keys_str_mv AT viniciusschiavinattomariano fetalundernutritionprogrammingsympatheticnerveactivityandarterialhypertensiondevelopment
AT patriciaalineboer fetalundernutritionprogrammingsympatheticnerveactivityandarterialhypertensiondevelopment
AT joseantoniorochagontijo fetalundernutritionprogrammingsympatheticnerveactivityandarterialhypertensiondevelopment
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