Epigenetic programming for obesity and noncommunicable disease: From womb to tomb

Rev Endocr Metab Disord. 2024 Apr;25(2):309-324. doi: 10.1007/s11154-023-09854-w. Epub 2023 Dec 2.

Abstract

Several epidemiological, clinical and experimental studies in recent decades have shown the relationship between exposure to stressors during development and health outcomes later in life. The characterization of these susceptible phases, such as preconception, gestation, lactation and adolescence, and the understanding of factors that influence the risk of an adult individual for developing obesity, metabolic and cardiovascular diseases, is the focus of the DOHaD (Developmental Origins of Health and Disease) research line. In this sense, advancements in molecular biology techniques have contributed significantly to the understanding of the mechanisms underlying the observed phenotypes, their morphological and physiological alterations, having as a main driving factor the epigenetic modifications and their consequent modulation of gene expression. The present narrative review aimed to characterize the different susceptible phases of development and associated epigenetic modifications, and their implication in the development of non-communicable diseases. Additionally, we provide useful insights into interventions during development to counteract or prevent long-term programming for disease susceptibility.

Keywords: Adolescence; Epigenomics; Growth and development; Lactation; Noncommunicable disease; Pregnancy.

Publication types

  • Review

MeSH terms

  • Adult
  • Disease Susceptibility
  • Epigenesis, Genetic
  • Female
  • Humans
  • Noncommunicable Diseases* / epidemiology
  • Noncommunicable Diseases* / prevention & control
  • Obesity / genetics
  • Prenatal Exposure Delayed Effects* / genetics
  • Prenatal Exposure Delayed Effects* / prevention & control
  • Uterus