Skip to main content

Prenatal Programming and Epigenetics of Obesity Metabolic Phenotype: Pre- and Postnatal Metabolic Phenotypes and Molecular Mechanisms

  • Reference work entry
  • First Online:
Book cover Handbook of Nutrition, Diet, and Epigenetics

Abstract

The incidence of obesity and comorbidities has increased to epidemic levels in recent years, with important changes in the sociodemographic profile of the disease. At present, a high prevalence of the disease is not only found in developed countries but also in developing areas like India, Brazil, China, and Middle East countries. Concomitantly, the highest prevalence has moved from mature individuals to infant, young, and middle-aged populations. There is currently strong evidence supporting that these changes are related to modifications in nutritional patterns and lifestyle of women in childbearing age that affects prenatal and early postnatal environment, and therefore, modifies the developmental programming of their offspring. The present chapter outlines, based on the results of translational animal research and epidemiological human studies, the processes of developmental programming involved in the onset of obesity at infancy and adulthood.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 579.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 799.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

AGRP:

Agouti related protein

DNA:

Deoxyribonucleic acid

DOHaD:

Developmental Origins of Health and Disease

IUGR:

Intrauterine Growth Restriction or Retardation

LEP:

Leptin

LEPR:

Leptin receptor

LGA:

Large-for-gestational-age

MC3R:

Melanocortin 3 receptor

MC4R:

Melanocortin 4 receptor

NPY:

Neuropeptide Y

POMC:

Propiomelanocortin

RNA:

Ribonucleic acid

SGA:

Small-for-gestational-age

α-MSH:

Alpha-melanocyte stimulating hormone

References

  • Barker JP, Clark PM (1997) Fetal undernutrition and disease in later life. Rev Reprod 2:105–112

    Article  CAS  Google Scholar 

  • Barker DJ, Osmond C, Law CM (1989) The intrauterine and early postnatal origins of cardiovascular disease and chronic bronchitis. J Epidemiol Community Health 43:237–240

    Article  CAS  Google Scholar 

  • Barker DJ, Hales CN, Fall CH, Osmond C, Phipps K, Clark PM (1993) Type 2 (non-insulin dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth. Diabetologia 36:62–67

    Article  CAS  Google Scholar 

  • Baschat AA (2004) Fetal responses to placental insufficiency: an update. BJOG 111:1031–1041

    Article  CAS  Google Scholar 

  • Bavdekar A, Yajnik CS, Fall CH, Bapat S, Pandit AN, Deshpande V, Bhave S, Kellingray SD, Joglekar C (1999) Insulin resistance syndrome in 8-year-old Indian children: small at birth, big at 8 years, or both? Diabetes 48:2422–2429

    Article  CAS  Google Scholar 

  • Bellinger L, Lilley C, Langley-Evans SC (2004) Prenatal exposure to a maternal low-protein diet programmes a preference for high-fat foods in the young adult rat. Br J Nutr 92:513–520

    Article  CAS  Google Scholar 

  • Bird IM, Zhang LB, Magness RR (2003) Possible mechanisms underlying pregnancy-induced changes in uterine artery endothelial function. Am J Phys 284:245–258

    Google Scholar 

  • Breier BH, Vickers MH, Ikenasio BA, Chan KY, Wong WPS (2001) Fetal programming of appetite and obesity. Mol Cell Endocrinol 185:73–79

    Article  CAS  Google Scholar 

  • Burdge GC, Hanson MA, Slater-Jefferies JL, Lillycrop KA (2007) Epigenetic regulation of transcription: a mechanism for inducing variations in phenotype (fetal programming) by differences in nutrition during early life? Br J Nutr 97:1036–1046

    Article  CAS  Google Scholar 

  • Cochrane WA (1965) Overnutrition in prenatal and neonatal life: a problem? Can Med Assoc J 93:893–899

    CAS  PubMed  PubMed Central  Google Scholar 

  • Eaton SB, Konner M, Shostak M (1988) Stone agers in the fast lane: chronic degenerative diseases in evolutionary perspective. Am J Med 84:739–749

    Article  CAS  Google Scholar 

  • Eriksson JG (2006) Early growth, and coronary heart disease and type 2 diabetes: experiences from the Helsinki birth cohort studies. Int J Obes 30:S18–S22

    Article  Google Scholar 

  • Fisher DA (1973) Diabetes, pregnancy and obesity. Calif Med 119:35–37

    CAS  PubMed  PubMed Central  Google Scholar 

  • Ghidini A (1996) Idiopathic fetal growth restriction: a pathophysiologic approach. Obstet Gynecol Surv 51:376–382

    Article  CAS  Google Scholar 

  • Giussani DA, Niu Y, Herrera EA, Richter HG, Camm EJ, Thakor AS, Kane AD, Hansell JA, Brain KL, Skeffington KL, Itani N, Wooding FB, Cross CM, Allison BJ (2014) Heart disease link to fetal hypoxia and oxidative stress. Adv Exp Med Biol 814:77–87

    Article  CAS  Google Scholar 

  • Gluckman PD, Hanson MA (2004) Living with the past: evolution, development, and patterns of disease. Science 305:1733–1736

    Article  CAS  Google Scholar 

  • Gluckman PD, Hanson MA, Spencer HG (2005a) Predictive adaptive responses and human evolution. Trends Ecol Evol 20:527–533

    Article  Google Scholar 

  • Gluckman PD, Hanson MA, Spencer HG, Bateson P (2005b) Environmental influences during development and their later consequences for health and disease: implications for the interpretation of empirical studies. Proc R Soc Biol 272:671–677

    Article  Google Scholar 

  • Gluckman PD, Hanson MA, Beedle AS (2007) Early life events and their consequences for later disease: a life history and evolutionary perspective. Am J Hum Biol 19:1–19

    Article  Google Scholar 

  • Gluckman PD, Hanson MA, Beedle AS, Spencer HG (2008) Predictive adaptive responses in perspective. Trends Endocrinol Metabol 19:109–110

    Article  CAS  Google Scholar 

  • Hales CN, Ozanne SE (2003) The dangerous road of catch-up growth. J Physiol Lond 547:5–10

    Article  CAS  Google Scholar 

  • Herrera BM, Lindgren CM (2010) The genetics of obesity. Curr Diab Rep 10:498–505

    Article  CAS  Google Scholar 

  • Hofman PL, Cutfield WS, Robinson EM et al (1997) Insulin resistance in short children with intrauterine growth retardation. J Clin Endocrinol Metab 82:402–406

    CAS  PubMed  Google Scholar 

  • Ibañez L, Ong K, Dunger DB, de Zegher F (2006) Early development of adiposity and insulin resistance after catch-up weight gain in small-for-gestational-age children. J Clin Endocrinol Metab 91:2153–2158

    Article  Google Scholar 

  • Ismail-Beigi F, Catalano PM, Hanson RW (2006) Metabolic programming: fetal origins of obesity and metabolic syndrome in the adult. Am J Phys Endocrinol Metab 291:439–440

    Article  Google Scholar 

  • Jaenisch R, Bird A (2003) Epigenetic regulation of gene expression: how the genome integrates intrinsic and environmental signals. Nat Genet 33:245–254

    Article  CAS  Google Scholar 

  • Jensen GM, Moore LG (1997) The effect of high altitude and other risk factors on birthweight: independent or interactive effects? Am J Public Health 87:1003–1007

    Article  CAS  Google Scholar 

  • Kahn HS, Graff M, Stein AD, Lumey LH (2009) A fingerprint marker from early gestation associated with diabetes in middle age: the Dutch Hunger Winter Families Study. Int J Epidemiol 38: 101–109

    Article  Google Scholar 

  • Keyes LE, Armaza JF, Niermeyer S, Vargas E, Young DA, Moore LG (2003) Intrauterine growth restriction, preeclampsia, and intrauterine mortality at high altitude in Bolivia. Pediatr Res 54: 20–25

    Article  Google Scholar 

  • Kong AP, Xu G, Brown N, So WY, Ma RC, Chan JC (2013) Diabetes and its comorbidities-where East meets West. Nature Rev Endocrinol 9:537–547

    Article  CAS  Google Scholar 

  • Krebs C, Macara LM, Leiser R, Bowman AW, Greer IA, Kingdom JC (1996) Intrauterine growth restriction with absent end-diastolic flow velocity in the umbilical artery is associated with maldevelopment of the placental terminal villous tree. Am J Obstetr Gynecol 175:1534–1542

    Article  CAS  Google Scholar 

  • Lecklin A, Dube MG, Torto RN, Kalra PS, Kalra SP (2005) Perigestational suppression of weight gain with central leptin gene therapy results in lower weight F1 generation. Peptides 26: 1176–1187

    Article  CAS  Google Scholar 

  • Lindstrom P (2007) The physiology of obese-Hyperglycaemic mice [ob/ob Mice]. Sci World J 7: 666–685

    Article  Google Scholar 

  • Lucas A (1998) Programming by early nutrition: an experimental approach. J Nutr 128:401–406

    Article  Google Scholar 

  • Lumey LH, Stein AD, Kahn HS, Romijn JA (2009) Lipid profiles in middle-aged men and women after famine exposure during gestation: the Dutch hunger winter families study. Am J Clin Nutr 89:1737–1743

    Article  CAS  Google Scholar 

  • Marliss EB, Chevalier S, Gougeon R et al (2006) Elevations of plasma methylarginines in obesity and ageing are related to insulin sensitivity and rates of protein turnover. Diabetologia 49: 351–359

    Article  CAS  Google Scholar 

  • McMillen IC, Robinson JS (2005) Developmental origins of the metabolic syndrome: prediction, plasticity, and programming. Physiol Rev 85:571–633

    Article  CAS  Google Scholar 

  • Moore LG, Niermeyer S, Zamudio S (1998) Human adaptation to high altitude: regional and life-cycle perspectives. Am J Phys Anthropol Suppl 27:25–64

    Article  CAS  Google Scholar 

  • Mortola JP, Frappell PB, Aguero L, Armstrong K (2000) Birth weight and altitude: a study in Peruvian communities. J Pediatr 136:324–329

    Article  CAS  Google Scholar 

  • Mühlhäusler BS, Adam CL, McMillen IC (2008) Maternal nutrition and the programming of obesity: the brain. Organogenesis 4:144–152

    Article  Google Scholar 

  • Nohr EA, Bech BH, Davies MJ, Frydenberg M, Henriksen TB, Olsen J (2005) Pre-pregnancy obesity and fetal death: a study within the Danish National Birth Cohort. Obstet Gynecol 106:250–259

    Article  Google Scholar 

  • Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J (2007a) Obesity, gestational weight gain and preterm birth: a study within the Danish National Birth Cohort. Paediatr Perinat Epidemiol 21:5–14

    Article  Google Scholar 

  • Nohr EA, Vaeth M, Bech BH, Henriksen TB, Cnattingius S, Olsen J (2007b) Maternal obesity and neonatal mortality according to subtypes of preterm birth. Obstet Gynecol 110:1083–1090

    Article  Google Scholar 

  • Ong KK, Ahmed ML, Emmett PM, Preece MA, Dunger DB (2000) Association between postnatal catch-up growth and obesity in childhood: prospective cohort study. Br Med J 320:967–971

    Article  CAS  Google Scholar 

  • Painter RC, Roseboom TJ, Bleker OP (2005) Prenatal exposure to the Dutch famine and disease in later life: an overview. Reprod Toxicol 20:345–352

    Article  CAS  Google Scholar 

  • Patterson AJ, Zhang L (2010) Hypoxia and fetal heart development. Curr Mol Med 10:653–666

    Article  CAS  Google Scholar 

  • Ravelli GP, Stein ZA, Susser MW (1976) Obesity in young men after famine exposure in utero and early infancy. N Engl J Med 295:349–353

    Article  CAS  Google Scholar 

  • Ravelli AC, van der Meulen JH, Michels RP et al (1998) Glucose tolerance in adults after prenatal exposure to famine. Lancet 351:173–177

    Article  CAS  Google Scholar 

  • Ravelli AC, van Der Meulen JH, Osmond C, Barker DJ, Bleker OP (1999) Obesity at the age of 50 y in men and women exposed to famine prenatally. Am J Clin Nutr 70:811–816

    Article  CAS  Google Scholar 

  • Roseboom T, de Rooij S, Painter R (2006) The Dutch famine and its long-term consequences for adult health. Early Hum Dev 82:485–491

    Article  Google Scholar 

  • Savvidou MD, Hingorani AD, Tsikas D, Frolich JC, Vallance P, Nicolaides KH (2003) Endothelial dysfunction and raised plasma concentrations of asymmetric dimethylarginine in pregnant women who subsequently develop pre-eclampsia. Lancet 361:1511–1517

    Article  CAS  Google Scholar 

  • Schulz LC (2010) The Dutch Hunger Winter and the developmental origins of health and disease. Proc Natl Acad Sci USA 107:16757–16758

    Article  CAS  Google Scholar 

  • Scully T (2012) Diabetes in numbers. Nature 485:S2–S3

    Article  CAS  Google Scholar 

  • Shaw JE, Sicree RA, Zimmet PZ (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87:4–14

    Article  CAS  Google Scholar 

  • Simmons RA (2007) Developmental origins of diabetes: the role of epigenetic mechanisms. Curr Opin Endocrinol Diabetes Obes 14:13–16

    Article  CAS  Google Scholar 

  • Stanner SA, Yudkin JS (2001) Fetal programming and the Leningrad Siege study. Twin Res 4: 287–292

    Article  CAS  Google Scholar 

  • Stein Z, Susser M (1975a) The Dutch famine, 1944–1945, and the reproductive process. I. Effects on six indices at birth. Pediatr Res 9:70–76

    CAS  PubMed  Google Scholar 

  • Stein Z, Susser M (1975b) The Dutch famine, 1944–1945, and the reproductive process. II. Interrelations of caloric rations and six indices at birth. Pediatr Res 9:76–83

    CAS  PubMed  Google Scholar 

  • Teramo KA (2010) Obstetric problems in diabetic pregnancy – the role of fetal hypoxia. Best Pract Res Clin Endocrinol Metab 24:663–671

    Article  Google Scholar 

  • Vickers MH, Breier BH, Cutfield WS, Hofman PL, Gluckman PD (2000) Fetal origins of hyperphagia, obesity, and hypertension and postnatal amplification by hypercaloric nutrition. Am J Physiol Endocrinol Metab 279:83–87

    Article  Google Scholar 

  • Vickers MH, Reddy S, Ikenasio BA, Breier BH (2001) Dysregulation of the adipoinsular axis–a mechanism for the pathogenesis of hyperleptinemia and adipogenic diabetes induced by fetal programming. J Endocrinol 170:323–332

    Article  CAS  Google Scholar 

  • Vickers MH, Breier BH, McCarthy D, Gluckman PD (2003) Sedentary behaviour during postnatal life is determined by the prenatal environment and exacerbated by postnatal hypercaloric nutrition. Am J Physiol Regul Integr Comp Physiol 285:271–273

    Article  Google Scholar 

  • Watkins AJ, Ursell E, Panton R et al (2008) Adaptive responses by mouse early embryos to maternal diet protect fetal growth but predispose to adult onset disease. Biol Reprod 78:299–306

    Article  CAS  Google Scholar 

  • Wu G, Bazer FW, Cudd TA, Meininger CJ, Spencer TE (2004) Maternal nutrition and fetal development. J Nutr 134:2169–2172

    Article  CAS  Google Scholar 

  • Wu G, Bazer FW, Wallace JM, Spencer TE (2006) Intrauterine growth retardation: implications for the animal sciences. J Anim Sci 84:2316–2337

    Article  CAS  Google Scholar 

  • Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM (1994) Positional cloning of the mouse obese gene and its human homologue. Nature 372:425–432

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antonio Gonzalez-Bulnes .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Gonzalez-Bulnes, A., Astiz, S. (2019). Prenatal Programming and Epigenetics of Obesity Metabolic Phenotype: Pre- and Postnatal Metabolic Phenotypes and Molecular Mechanisms. In: Patel, V., Preedy, V. (eds) Handbook of Nutrition, Diet, and Epigenetics. Springer, Cham. https://doi.org/10.1007/978-3-319-55530-0_109

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55530-0_109

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55529-4

  • Online ISBN: 978-3-319-55530-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics