Open Journal of Endocrine and Metabolic Diseases, 2017, 7, 59-76
http://www.scirp.org/journal/ojemd
ISSN Online: 2165-7432
ISSN Print: 2165-7424
DOI: 10.4236/ojemd.2017.71007 January 13, 2017
Endocrine Disruptors and Fetal Programming
Tatiane Andreazza Lucchese
1
, Naiana Grunow
1
, Ian Werner
2
, Ana Luísa de Jesus
1
,
Alberto Krayyem Arbex
1,3
1
Division of Endocrinology, IPEMED Medical School (IPEMED), São Paulo, Brazil
2
Chemistry School, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil
3
Diabetology Department, Malteser Krankenhaus St. Franziskus-Hospital, Flensburg, Germany
Abstract
The concept “fetal programming” shows who still in the intrauterine life, can
interfere in factors related to the genesis and development of diseases in
childhood, adolescence and adult life. The literature shows that children born
to mothers with gestational diabetes mellitus (GDM) are at increased risk for
the development of obesity in adulthood, it becomes fundamental to study
more about the subject. Obesity is a disease of multifactorial etiology, result-
ing from complex interactions between genetic and environmental factors.
However, the marked increase in its incidence, precocity and severity are not
yet fully understood. Several findings suggest that stressor stimuli (e.g. di-
abetes, nutritional changes) during intrauterine development may promote
epigenetic changes, as well as affect mitochondrial metabolism, which may
modulate fetal development and predispose to the late development of diseas-
es. Despite the considerable amount of evidence accumulated about intraute-
rine programming for diseases of adult life, the determinant mechanisms of
such programming are not yet clear.
Keywords
Fetal Programming, Obesity, Diabetes Mellitus
1. Introduction
An epidemic of diabetes mellitus (DM) is ongoing. Currently, the world popula-
tion with DM is estimated to be in the region of 387 million and reaches 471
million in 2035. About 80% of these individuals live in developing countries,
where the epidemic is most intense and there is an increasing proportion of
people affected in younger age groups, which coexist with the problem that in-
fectious diseases still represent [1].
The number of diabetics is increasing due to population growth and aging,
How to cite this paper: Lucchese, T.A.,
Grunow, N., Werner, I., de Jesus, A.L. and
Arbex, A.K. (2017) Endocrine Disruptors
and Fetal Programming. Open Journal of
Endocrine and Metabolic Diseases, 7, 59-
76.
http://dx.doi.org/10.4236/ojemd.2017.71007
Received: November 21, 2016
Accepted: January 10, 2017
Published: January 13, 2017
Copyright © 2017 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access