新生儿重症监护室环境压力对早产儿神经发育的影响及其表观遗传学研究进展

岳少婷, 张军, 马登慧

中国当代儿科杂志 ›› 2019, Vol. 21 ›› Issue (11) : 1144-1147.

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中国当代儿科杂志 ›› 2019, Vol. 21 ›› Issue (11) : 1144-1147. DOI: 10.7499/j.issn.1008-8830.2019.11.016
综述

新生儿重症监护室环境压力对早产儿神经发育的影响及其表观遗传学研究进展

  • 岳少婷, 张军, 马登慧
作者信息 +

Research advances in the effect of environmental stress in the neonatal intensive care unit on the neurodevelopment of preterm infants and its epigenetics

  • YUE Shao-Ting, ZHANG Jun, MA Deng-Hui
Author information +
文章历史 +

摘要

新生儿重症监护室(NICU)的不良环境刺激会通过表观遗传修饰影响神经发育,对早产儿长期发育结局有不良影响,发育支持干预能逆转基因表观遗传改变而促进早产儿神经发育。该文就NICU压力环境、发育支持干预对早产儿神经发育的影响及其表观遗传效应做一综述,为开展早产儿表观遗传学研究提供参考。

Abstract

Adverse environmental stimulation in the neonatal intensive care unit (NICU) can affect neurodevelopment through epigenetic modification and thus has adverse effects on the long-term developmental outcome of preterm infants. Developmental care can reverse epigenetic changes in genes and promote neurodevelopment in preterm infants. This article reviews the influence of environmental stress in the NICU and developmental care on neurodevelopment in preterm infants, as well as related epigenetic effects, in order to provide a reference for epigenetic studies of preterm infants.

关键词

神经发育 / 表观遗传 / 环境压力 / 发育支持 / 早产儿

Key words

Neurodevelopment / Epigenetics / Environmental stress / Developmental care / Preterm infant

引用本文

导出引用
岳少婷, 张军, 马登慧. 新生儿重症监护室环境压力对早产儿神经发育的影响及其表观遗传学研究进展[J]. 中国当代儿科杂志. 2019, 21(11): 1144-1147 https://doi.org/10.7499/j.issn.1008-8830.2019.11.016
YUE Shao-Ting, ZHANG Jun, MA Deng-Hui. Research advances in the effect of environmental stress in the neonatal intensive care unit on the neurodevelopment of preterm infants and its epigenetics[J]. Chinese Journal of Contemporary Pediatrics. 2019, 21(11): 1144-1147 https://doi.org/10.7499/j.issn.1008-8830.2019.11.016

参考文献

[1] Blencowe H, Cousens S, Chou D, et al. Born too soon:the global epidemiology of 15 million preterm births[J]. Reprod Health, 2013, 10(Suppl 1):S2.
[2] Blencowe H, Cousens S, Oestergaard MZ, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries:a systematic analysis and implications[J]. Lancet, 2012, 379(9832):2162-2172.
[3] 闫俊梅, 黄辉, 李倩倩, 等. 2006~2016年11年间早产儿发生率及病死率的单中心研究[J]. 中国当代儿科杂志, 2018, 20(5):368-372.
[4] 王晶晶, 陈超. 早产儿脑病发生率的流行病学研究进展[J]. 中华实用儿科临床杂志, 2015, 30(10):796-798.
[5] 曹云. 极早和超早产儿神经发育结局[J]. 中国儿童保健杂志, 2019, 27(2):119-122.
[6] Sparrow S, Manning JR, Cartier J, et al. Epigenomic profiling of preterm infants reveals DNA methylation differences at sites associated with neural function[J]. Transl Psychiatry, 2016, 6:e716.
[7] Fumagalli M, Provenzi L, De Carli P, et al. From early stress to 12-month development in very preterm infants:preliminary findings on epigenetic mechanisms and brain growth[J]. PLoS One, 2018, 13(1):e0190602.
[8] Filippa M, Poisbeau P, Mairesse J, et al. Pain, parental involvement, and oxytocin in the neonatal intensive care unit[J]. Front Psychol, 2019, 10:715.
[9] Montirosso R, Provenzi L. Implications of epigenetics in developmental care of preterm infants in the NICU:preterm behavioral epigenetics[M]. Cham:Spring International Publishing, 2017:295-310.
[10] Samra HA, McGrath JM, Wehbe M, et al. Epigenetics and family-centered developmental care for the preterm infant[J]. Adv Neonatal Care, 2012, 12(Suppl 5):S2-S9.
[11] Grunau RE. Neonatal pain in very preterm infants:long-term effects on brain, neurodevelopment and pain reactivity[J]. Rambam Maimonides Med J, 2013, 4(4):e0025.
[12] Duerden EG, Grunau RE, Guo T, et al. Early procedural pain is associated with regionally-specific alterations in Thalamic development in preterm neonates[J]. J Neurosci, 2018, 38(4):878-886.
[13] Venkataraman R, Kamaluddeen M, Amin H, et al. Is less noise, light and parental/caregiver stress in the neonatal intensive care unit better for neonates?[J]. Indian Pediatr, 2018, 55(1):17-21.
[14] 陈梦莹, 夏冬晴, 闵翠婷, 等. 早产儿新生期反复操作性疼痛与幼儿行为发育的关系[J]. 中国儿童保健杂志, 2018, 26(1):59-63.
[15] Ranger M, Chau CM, Garg A, et al. Neonatal pain-related stress predicts cortical thickness at age 7 years in children born very preterm[J]. PLoS One, 2013, 8(10):e76702.
[16] Smith GC, Gutovich J, Smyser C, et al. Neonatal intensive care unit stress is associated with brain development in preterm infants[J]. Ann Neurol, 2011, 70(4):541-549.
[17] Als H, 曹云, Sizonenko S, 等. 新生儿重症监护病房医护模式与早产儿神经发育结局[J]. 中国循证儿科杂志, 2015, 10(5):321-327.
[18] 李旭阳. 母婴分离对新生儿疼痛反应及神经行为的影响[J]. 世界最新医学信息文摘, 2018, 18(95):61.
[19] Perlman JM, Volpe JJ. Suctioning in the preterm infant:effects on cerebral blood flow velocity, intracranial pressure, and arterial blood pressure[J]. Pediatrics, 1983, 72(3):329-334.
[20] Macho P. Individualized developmental care in the NICU:a concept analysis[J]. Adv Neonatal Care, 2017, 17(3):162-174.
[21] Craig JW, Glick C, Phillips R, et al. Recommendations for involving the family in developmental care of the NICU baby[J]. J Perinatol, 2015, 35(Suppl 1):S5-S8.
[22] Kiechl-Kohlendorfer U, Merkle U, Deufert D, et al. Effect of developmental care for very premature infants on neurodevelopmental outcome at 2 years of age[J]. Infant Behav Dev, 2015, 39:166-172.
[23] Montirosso R, Giusti L, De Carli P, et al. Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children[J]. J Perinatol, 2018, 38(2):191-195.
[24] McAnulty GB, Duffy FH, Butler SC, et al. Effects of the newborn individualized developmental care and assessment program (NIDCAP) at age 8 years:preliminary data[J]. Clin Pediatr (Phila), 2010, 49(3):258-270.
[25] 李艳. 探讨发育支持护理对新生儿监护病房早产儿的影响[J]. 实用临床护理学电子杂志, 2017, 2(11):119.
[26] 顾瓅, 仲越, 李双双, 等. 新生儿重症监护病房的早期干预在极低出生体重儿中的应用[J]. 中国儿童保健杂志, 2017, 25(2):167-170.
[27] 蒋雪, 臧艺玫. 表观遗传概述[J]. 生物学教学, 2015, 40(4):2-4.
[28] 王冲. 表观遗传修饰对突触可塑性的调控作用研究进展[J]. 动物医学进展, 2018, 39(9):83-86.
[29] Gudsnuk KM, Champagne FA. Epigenetic effects of early developmental experiences[J]. Clin Perinatol, 2011, 38(4):703-717.
[30] 龙颖, 谌威霖, 杜倩, 等. 系统性硬化症的表观遗传学研究进展[J]. 中南大学学报(医学版), 2018, 43(12):1369-1375.
[31] 张凯琳, 唐北沙, 徐倩. 帕金森病表观遗传学研究进展[J]. 中国神经精神疾病杂志, 2018, 44(12):757-760.
[32] Provenzi L, Fumagalli M, Sirgiovanni I, et al. Pain-related stress during the neonatal intensive care unit stay and SLC6A4 methylation in very preterm infants[J]. Front Behav Neurosci, 2015, 9:99.
[33] Montirosso R, Provenzi L, Fumagalli M, et al. Serotonin transporter gene (SLC6A4) methylation associates with neonatal intensive care unit stay and 3-month-old temperament in preterm infants[J]. Child Dev, 2016, 87(1):38-48.
[34] Kantake M, Yoshitake H, Ishikawa H, et al. Postnatal epigenetic modification of glucocorticoid receptor gene in preterm infants:a prospective cohort study[J]. BMJ Open, 2014, 4(7):e005318.
[35] Lester BM, Marsit CJ, Giarraputo J, et al. Neurobehavior related to epigenetic differences in preterm infants[J]. Epigenomics, 2015, 7(7):1123-1136.
[36] 王燕. 幼鼠陪伴对产后母鼠条件恐惧的影响以及条件恐惧对产后母鼠母性行为的影响[D]. 重庆:西南大学, 2018.
[37] Zhang TY, Hellstrom IC, Bagot RC, et al. Maternal care and DNA methylation of a glutamic acid decarboxylase 1 promoter in rat hippocampus[J]. J Neurosci, 2010, 30(39):13130-13137.
[38] Provenzi L, Guida E, Montirosso R. Preterm behavioral epigenetics:a systematic review[J]. Neurosci Biobehav Rev, 2018, 84:262-271.
[39] Lester BM, Conradt E, LaGasse LL, et al. Epigenetic programming by maternal behavior in the human infant[J]. Pediatrics, 2018, 142(4):pii:e20171890.

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