Abstrakt
Zdrowie człowieka uwarunkowane jest współdziałaniem czynników genetycznych i środowiskowych. Obok chorób uwarunkowanych mutacjami genów czy aberracjami chromosomowymi, coraz więcej uwagi przywiązuje się obecnie do zaburzeń wzorców ekspresji genów, czyli modyfikacji epigenetycznych. Kluczowe momenty programowania epigenetycznego to okres gametogenezy i okres preimplantacyjny rozwoju zarodka. Zaburzenia epigenetyczne mogą być dziedziczone w kolejnych pokoleniach. W pracy omówiono wybrane sytuacje, w których zaburzenia mechanizmów epigenetycznych w okresie prekoncepcyjnym i podczas ciąży mogą mieć niekorzystny wpływ na zdrowie prokreacyjne potomstwa: otyłość, niedożywienie i hiperandrogenizm u matki, hipotrofię wewnątrzmaciczną, narażenie na działanie związków chemicznych zaburzających gospodarkę hormonalną, a także modyfikacje epigenetyczne plemników oraz wpływ technik zapłodnienia in vitro na programowanie epigenetyczne.
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