1 6312 147 THE RELATIONSHIP BETWEEN CEREBRAL SMALL VESSEL DISEASE, HIPPOCAMPAL VOLUME AND COGNITIVE FUNCTIONING IN PATIENTS WITH COPD: AN MRI STUDY. THE NEURAL CORRELATES OF COGNITIVE IMPAIRMENT IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE NOT YET UNDERSTOOD. STRUCTURAL BRAIN ABNORMALITIES COULD POSSIBLY BE ASSOCIATED WITH THE PRESENCE OF COGNITIVE IMPAIRMENT THROUGH CIGARETTE SMOKE, INFLAMMATION, VASCULAR DISEASE, OR HYPOXEMIA IN THESE PATIENTS. THIS STUDY AIMED TO INVESTIGATE WHETHER MACROSTRUCTURAL BRAIN MAGNETIC RESONANCE IMAGING (MRI) FEATURES OF CEREBRAL SMALL VESSEL DISEASE (SVD) AND HIPPOCAMPAL VOLUME (HCV) ARE RELATED TO COGNITIVE PERFORMANCE IN PATIENTS WITH COPD. A SUBGROUP OF COGNITIVELY HIGH AND LOW-PERFORMING COPD PATIENTS OF THE COGNITIVE-PD STUDY, UNDERWENT A BRAIN 3T MRI. SVD AS A MARKER OF VASCULAR DAMAGE WAS ASSESSED USING QUALITATIVE VISUAL RATING SCALES. HCV AS A MARKER OF NEURODEGENERATION WAS ASSESSED USING THE LEARNING EMBEDDING FOR ATLAS PROPAGATION (LEAP) METHOD. FEATURES OF SVD AND HCV WERE COMPARED BETWEEN COGNITIVELY HIGH AND LOW-PERFORMING INDIVIDUALS USING MANN WHITNEY U TESTS AND INDEPENDENT SAMPLES T-TESTS, RESPECTIVELY. NO GROUP DIFFERENCES WERE REPORTED BETWEEN 25 HIGH-PERFORMING (MEAN AGE 60.3 (STANDARD DEVIATION [SD] 9.7) YEARS; 40.0% MEN; FORCED EXPIRATORY VOLUME IN FIRST SECOND [FEV(1)] 50.1% PREDICTED) AND 30 LOW-PERFORMING PATIENTS WITH COPD (MEAN AGE 60.6 (SD 6.8) YEARS; 53.3% MEN; FEV(1) 55.6% PREDICTED) REGARDING DEMOGRAPHICS, CLINICAL CHARACTERISTICS, COMORBIDITIES AND THE PRESENCE OF THE SVD FEATURES AND HCV. TO CONCLUDE, THE CURRENT STUDY DOES NOT PROVIDE EVIDENCE FOR A RELATIONSHIP BETWEEN CEREBRAL SVD AND HCV AND COGNITIVE FUNCTIONING IN PATIENTS WITH COPD. ADDITIONAL STUDIES WILL BE NEEDED TO DETERMINE OTHER POSSIBLE MECHANISMS OF COGNITIVE IMPAIRMENT IN PATIENTS WITH COPD, INCLUDING MICROSTRUCTURAL BRAIN CHANGES AND INFLAMMATORY-, HORMONAL-, METABOLIC- AND (EPI)GENETIC FACTORS. 2017 2 5735 33 SMALL VESSEL DISEASE-RELATED DEMENTIA: AN INVALID NEUROVASCULAR COUPLING? THE ARTERIOSCLEROSIS-DEPENDENT ALTERATION OF BRAIN PERFUSION IS ONE OF THE MAJOR DETERMINANTS IN SMALL VESSEL DISEASE, SINCE SMALL VESSELS HAVE A PIVOTAL ROLE IN THE BRAIN'S AUTOREGULATION. NEVERTHELESS, AS FAR AS WE KNOW, ENDOTHELIUM DISTRESS CAN POTENTIATE THE FLOW DYSREGULATION AND LEAD TO SUBCORTICAL VASCULAR DEMENTIA THAT IS RELATED TO SMALL VESSEL DISEASE (SVD), ALSO BEING DEFINED AS SUBCORTICAL VASCULAR DEMENTIA (SVAD), AS WELL AS MICROGLIA ACTIVATION, CHRONIC HYPOXIA AND HYPOPERFUSION, VESSEL-TONE DYSREGULATION, ALTERED ASTROCYTES, AND PERICYTES FUNCTIONING BLOOD-BRAIN BARRIER DISRUPTION. THE MOLECULAR BASIS OF THIS PATHOLOGY REMAINS CONTROVERSIAL. THE APPARENT CONSEQUENCE (OR A FIRST EVENT, TOO) IS THE MACROSCOPIC ALTERATION OF THE NEUROVASCULAR COUPLING. HERE, WE EXAMINED THE POSSIBLE MECHANISMS THAT LEAD A HEALTHY AGING PROCESS TOWARDS SUBCORTICAL DEMENTIA. WE REMARKED THAT SVD AND WHITE MATTER ABNORMALITIES RELATED TO AGE COULD BE ACCELERATED AND POTENTIATED BY DIFFERENT VASCULAR RISK FACTORS. VASCULAR FUNCTION CHANGES CAN BE HEAVILY INFLUENCED BY GENETIC AND EPIGENETIC FACTORS, WHICH ARE, TO THE BEST OF OUR KNOWLEDGE, MOSTLY UNKNOWN. METABOLIC DEMANDS, ACTIVE NEUROVASCULAR COUPLING, CORRECT GLYMPHATIC PROCESS, AND ADEQUATE OXIDATIVE AND INFLAMMATORY RESPONSES COULD BE BULWARKS IN DEFENSE OF THE CORRECT AGING PROCESS; THEIR IMPAIRMENTS LEAD TO A POTENTIALLY CATASTROPHIC AND NON-REVERSIBLE CONDITION. 2020 3 6893 27 [SLEEP AND DEMENTIA]. AGING IS ASSOCIATED WITH CHANGES IN SLEEP STRUCTURE AND CEREBRAL DEPOSITION OF AMYLOID BETA AND TAU PROTEINS. SLEEP DISTURBANCES PRECEDE THE ONSET OF DEMENTIA BY YEARS. COMORBID SLEEP DISORDERS, SUCH AS INSOMNIA AND SLEEP-DISORDERED BREATHING, A FAMILY HISTORY OF DEMENTIA AND EPIGENETIC FACTORS CAN CONTRIBUTE TO THE DEVELOPMENT OF DEMENTIA. THIS ARTICLE EXPLORES THE QUESTION OF THE INTERACTION BETWEEN SLEEP AND DEMENTIA BASED ON THE EXISTING LITERATURE. ALTERATIONS CAUSED BY SLOW WAVE SLEEP LEAD TO CHANGES IN THE GLYMPHATIC CLEARANCE OF AMYLOID BETA, TAU PROTEINS AND OTHER PROTEINS. TRANSIENT AND CHRONIC SLEEP DISORDERS CAUSE DISTURBANCES IN THE BRAIN AREAS RESPONSIBLE FOR COGNITION AND BEHAVIOR. SLEEP-REGULATING BRAIN AREAS ARE THE FIRST TO BE AFFECTED IN THE NEURODEGENERATIVE PROCESS AND ACCELERATE THE RISK OF DEMENTIA. CIRCADIAN AGE-RELATED CHANGES IN AMYLOID BETA AND TAU PROTEINS AFFECT THE AMOUNT AND DEPTH OF SLEEP AND VICE VERSA. AMYLOID BETA IN CEREBROSPINAL FLUID SHOWS AN INVERSE CORRELATION WITH SLEEP. OREXINS MODULATE AMYLOID BETA AND SLEEP. 2023 4 6150 28 THE FETAL CEREBRAL CIRCULATION: THREE DECADES OF EXPLORATION BY THE LLU CENTER FOR PERINATAL BIOLOGY. FOR MORE THAN THREE DECADES, RESEARCH PROGRAMS IN THE CENTER OF PERINATAL BIOLOGY HAVE FOCUSED ON THE VASCULAR BIOLOGY OF THE FETAL CEREBRAL CIRCULATION. IN THE 1980S, RESEARCH IN THE CENTER DEMONSTRATED THAT CEREBRAL AUTOREGULATION OPERATED OVER A NARROWER PRESSURE RANGE, AND WAS MORE VULNERABLE TO INSULTS, IN FETUSES THAN IN ADULTS. OTHER STUDIES WERE AMONG THE FIRST TO ESTABLISH THAT COMPARED TO ADULT CEREBRAL ARTERIES, FETAL CEREBRAL ARTERIES WERE MORE HYDRATED, CONTAINED SMALLER SMOOTH MUSCLE CELLS AND LESS CONNECTIVE TISSUE, AND HAD ENDOTHELIUM LESS CAPABLE OF PRODUCING NO. WORK IN THE 1990S REVEALED THAT PREGNANCY DEPRESSED REACTIVITY TO NO IN EXTRA-CEREBRAL ARTERIES, BUT ELEVATED IT IN CEREBRAL ARTERIES THROUGH EFFECTS INVOLVING CHANGES IN CGMP METABOLISM. COMPARATIVE STUDIES VERIFIED THAT FETAL LAMB CEREBRAL ARTERIES WERE AN EXCELLENT MODEL FOR CEREBRAL ARTERIES FROM HUMAN INFANTS. BIOCHEMICAL STUDIES DEMONSTRATED THAT CGMP METABOLISM WAS DRAMATICALLY UPREGULATED, BUT THAT CONTRACTION WAS FAR MORE DEPENDENT ON CALCIUM INFLUX, IN FETAL COMPARED TO ADULT CEREBRAL ARTERIES. FURTHER STUDIES ESTABLISHED THAT CHRONIC HYPOXIA ACCELERATES FUNCTIONAL MATURATION OF FETAL CEREBRAL ARTERIES, AS INDICATED BY INCREASED CONTRACTILE RESPONSES TO ADRENERGIC AGONISTS AND PERIVASCULAR ADRENERGIC NERVES. IN THE 2000S, STUDIES OF SIGNAL TRANSDUCTION ESTABLISHED AGE-DEPENDENT ROLES FOR PKG, PKC, PKA, ERK, ODC, IP3, MYOFILAMENT CALCIUM SENSITIVITY, AND MANY OTHER MECHANISMS. THESE DIVERSE STUDIES CLEARLY DEMONSTRATED THAT FETAL CEREBRAL ARTERIES WERE FUNCTIONALLY QUITE DISTINCT COMPARED TO ADULT CEREBRAL ARTERIES. IN THE CURRENT DECADE, RESEARCH IN THE CENTER HAS EXPANDED TO A MORE MOLECULAR FOCUS ON EPIGENETIC MECHANISMS AND THEIR ROLE IN FETAL VASCULAR ADAPTATION TO CHRONIC HYPOXIA, MATERNAL DRUG ABUSE, AND NUTRIENT DEPRIVATION. OVERALL, THE PAST THREE DECADES HAVE TRANSFORMED THINKING ABOUT, AND UNDERSTANDING OF, THE FETAL CEREBRAL CIRCULATION DUE IN NO SMALL PART TO THE SUSTAINED RESEARCH EFFORTS BY FACULTY AND STAFF IN THE CENTER FOR PERINATAL BIOLOGY. 2014 5 5075 20 PHYSIOLOGICAL ADAPTATION OF THE GROWTH-RESTRICTED FETUS. THE GROWTH-RESTRICTED FETUS IN UTERO IS EXPOSED TO A HOSTILE ENVIRONMENT AND SUFFERS UNDERNUTRITION AND HYPOXIA. TO COPE WITH THE STRESS, THE FETUS CHANGES ITS PHYSIOLOGICAL FUNCTIONS. THESE ADAPTIVE CHANGES AID INTRAUTERINE SURVIVAL; HOWEVER, THEY CAN LEAD TO PERMANENT FUNCTIONAL AND STRUCTURAL CHANGES THAT CAN CONTRIBUTE TO THE DEVELOPMENT OF SERIOUS CHRONIC DISEASES LATER IN LIFE. EPIGENETIC MECHANISMS ARE AN IMPORTANT PART OF THE PATHOPHYSIOLOGICAL PROCESSES BEHIND THIS "DEVELOPMENTAL ORIGIN OF ADULT DISEASES." THE DOMINANT CARDIOVASCULAR ADAPTIVE CHANGE IS THE REDISTRIBUTION OF BLOOD FLOW IN HYPOXIC FETUSES, WITH PREFERENTIAL SUPPLY OF BLOOD TO THE FETAL BRAIN, MYOCARDIUM, AND ADRENAL GLANDS. THE PROPORTION OF BLOOD FROM THE UMBILICAL VEIN TO THE DUCTUS VENOSUS AND FORAMEN OVALE INCREASES, WHICH INCREASES THE CARDIAC OUTPUT OF THE LEFT HEART VENTRICLE. THE INCREASED PERFUSION OF FETAL BRAIN CAN BE FOLLOWED WITH DOPPLER ULTRASOUND AS INCREASED DIASTOLIC VELOCITIES AND DECREASED PULSATILITY INDEX IN THE MIDDLE CEREBRAL ARTERY. 2018 6 444 29 AORTIC AND CAROTID ARTERIAL STIFFNESS AND EPIGENETIC REGULATOR GENE EXPRESSION CHANGES PRECEDE BLOOD PRESSURE RISE IN STROKE-PRONE DAHL SALT-SENSITIVE HYPERTENSIVE RATS. MULTIPLE CLINICAL STUDIES SHOW THAT ARTERIAL STIFFNESS, MEASURED AS PULSE WAVE VELOCITY (PWV), PRECEDES HYPERTENSION AND IS AN INDEPENDENT PREDICTOR OF HYPERTENSION END ORGAN DISEASES INCLUDING STROKE, CARDIOVASCULAR DISEASE AND CHRONIC KIDNEY DISEASE. RISK FACTOR STUDIES FOR ARTERIAL STIFFNESS IMPLICATE AGE, HYPERTENSION AND SODIUM. HOWEVER, CAUSAL MECHANISMS LINKING RISK FACTOR TO ARTERIAL STIFFNESS REMAIN TO BE ELUCIDATED. HERE, WE STUDIED THE CAUSAL RELATIONSHIP OF ARTERIAL STIFFNESS AND HYPERTENSION IN THE NA-INDUCED, STROKE-PRONE DAHL SALT-SENSITIVE (S) HYPERTENSIVE RAT MODEL, AND ANALYZED PUTATIVE MOLECULAR MECHANISMS. STROKE-PRONE AND NON-STROKE-PRONE MALE AND FEMALE RATS WERE STUDIED AT 3- AND 6-WEEKS OF AGE FOR ARTERIAL STIFFNESS (PWV, STRAIN), BLOOD PRESSURE, VESSEL WALL HISTOLOGY, AND GENE EXPRESSION CHANGES. STUDIES SHOWED THAT INCREASED LEFT CAROTID AND AORTIC ARTERIAL STIFFNESS PRECEDED HYPERTENSION, PULSE PRESSURE WIDENING, AND STRUCTURAL WALL CHANGES AT THE 6-WEEK TIME-POINT. INSTEAD, DIFFERENTIAL GENE INDUCTION WAS DETECTED IMPLICATING MOLECULAR-FUNCTIONAL CHANGES IN EXTRACELLULAR MATRIX (ECM) STRUCTURAL CONSTITUENTS, MODIFIERS, CELL ADHESION, AND MATRICELLULAR PROTEINS, AS WELL AS IN ENDOTHELIAL FUNCTION, APOPTOSIS BALANCE, AND EPIGENETIC REGULATORS. IMMUNOSTAINING TESTING HISTONE MODIFIERS EP300, HDAC3, AND PRMT5 LEVELS CONFIRMED CAROTID ARTERY-UPREGULATION IN ALL THREE LAYERS: ENDOTHELIAL, SMOOTH MUSCLE AND ADVENTITIAL CELLS. OUR STUDY RECAPITULATES OBSERVATIONS IN HUMANS THAT GIVEN SALT-SENSITIVITY, INCREASED NA-INTAKE INDUCED ARTERIAL STIFFNESS BEFORE HYPERTENSION, INCREASED PULSE PRESSURE, AND STRUCTURAL VESSEL WALL CHANGES. DIFFERENTIAL GENE EXPRESSION CHANGES ASSOCIATED WITH ARTERIAL STIFFNESS SUGGEST A MOLECULAR MECHANISM LINKING SODIUM TO FULL-VESSEL WALL RESPONSE AFFECTING GENE-NETWORKS INVOLVED IN VASCULAR ECM STRUCTURE-FUNCTION, APOPTOSIS BALANCE, AND EPIGENETIC REGULATION. 2014 7 5866 28 SUPPRESSION OF MICRORNA-9-5P RESCUES LEARNING AND MEMORY IN CHRONIC CEREBRAL HYPOPERFUSION RATS MODEL. CHRONIC CEREBRAL HYPOPERFUSION HAS BEEN ASSOCIATED WITH COGNITIVE IMPAIRMENT IN DEMENTIAS, SUCH AS ALZHEIMER'S DISEASE (AD) AND VASCULAR DISEASE (VAD), THE TWO MOST COMMON NEURODEGENERATIVE DISEASES IN AGED PEOPLE. HOWEVER, THE EFFECTIVE THERAPEUTIC APPROACHES FOR BOTH AD AND VAD ARE STILL MISSING. MICRORNAS (MIRNAS) ARE SMALL NON-CODING RNAS THAT PLAY IMPORTANT ROLES IN THE EPIGENETIC REGULATION IN MANY NEUROLOGICAL DISORDERS; THE CRITICAL ROLES OF MIRNADEREGULATION HAD BEEN IMPLICATED IN BOTH AD AND VAD. IN THE CURRENT STUDY, WE REPORTED THAT MIR-9-5P IS ELEVATED IN THE SERUM AND CEREBROSPINALFLUID OF PATIENTSWITH VAD. THE MIR-9-5P WASALSO INCREASED IN BOTH THE HIPPOCAMPUS AND CORTEX OF RATS WITH 2-VESSEL OCCLUSIONSURGERY. FURTHERMORE, APPLICATION OFMIR-9-5P ANTAGOMIRS ATTENUATED THE MEMORY IMPAIRMENTS IN RATS WITH 2-VESSEL OCCLUSION SURGERY BOTH IN THE MORRIS WATER MAZE AND INHIBITORY AVOIDANCE STEP-DOWN TASKS. FURTHERMORE, MIR-9-5P ANTAGOMIRS REDUCEDTHE INHIBITION OFLONG-TERM POTENTIATION AND LOSS OF DENDRITIC SPINES IN CHRONIC CEREBRAL HYPOPERFUSIONRATS. ADDITIONALLY, THE CHOLINERGIC NEURONAL FUNCTION WAS RESCUED BY MIR-9-5P ANTAGOMIRS, AS WELL AS THE NEURONAL LOSS AND THE OXIDATIVE STRESS. WE CONCLUDED THAT MIR-9-5P INHIBITION MAY BE A POTENTIAL THERAPEUTIC TARGET FOR THE MEMORY IMPAIRMENTS CAUSED BY CHRONIC CEREBRAL HYPOPERFUSION. 2017 8 2051 24 EPIGENETIC CONDITIONING INDUCES INTERGENERATIONAL RESILIENCE TO DEMENTIA IN A MOUSE MODEL OF VASCULAR COGNITIVE IMPAIRMENT. INTRODUCTION: EPIGENETIC STIMULI INDUCE BENEFICIAL OR DETRIMENTAL CHANGES IN GENE EXPRESSION, AND CONSEQUENTLY, PHENOTYPE. SOME OF THESE PHENOTYPES CAN MANIFEST ACROSS THE LIFESPAN-AND EVEN IN SUBSEQUENT GENERATIONS. HERE, WE USED A MOUSE MODEL OF VASCULAR COGNITIVE IMPAIRMENT AND DEMENTIA (VCID) TO DETERMINE WHETHER EPIGENETICALLY INDUCED RESILIENCE TO SPECIFIC DEMENTIA-RELATED PHENOTYPES IS HERITABLE BY FIRST-GENERATION PROGENY. METHODS: OUR SYSTEMIC EPIGENETIC THERAPY CONSISTED OF 2 MONTHS OF REPETITIVE HYPOXIC "CONDITIONING" (RHC) PRIOR TO CHRONIC CEREBRAL HYPOPERFUSION IN ADULT C57BL/6J MICE. RESULTANT CHANGES IN OBJECT RECOGNITION MEMORY AND HIPPOCAMPAL LONG-TERM POTENTIATION (LTP) WERE ASSESSED 3 AND 4 MONTHS LATER, RESPECTIVELY. RESULTS: HYPOPERFUSION-INDUCED MEMORY/PLASTICITY DEFICITS WERE ABROGATED BY RHC. MOREOVER, SIMILARLY ROBUST DEMENTIA RESILIENCE WAS DOCUMENTED IN UNTREATED CEREBRAL HYPOPERFUSED ANIMALS DERIVED FROM RHC-TREATED PARENTS. CONCLUSIONS: OUR RESULTS IN EXPERIMENTAL VCID UNDERSCORE THE EFFICACY OF EPIGENETICS-BASED TREATMENTS TO PREVENT MEMORY LOSS, AND DEMONSTRATE FOR THE FIRST TIME THE HERITABILITY OF AN INDUCED RESILIENCE TO DEMENTIA. 2022 9 5008 22 PERIPUBERTAL STRESS WITH SOCIAL SUPPORT PROMOTES RESILIENCE IN THE FACE OF AGING. THE PERIPUBERTAL PERIOD OF DEVELOPMENT IS A SENSITIVE WINDOW, DURING WHICH ADVERSE EXPERIENCES CAN INCREASE THE RISK FOR PRESENTATION OF COGNITIVE AND AFFECTIVE DYSFUNCTION THROUGHOUT THE LIFESPAN, ESPECIALLY IN WOMEN. HOWEVER, SUCH EXPERIENCES IN THE CONTEXT OF A SUPPORTIVE SOCIAL ENVIRONMENT CAN ACTUALLY AMELIORATE THIS RISK, SUGGESTING THAT RESILIENCE CAN BE PROGRAMMED IN EARLY LIFE. AFFECTIVE DISORDERS AND COGNITIVE DEFICITS COMMONLY EMERGE DURING AGING, WITH MANY WOMEN REPORTING INCREASED DIFFICULTY WITH PREFRONTAL CORTEX (PFC)-DEPENDENT EXECUTIVE FUNCTIONS. WE HAVE DEVELOPED A MOUSE MODEL TO EXAMINE THE INTERACTION BETWEEN PERIPUBERTAL EXPERIENCE AND AGE-RELATED CHANGES IN COGNITION AND STRESS REGULATION. FEMALE MICE WERE EXPOSED TO PERIPUBERTAL CHRONIC STRESS, DURING WHICH THEY WERE EITHER INDIVIDUALLY HOUSED OR HOUSED WITH SOCIAL INTERACTION. ONE YEAR AFTER THIS STRESS EXPERIENCE, MICE WERE EXAMINED IN TASKS TO ACCESS THEIR COGNITIVE ABILITY AND FLEXIBILITY IN STRESS REACTIVE MEASURES. IN A TEST OF SPATIAL MEMORY ACQUISITION AND REVERSAL LEARNING WHERE AGED FEMALES NORMALLY DISPLAY A DECREASED PERFORMANCE, THE FEMALES THAT HAD EXPERIENCED STRESS WITH SOCIAL INTERACTION A YEAR EARLIER SHOWED IMPROVED PERFORMANCE IN REVERSAL LEARNING, A MEASURE OF COGNITIVE FLEXIBILITY. BECAUSE PERIPUBERTY IS A TIME OF MAJOR PFC MATURATION, WE PERFORMED TRANSCRIPTOMIC AND BIOCHEMICAL ANALYSIS OF THE AGED PFC, IN WHICH LONG-TERM CHANGES IN MICRORNA EXPRESSION AND IN MYELIN PROTEINS WERE FOUND. THESE DATA SUGGEST THAT STRESS IN THE CONTEXT OF SOCIAL SUPPORT EXPERIENCED OVER THE PUBERTAL WINDOW CAN PROMOTE EPIGENETIC REPROGRAMMING IN THE BRAIN TO INCREASE THE RESILIENCE TO AGE-RELATED COGNITIVE DECLINE IN FEMALES. 2016 10 1774 22 EARLY-LIFE STRESS: FROM NEUROENDOCRINE MECHANISMS TO STRESS-RELATED DISORDERS. STRESS EXPOSURE IS HIGHLY PREVALENT IN THE GENERAL POPULATION; HOWEVER, THE EXPERIENCE OF STRESS DURING VULNERABLE PERIODS OF DEVELOPMENT HAS SUBSTANTIAL AND PERMANENT EFFECTS ON BRAIN STRUCTURE AND FUNCTION AND PHYSICAL HEALTH IN ADULTHOOD. STRESS, THE STATE OF THREATENED HOMEOSTASIS, IS GENERALLY ASSOCIATED WITH A TIME-LIMITED ACTIVATION OF THE STRESS SYSTEM, I.E., THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND THE AROUSAL/SYMPATHETIC NERVOUS SYSTEM, TAILORED TO THE STRESSFUL STIMULUS ALSO KNOWN AS THE STRESSOR. ON THE OTHER HAND, CHRONIC STRESS MAY BE ASSOCIATED WITH LINGERING HYPER- OR HYPOSECRETION OF MEDIATORS OF THE STRESS SYSTEM. THIS CHRONIC CONDITION IS CALLED DYSHOMEOSTASIS, ALLOSTASIS, OR CACOSTASIS AND IS ASSOCIATED WITH INCREASED MENTAL AND PHYSICAL MORBIDITY IN THE LONG TERM. STRESSFUL OR TRAUMATIC EXPERIENCES DURING FETAL LIFE, EARLY CHILDHOOD, AND ADOLESCENCE HAVE BEEN RELATED TO PERSISTENT NEUROENDOCRINE AND EPIGENETIC CHANGES. FURTHER, BRAIN STRUCTURES INVOLVED IN THE STRESS RESPONSE, SUCH AS THOSE OF THE STRESS SYSTEM, THE HIPPOCAMPUS, AND THE AMYGDALA, MAY BE PROGRAMMED EARLY ON FOR A LIFE OF ADVERSITY. 2018 11 3121 30 GESTATIONAL INTERMITTENT HYPOXIA INDUCES ENDOTHELIAL DYSFUNCTION, REDUCES PERIVASCULAR ADIPONECTIN AND CAUSES EPIGENETIC CHANGES IN ADULT MALE OFFSPRING. KEY POINTS: OBSTRUCTIVE SLEEP APNOEA (OSA) IS CHARACTERIZED BY INTERMITTENT HYPOXIA, WHICH CAUSES OXIDATIVE STRESS AND INFLAMMATION AND INCREASES THE RISK OF CARDIOVASCULAR DISEASE. OSA DURING PREGNANCY CAUSES ADVERSE MATERNAL AND FETAL OUTCOMES. THE EFFECTS OF PRE-EXISTING OSA IN PREGNANT WOMEN ON CARDIOMETABOLIC OUTCOMES IN THE OFFSPRING ARE UNKNOWN. WE EVALUATED BASIC METABOLIC PARAMETERS, AS WELL AS AORTIC VASCULAR AND PERIVASCULAR ADIPOSE TISSUE (PVAT) FUNCTION IN RESPONSE TO ADIPONECTIN, AND EXAMINED DNA METHYLATION OF ADIPONECTIN GENE PROMOTER IN PVAT IN 16-WEEK-OLD ADULT OFFSPRING EXPOSED TO GESTATIONAL INTERMITTENT HYPOXIA (GIH). GIH DECREASED BODY WEIGHTS AT WEEK 1 IN BOTH MALE AND FEMALE OFFSPRING, AND CAUSED SUBSEQUENT INCREASES IN BODY WEIGHT AND FOOD CONSUMPTION IN MALE OFFSPRING ONLY. ADULT FEMALE OFFSPRING HAD NORMAL LEVELS OF LIPIDS, GLUCOSE AND INSULIN, WITH NO ENDOTHELIAL DYSFUNCTION. ADULT MALE OFFSPRING EXHIBITED DYSLIPIDAEMIA, INSULIN RESISTANCE AND HYPERLEPTINAEMIA. DECREASED ENDOTHELIAL-DEPENDENT VASODILATATION, LOSS OF ANTI-CONTRACTILE ACTIVITY OF PVAT AND LOW CIRCULATING PVAT ADIPONECTIN LEVELS, AS WELL AS INCREASED PRO-INFLAMMATORY GENE EXPRESSION AND DNA METHYLATION OF ADIPONECTIN GENE PROMOTER, OCCURRED IN ADULT MALE OFFSPRING. OUR RESULTS SUGGEST THAT MALE OFFSPRING OF WOMEN WITH OSA COULD BE AT RISK OF DEVELOPING CARDIOMETABOLIC DISEASE DURING ADULTHOOD. ABSTRACT: PERTURBATIONS DURING PREGNANCY CAN PROGRAM THE OFFSPRING TO DEVELOP CARDIOMETABOLIC DISEASES LATER IN LIFE. OBSTRUCTIVE SLEEP APNOEA (OSA) IS A CHRONIC CONDITION THAT FREQUENTLY AFFECTS PREGNANCIES AND LEADS TO ADVERSE FETAL OUTCOMES. WE ASSESSED THE OFFSPRING OF FEMALE MICE EXPERIENCING GESTATIONAL INTERMITTENT HYPOXIA (GIH), A HALLMARK OF OSA, FOR CHANGES IN METABOLIC PROFILES, AORTIC NITRIC OXIDE (NO)-DEPENDENT RELAXATIONS, PERIVASCULAR ADIPOSE TISSUE (PVAT) ANTI-CONTRACTILE ACTIVITIES AND THE RESPONSES TO ADIPONECTIN, AND DNA METHYLATION OF THE ADIPONECTIN GENE PROMOTER IN PVAT TISSUE. PREGNANT MOUSE DAMS WERE EXPOSED TO INTERMITTENT HYPOXIC CYCLES ( FIO2 21-12%) FOR 18 DAYS. GIH RESULTED IN LOWER BODY WEIGHTS OF PUPS AT WEEK 1, FOLLOWED BY SIGNIFICANT WEIGHT GAIN BY WEEK 16 OF AGE IN MALE BUT NOT FEMALE OFFSPRING. PLASMA LIPIDS, LEPTIN AND INSULIN RESISTANCE WERE HIGHER IN GIH MALE ADULT OFFSPRING. ENDOTHELIUM-DEPENDENT RELAXATION IN RESPONSE TO ACH AND THE ANTI-CONTRACTILE ACTIVITY OF PVAT IN THE ABDOMINAL AORTA WAS REDUCED IN GIH ADULT MALE OFFSPRING. INCUBATION OF ARTERIES FROM GIH ADULT MALE OFFSPRING WITH ADIPONECTIN RESTORED THE ANTI-CONTRACTILE ACTIVITY OF PVAT. BOTH CIRCULATING AND PVAT TISSUE HOMOGENATE LEVELS OF ADIPONECTIN, AS WELL AS GENE EXPRESSION OF ADIPONECTIN IN PVAT, WERE LOWER IN GIH MALE OFFSPRING, ALONG WITH AN INCREASED GENE EXPRESSION OF INFLAMMATORY CYTOKINES. PYROSEQUENCING OF ADIPONECTIN GENE PROMOTER IN PVAT SHOWED INCREASED DNA METHYLATION IN GIH MALE OFFSPRING. OUR RESULTS INDICATE THAT GIH LEADS TO VASCULAR DISEASE IN ADULT MALE OFFSPRING THROUGH PVAT DYSFUNCTION, WHICH WAS ASSOCIATED WITH LOW ADIPONECTIN LEVELS AND EPIGENETIC MODIFICATIONS ON THE ADIPONECTIN GENE PROMOTER. 2019 12 3120 22 GESTATIONAL HYPOXIA AND BLOOD-BRAIN BARRIER PERMEABILITY: EARLY ORIGINS OF CEREBROVASCULAR DYSFUNCTION INDUCED BY EPIGENETIC MECHANISMS. FETAL CHRONIC HYPOXIA LEADS TO INTRAUTERINE GROWTH RESTRICTION (IUGR), WHICH IS LIKELY TO REDUCE OXYGEN DELIVERY TO THE BRAIN AND INDUCE LONG-TERM NEUROLOGICAL IMPAIRMENTS. THESE INDICATE A MODULATORY ROLE FOR OXYGEN IN CEREBROVASCULAR DEVELOPMENT. DURING INTRAUTERINE HYPOXIA, THE FETAL CIRCULATION SUFFERS MARKED ADAPTATIONS IN THE FETAL CARDIAC OUTPUT TO MAINTAIN OXYGEN AND NUTRIENT DELIVERY TO VITAL ORGANS, KNOWN AS THE "BRAIN-SPARING PHENOTYPE." THIS IS A WELL-CHARACTERIZED RESPONSE; HOWEVER, LITTLE IS KNOWN ABOUT THE POSTNATAL COURSE AND OUTCOMES OF THIS FETAL CEREBROVASCULAR ADAPTATION. IN ADDITION, SEVERAL NEURODEVELOPMENTAL DISORDERS HAVE THEIR ORIGINS DURING GESTATION. STILL, FEW STUDIES HAVE FOCUSED ON HOW INTRAUTERINE FETAL HYPOXIA MODULATES THE NORMAL BRAIN DEVELOPMENT OF THE BLOOD-BRAIN BARRIER (BBB) IN THE IUGR NEONATE. THE BBB IS A CELLULAR STRUCTURE FORMED BY THE NEUROVASCULAR UNIT (NVU) AND IS ORGANIZED BY A MONOLAYER OF ENDOTHELIAL AND MURAL CELLS. THE BBB REGULATES THE ENTRY OF PLASMA CELLS AND MOLECULES FROM THE SYSTEMIC CIRCULATION TO THE BRAIN. A HIGHLY SELECTIVE PERMEABILITY SYSTEM ACHIEVES THIS THROUGH INTEGRAL MEMBRANE PROTEINS IN BRAIN ENDOTHELIAL CELLS. BBB BREAKDOWN AND DYSFUNCTION IN CEREBROVASCULAR DISEASES LEAD TO LEAKAGE OF BLOOD COMPONENTS INTO THE BRAIN PARENCHYMA, CONTRIBUTING TO NEUROLOGICAL DEFICITS. THE FETAL BRAIN CIRCULATION IS PARTICULARLY SUSCEPTIBLE IN IUGR AND IS PROPOSED TO BE ONE OF THE MAIN PATHOLOGICAL PROCESSES DERIVING BBB DISRUPTION. IN THE LAST DECADE, SEVERAL EPIGENETIC MECHANISMS ACTIVATED BY IU HYPOXIA HAVE BEEN PROPOSED TO REGULATE THE POSTNATAL BBB PERMEABILITY. HOWEVER, FEW MECHANISTIC STUDIES ABOUT THIS TOPIC ARE AVAILABLE, AND LITTLE EVIDENCE SHOWS CONTROVERSY. THEREFORE, IN THIS MINI-REVIEW, WE ANALYZE THE BBB PERMEABILITY-ASSOCIATED EPIGENETIC MECHANISMS IN THE BRAIN EXPOSED TO CHRONIC INTRAUTERINE HYPOXIA. 2021 13 5198 20 PRENATAL HIGH ESTRADIOL EXPOSURE INDUCES SEX-SPECIFIC AND DIETARILY REVERSIBLE INSULIN RESISTANCE THROUGH DECREASED HYPOTHALAMIC INSR. AN ADVERSE INTRAUTERINE ENVIRONMENT MAY INDUCE ADULT DISEASE IN OFFSPRING, BUT THE MECHANISMS ARE NOT WELL UNDERSTOOD. IT IS REPORTED THAT FRESH EMBRYO TRANSFER (ET) IN ASSISTED REPRODUCTIVE TECHNOLOGY LEADS TO HIGH MATERNAL ESTRADIOL (E2), AND PRENATAL HIGH E2 EXPOSURE INCREASES THE RISK OF ORGAN DISORDERS IN LATER LIFE. WE FOUND THAT MALE NEWBORNS AND CHILDREN OF FRESH ET SHOWED ELEVATED FASTING INSULIN AND HOMEOSTASIS MODEL OF ASSESSMENT FOR INSULIN RESISTANCE INDEX (HOMA-IR) SCORES. MALE MICE WITH HIGH PRENATAL ESTRADIOL EXPOSURE (HE) GREW HEAVIER THAN CONTROL MICE AND DEVELOPED INSULIN RESISTANCE; THEY ALSO SHOWED INCREASED FOOD INTAKE, WITH INCREASED OREXIGENIC HYPOTHALAMIC NEUROPEPTIDE Y (NPY) EXPRESSION. THE HYPOTHALAMIC INSULIN RECEPTOR (INSR) WAS DECREASED IN MALE HE MICE, ASSOCIATED WITH ELEVATED PROMOTER METHYLATION. CHRONIC FOOD RESTRICTION (FR) IN HE MICE REVERSED INSULIN RESISTANCE AND RESCUED HYPOTHALAMIC INSR EXPRESSION BY CORRECTING THE ELEVATED INSR PROMOTER METHYLATION. OUR FINDINGS SUGGEST THAT PRENATAL EXPOSURE TO HIGH E2 MAY INDUCE SEX-SPECIFIC METABOLIC DISORDERS IN LATER LIFE THROUGH EPIGENETIC PROGRAMMING OF HYPOTHALAMIC INSR PROMOTER, AND DIETARY INTERVENTION MAY REVERSE INSULIN RESISTANCE BY REMODELING ITS METHYLATION PATTERN. 2018 14 4415 26 MOLECULAR AND CELLULAR MECHANISMS THAT INDUCE ARTERIAL CALCIFICATION BY INDOXYL SULFATE AND P-CRESYL SULFATE. THE PROTEIN-BOUND UREMIC TOXINS, INDOXYL SULFATE (IS) AND P-CRESYL SULFATE (PCS), ARE CONSIDERED TO BE HARMFUL VASCULAR TOXINS. ARTERIAL MEDIA CALCIFICATION, OR THE DEPOSITION OF CALCIUM PHOSPHATE CRYSTALS IN THE ARTERIES, CONTRIBUTES SIGNIFICANTLY TO CARDIOVASCULAR COMPLICATIONS, INCLUDING LEFT VENTRICULAR HYPERTROPHY, HYPERTENSION, AND IMPAIRED CORONARY PERFUSION IN THE ELDERLY AND PATIENTS WITH CHRONIC KIDNEY DISEASE (CKD) AND DIABETES. RECENTLY, WE REPORTED THAT BOTH IS AND PCS TRIGGER MODERATE TO SEVERE CALCIFICATION IN THE AORTA AND PERIPHERAL VESSELS OF CKD RATS. THIS REVIEW DESCRIBES THE MOLECULAR AND CELLULAR MECHANISMS BY WHICH THESE UREMIC TOXINS INDUCE ARTERIAL MEDIA CALCIFICATION. A COMPLEX INTERPLAY BETWEEN INFLAMMATION, COAGULATION, AND LIPID METABOLISM PATHWAYS, INFLUENCED BY EPIGENETIC FACTORS, IS CRUCIAL IN IS/PCS-INDUCED ARTERIAL MEDIA CALCIFICATION. HIGH LEVELS OF GLUCOSE ARE LINKED TO THESE EVENTS, SUGGESTING THAT A GOOD BALANCE BETWEEN GLUCOSE AND LIPID LEVELS MIGHT BE IMPORTANT. ON THE CELLULAR LEVEL, EFFECTS ON ENDOTHELIAL CELLS, WHICH ACT AS THE PRIMARY SENSORS OF CIRCULATING PATHOLOGICAL TRIGGERS, MIGHT BE AS IMPORTANT AS THOSE ON VASCULAR SMOOTH MUSCLE CELLS. ENDOTHELIAL DYSFUNCTION, PROVOKED BY IS AND PCS TRIGGERED OXIDATIVE STRESS, MAY BE CONSIDERED A KEY EVENT IN THE ONSET AND DEVELOPMENT OF ARTERIAL MEDIA CALCIFICATION. IN THIS REVIEW A NUMBER OF IMPORTANT OUTSTANDING QUESTIONS SUCH AS THE ROLE OF MIRNA'S, PHENOTYPIC SWITCHING OF BOTH ENDOTHELIAL AND VASCULAR SMOOTH MUSCLE CELLS AND NEW TYPES OF PROGRAMMED CELL DEATH IN ARTERIAL MEDIA CALCIFICATION RELATED TO PROTEIN-BOUND UREMIC TOXINS ARE PUT FORWARD AND DISCUSSED. 2020 15 4197 23 METABOLIC PROFILES IN OVINE CAROTID ARTERIES WITH DEVELOPMENTAL MATURATION AND LONG-TERM HYPOXIA. BACKGROUND: LONG-TERM HYPOXIA (LTH) IS AN IMPORTANT STRESSOR RELATED TO HEALTH AND DISEASE DURING DEVELOPMENT. AT DIFFERENT TIME POINTS FROM FETUS TO ADULT, WE ARE EXPOSED TO HYPOXIC STRESS BECAUSE OF PLACENTAL INSUFFICIENCY, HIGH-ALTITUDE RESIDENCE, SMOKING, CHRONIC ANEMIA, PULMONARY, AND HEART DISORDERS, AS WELL AS CANCERS. INTRAUTERINE HYPOXIA CAN LEAD TO FETAL GROWTH RESTRICTION AND LONG-TERM SEQUELAE SUCH AS COGNITIVE IMPAIRMENTS, HYPERTENSION, CARDIOVASCULAR DISORDERS, DIABETES, AND SCHIZOPHRENIA. SIMILARLY, PROLONGED HYPOXIC EXPOSURE DURING ADULT LIFE CAN LEAD TO ACUTE MOUNTAIN SICKNESS, CHRONIC FATIGUE, CHRONIC HEADACHE, COGNITIVE IMPAIRMENT, ACUTE CEREBRAL AND/OR PULMONARY EDEMA, AND DEATH. AIM: LTH ALSO CAN LEAD TO ALTERATION IN METABOLITES SUCH AS FUMARATE, 2-OXOGLUTARATE, MALATE, AND LACTATE, WHICH ARE LINKED TO EPIGENETIC REGULATION OF GENE EXPRESSION. IMPORTANTLY, DURING THE INTRAUTERINE LIFE, A FETUS IS UNDER A RELATIVE HYPOXIC ENVIRONMENT, AS COMPARED TO NEWBORN OR ADULT. THUS, THE CHANGES IN GENE EXPRESSION WITH DEVELOPMENT FROM FETUS TO NEWBORN TO ADULT MAY BE AS A CONSEQUENCE OF UNDERLYING CHANGES IN THE METABOLIC PROFILE BECAUSE OF THE HYPOXIC ENVIRONMENT ALONG WITH DEVELOPMENTAL MATURATION. TO EXAMINE THIS POSSIBILITY, WE EXAMINED THE METABOLIC PROFILE IN CAROTID ARTERIES FROM NEAR-TERM FETUS, NEWBORN, AND ADULT SHEEP IN BOTH NORMOXIC AND LONG-TERM HYPOXIC ACCLIMATIZED GROUPS. RESULTS: OUR RESULTS DEMONSTRATE THAT LTH DIFFERENTIALLY REGULATED GLUCOSE METABOLISM, MITOCHONDRIAL METABOLISM, NICOTINAMIDE COFACTOR METABOLISM, OXIDATIVE STRESS AND ANTIOXIDANTS, MEMBRANE LIPID HYDROLYSIS, AND FREE FATTY ACID METABOLISM, EACH OF WHICH MAY PLAY A ROLE IN GENETIC-EPIGENETIC REGULATION. 2015 16 5822 19 STRESS IN THE ONSET AND AGGRAVATION OF LEARNING DISABILITIES. DESPITE SUBSTANTIAL GROUNDS FOR SUCH RESEARCH, THE ROLE OF CHRONIC EXPOSURE TO STRESSORS IN THE ONSET AND AGGRAVATION OF LEARNING DISABILITIES (LDS) IS LARGELY UNEXPLORED. IN THIS REVIEW, WE FIRST CONSIDER THE HORMONAL, (EPI)GENETIC, AND NEUROBIOLOGICAL MECHANISMS THAT MIGHT UNDERLIE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES, A FORM OF CHRONIC STRESSORS, ON THE ONSET OF LDS. WE THEN FOUND THAT STRESS FACTORS COMBINED WITH FEELINGS OF INFERIORITY, LOW SELF-ESTEEM, AND PEER VICTIMIZATION COULD POTENTIALLY FURTHER AGGRAVATE ACADEMIC FAILURES IN CHILDREN WITH LDS. SINCE EFFECTIVE EVIDENCE-BASED INTERVENTIONS FOR REDUCING CHRONIC STRESS IN CHILDREN WITH LDS COULD IMPROVE THEIR ACADEMIC PERFORMANCE, CONSIDERATION OF THE ROLE OF EXPOSURE TO STRESSORS IN CHILDREN WITH LDS HAS BOTH THEORETICAL AND PRACTICAL IMPORTANCE, ESPECIALLY WHEN DELIVERED IN COMBINATION WITH ACADEMIC INTERVENTIONS. 2021 17 5169 32 PRECONCEPTIONAL STRESS AND RACIAL DISPARITIES IN PRETERM BIRTH: AN OVERVIEW. OBJECTIVE: WE REVIEWED THE EVIDENCE FOR THREE THEORIES OF HOW PRECONCEPTIONAL PSYCHOSOCIAL STRESS COULD ACT AS A CONTRIBUTING DETERMINANT OF EXCESS PRETERM BIRTH RISK AMONG AFRICAN AMERICAN WOMEN: EARLY LIFE DEVELOPMENTAL PLASTICITY AND EPIGENETIC PROGRAMMING OF ADULT NEUROENDOCRINE SYSTEMS; BLUNTING, WEATHERING, OR DYSFUNCTION OF NEUROENDOCRINE AND IMMUNE FUNCTION IN RESPONSE TO CHRONIC STRESS ACTIVATION THROUGH THE LIFE COURSE; INDIVIDUALS' ADOPTION OF RISKY BEHAVIORS SUCH AS SMOKING AS A RESPONSE TO STRESSFUL STIMULI. METHODS: BASIC SCIENCE, CLINICAL, AND EPIDEMIOLOGIC STUDIES INDEXED IN MEDLINE AND WEB OF SCIENCE DATABASES ON PRECONCEPTIONAL PSYCHOSOCIAL STRESS, PRETERM BIRTH AND RACE WERE REVIEWED. RESULTS: MIXED EVIDENCE LEANS TOWARDS MODEST ASSOCIATIONS BETWEEN PRECONCEPTIONAL CHRONIC STRESS AND PRETERM BIRTH (FOR EXAMPLE COMMON ODDS RATIOS OF 1.2-1.4), PARTICULARLY IN AFRICAN AMERICAN WOMEN, BUT IT IS UNCLEAR WHETHER THIS ASSOCIATION IS CAUSAL OR EXPLAINS A SUBSTANTIAL PORTION OF THE BLACK-WHITE RACIAL DISPARITY IN PRETERM BIRTH. THE STRESS-PRETERM BIRTH ASSOCIATION MAY BE MEDIATED BY HYPOTHALAMIC-PITUITARY-ADRENAL AXIS DYSFUNCTION AND SUSCEPTIBILITY TO BACTERIAL VAGINOSIS, ALTHOUGH THESE MECHANISMS ARE INCOMPLETELY UNDERSTOOD. EVIDENCE FOR THE ROLE OF EPIGENETIC OR EARLY LIFE PROGRAMMING AS A DETERMINANT OF RACIAL DISPARITIES IN PRETERM BIRTH RISK IS MORE CIRCUMSTANTIAL. CONCLUSIONS: PRECONCEPTIONAL STRESS, DIRECTLY OR IN INTERACTION WITH HOST GENETIC SUSCEPTIBILITY OR INFECTION, REMAINS AN IMPORTANT HYPOTHESIZED RISK FACTOR FOR UNDERSTANDING AND REDUCING RACIAL DISPARITIES IN PRETERM BIRTH. FUTURE STUDIES THAT INTEGRATE ADEQUATELY SIZED EPIDEMIOLOGIC SAMPLES WITH MEASURES OF STRESS, INFECTION, AND GENE EXPRESSION, WILL ADVANCE OUR KNOWLEDGE AND ALLOW DEVELOPMENT OF TARGETED INTERVENTIONS. 2011 18 5107 19 POLYCYSTIC OVARY SYNDROME: A BRAIN DISORDER CHARACTERIZED BY EATING PROBLEMS ORIGINATING DURING PUBERTY AND ADOLESCENCE. POLYCYSTIC OVARY SYNDROME (PCOS) IS AN ENDOCRINE CONDITION ASSOCIATED WITH REPRODUCTIVE AND PSYCHIATRIC DISORDERS, AND WITH OBESITY. EATING DISORDERS, SUCH AS BULIMIA AND RECURRENT DIETING, ARE ALSO LINKED TO PCOS. THEY CAN LEAD TO THE EPIGENETIC DYSREGULATION OF THE HYPOTHALAMIC-PITUITARY-GONADAL (HPG) AXIS, THEREBY IMPACTING ON OVARIAN FOLLICULOGENESIS. WE POSTULATE THAT PCOS IS INDUCED BY PSYCHOLOGICAL DISTRESS AND EPISODES OF OVEREATING AND/OR DIETING DURING PUBERTY AND ADOLESCENCE, WHEN BODY DISSATISFACTION AND EMOTIONAL DISTRESS ARE OFTEN PRESENT. WE PROPOSE THAT UPREGULATED ACTIVATION OF THE CENTRAL HPG AXIS DURING THIS PERIOD CAN BE EPIGENETICALLY ALTERED BY PSYCHOLOGICAL STRESSORS AND BY BULIMIA/RECURRENT DIETING, WHICH ARE COMMON DURING ADOLESCENCE AND WHICH CAN LEAD TO PCOS. THIS HYPOTHESIS IS BASED ON EVENTS THAT OCCUR DURING A LARGELY NEGLECTED STAGE OF FEMALE REPRODUCTIVE DEVELOPMENT. TO DATE, MOST RESEARCH INTO THE ORIGINS OF PCOS HAS FOCUSED ON THE PRENATAL INDUCTION OF THIS DISORDER, PARTICULARLY IN UTERO ANDROGENIZATION AND THE ROLE OF ANTI-MULLERIAN HORMONE. ESTABLISHING CAUSALITY IN OUR PERIPUBERTAL MODEL REQUIRES PROSPECTIVE COHORT STUDIES FROM INFANCY. MECHANISTIC STUDIES SHOULD CONSIDER THE ROLE OF THE GUT MICROBIOTA IN ADDITION TO THE EPIGENETIC REGULATION OF (NEURO) HORMONES. FINALLY, CLINICIANS SHOULD CONSIDER THE IMPORTANCE OF UNDERLYING CHRONIC PSYCHOLOGICAL DISTRESS AND EATING DISORDERS IN PCOS. 2020 19 5124 26 POST-OCCLUSION ADMINISTRATION OF SODIUM BUTYRATE ATTENUATES COGNITIVE IMPAIRMENT IN A RAT MODEL OF CHRONIC CEREBRAL HYPOPERFUSION. CHRONIC CEREBRAL HYPOPERFUSION (CCH) HAS BEEN COMMONLY ASSOCIATED WITH ALZHEIMER'S DISEASE AND OTHER TYPES OF DEMENTIA, BUT THERAPIES THAT CAN IMPROVE CEREBRAL BLOOD FLOW DISPLAYED LITTLE EFFECT ON IMPAIRED COGNITION. EPIGENETIC INTERVENTION WITH HISTONE DEACETYLASE INHIBITORS, SUCH AS SODIUM BUTYRATE (SB), ON THE OTHER HAND HAS BEEN SHOWN TO IMPROVE COGNITION IN SEVERAL ANIMAL MODELS OF DEMENTIA. TO INVESTIGATE THE EFFECT OF SB ON COGNITIVE IMPAIRMENT INDUCED BY CCH IN RATS, ADULT MALE SD RATS WERE GIVEN INTRAPERITONEAL INJECTIONS OF SB AT A DAILY DOSE OF 840MG/KG FOR 4WEEKS, FROM THE 29TH DAY AFTER PERMANENT OCCLUSION OF BILATERAL COMMON CAROTID ARTERIES (2VO). LEARNING AND MEMORY WERE ASSESSED BY MORRIS WATER MAZE AND NOVEL OBJECT RECOGNITION. FOLLOWING BEHAVIORAL TESTS, WESTERN BLOTTING OF HISTONE ACETYLATION, OF TRANSCRIPTION FACTORS, OF NEURONAL/SYNAPTIC PROTEINS, WERE PERFORMED USING RAT HIPPOCAMPUS AND CORTEX. THE DATA SHOWED THAT SB TREATMENT ALLEVIATED HIPPOCAMPAL DEPENDENT SPATIAL LEARNING DISABILITY IN 2VO RATS, AND ALTERED HDAC1/2 MRNA LEVEL, HISTONE H4 ACETYLATION AND NRF2 TRANSCRIPTIONAL ACTIVATION IN RAT HIPPOCAMPUS. ACCORDINGLY, COGNITION-PROTECTIVE EFFECT OF SB APPEARED TO BE PARTIALLY MEDIATED BY ENHANCING HISTONE ACETYLATION AND HENCE BY FACILITATING THE TRANSCRIPTION OF NRF2 DOWNSTREAM GENES IN THE HIPPOCAMPUS. THUS, SB MIGHT BE CONSIDERED FOR PUTATIVE TREATMENT FOR CCH-RELATED COGNITIVE IMPAIRMENT. 2015 20 3463 22 HYPOTHALAMIC-PITUITARY-ADRENAL AND HYPOTHALAMIC-PITUITARY-GONADAL AXES: SEX DIFFERENCES IN REGULATION OF STRESS RESPONSIVITY. GONADAL HORMONES PLAY A KEY ROLE IN THE ESTABLISHMENT, ACTIVATION, AND REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS. BY INFLUENCING THE RESPONSE AND SENSITIVITY TO RELEASING FACTORS, NEUROTRANSMITTERS, AND HORMONES, GONADAL STEROIDS HELP ORCHESTRATE THE GAIN OF THE HPA AXIS TO FINE-TUNE THE LEVELS OF STRESS HORMONES IN THE GENERAL CIRCULATION. FROM EARLY LIFE TO ADULTHOOD, GONADAL STEROIDS CAN DIFFERENTIALLY AFFECT THE HPA AXIS, RESULTING IN SEX DIFFERENCES IN THE RESPONSIVITY OF THIS AXIS. THE HPA AXIS INFLUENCES MANY PHYSIOLOGICAL FUNCTIONS MAKING AN ORGANISM'S RESPONSE TO CHANGES IN THE ENVIRONMENT APPROPRIATE FOR ITS REPRODUCTIVE STATUS. ALTHOUGH THE ACUTE HPA RESPONSE TO STRESSORS IS A BENEFICIAL RESPONSE, CONSTANT ACTIVATION OF THIS CIRCUITRY BY CHRONIC OR TRAUMATIC STRESSFUL EPISODES MAY LEAD TO A DYSREGULATION OF THE HPA AXIS AND CAUSE PATHOLOGY. COMPARED TO MALES, FEMALE MICE AND RATS SHOW A MORE ROBUST HPA AXIS RESPONSE, AS A RESULT OF CIRCULATING ESTRADIOL LEVELS WHICH ELEVATE STRESS HORMONE LEVELS DURING NON-THREATENING SITUATIONS, AND DURING AND AFTER STRESSORS. FLUCTUATING LEVELS OF GONADAL STEROIDS IN FEMALES ACROSS THE ESTROUS CYCLE ARE A MAJOR FACTOR CONTRIBUTING TO SEX DIFFERENCES IN THE ROBUSTNESS OF HPA ACTIVITY IN FEMALES COMPARED TO MALES. MOREOVER, GONADAL STEROIDS MAY ALSO CONTRIBUTE TO EPIGENETIC AND ORGANIZATIONAL INFLUENCES ON THE HPA AXIS EVEN BEFORE PUBERTY. CORRESPONDINGLY, CROSSTALK BETWEEN THE HYPOTHALAMIC-PITUITARY-GONADAL (HPG) AND HPA AXES COULD LEAD TO ABNORMALITIES OF STRESS RESPONSES. IN HUMANS, A DYSREGULATED STRESS RESPONSE IS ONE OF THE MOST COMMON SYMPTOMS SEEN ACROSS MANY NEUROPSYCHIATRIC DISORDERS, AND AS A RESULT, SUCH INTERACTIONS MAY EXACERBATE PERIPHERAL PATHOLOGIES. IN THIS REVIEW, WE DISCUSS THE HPA AND HPG AXES AND REVIEW HOW GONADAL STEROIDS INTERACT WITH THE HPA AXIS TO REGULATE THE STRESS CIRCUITRY DURING ALL STAGES IN LIFE. 2017