Evidence map›Paper›PMID 27780972›Full record

ReviewNature reviews. Gastroenterology & hepatology2017

Developmental origins of NAFLD: a womb with a clue.

Stephanie R Wesolowski, Karim C El Kasmi, Karen R Jonscher, Jacob E Friedman

Abstract readReview
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed
11.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

126 citing papers in PubMed, 238 citations in OpenAlex.

  1. Review
  2. MASLD In Children - A Distinct Phenotype?Current obesity reports · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
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  11. Article
  12. Ganoapplanilactone C fromAntioxidants (Basel, Switzerland) · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. Maternal Western Diet Programmes Bile Acid Dysregulation and Hepatic Fibrosis in Fetal and Juvenile Macaques.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  17. Article
  18. Article
  19. Investigation of Active Components ofInternational journal of molecular sciences · 2024
    Article
  20. Review

66 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Stephanie R WesolowskiDepartment of Pediatrics, Section of Neonatology, University of Colorado, Anschutz Medical Campus, 12801 East 17th Avenue, MS 8106, Aurora, Colorado 80045, USA.
Karim C El KasmiDepartment of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, University of Colorado, Anschutz Medical Campus, 12801 East 17th Avenue, MS 8106, Aurora, Colorado 80045, USA.
Karen R JonscherDepartment of Anesthesiology, University of Colorado, Anschutz Medical Campus, 12801 East 17th Avenue, MS 8106, Aurora, Colorado 80045, USA.
Jacob E FriedmanDepartment of Pediatrics, Section of Neonatology, University of Colorado, Anschutz Medical Campus, 12801 East 17th Avenue, MS 8106, Aurora, Colorado 80045, USA.
University of Colorado Anschutz Medical Campus · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALVIN C POWERS · 2012 to 2026
$29.3M
The Impact of Maternal Health and Diet on Development of Fetal Metabolic SystemsR24DK090964 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI AAGAARD, KJERSTI MARIE, FRIEDMAN, JACOB E · 2010 to 2019
$15.8M
Nutrient and Insulin Metabolic Actions in IUGR Fetal LiverR01DK108910 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Stephanie R Wesolowski · 2017 to 2026
$4.3M
MECHANISMS FOR FETAL HEPATIC PROGRAMMING IN THE NON-HUMAN PRIMATE (NHP)R01DK078590 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI FRIEDMAN, JACOB E · 2007 to 2010
$1.5M
Effect of hypoxia on glucose metabolism in IUGR fetal liverR03DK102972 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI WESOLOWSKI, STEPHANIE R · 2014 to 2015
$155k
NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK078590NIDDK NIH HHS R01 DK108910NIDDK NIH HHS R03 DK102972NIDDK NIH HHS R24 DK090964
6 · The paper itself

Abstract

Changes in the maternal environment leading to an altered intrauterine milieu can result in subtle insults to the fetus, promoting increased lifetime disease risk and/or disease acceleration in childhood and later in life. Particularly worrisome is that the prevalence of NAFLD is rapidly increasing among children and adults, and is being diagnosed at increasingly younger ages, pointing towards an early-life origin. A wealth of evidence, in humans and non-human primates, suggests that maternal nutrition affects the placenta and fetal tissues, leading to persistent changes in hepatic metabolism, mitochondrial function, the intestinal microbiota, liver macrophage activation and susceptibility to NASH postnatally. Deleterious exposures in utero include fetal hypoxia, increased nutrient supply, inflammation and altered gut microbiota that might produce metabolic clues, including fatty acids, metabolites, endotoxins, bile acids and cytokines, which prime the infant liver for NAFLD in a persistent manner and increase susceptibility to NASH. Mechanistic links to early disease pathways might involve shifts in lipid metabolism, mitochondrial dysfunction, pioneering gut microorganisms, macrophage programming and epigenetic changes that alter the liver microenvironment, favouring liver injury. In this Review, we discuss how maternal, fetal, neonatal and infant exposures provide developmental clues and mechanisms to help explain NAFLD acceleration and increased disease prevalence. Mechanisms identified in clinical and preclinical models suggest important opportunities for prevention and intervention that could slow down the growing epidemic of NAFLD in the next generation.

Indexed as

Prenatal Exposure Delayed EffectsBreast FeedingEpigenesis, GeneticFemaleGastrointestinal MicrobiomeHumansInfant, NewbornLiverMacrophagesNon-alcoholic Fatty Liver DiseasePregnancyPrenatal Nutritional Physiological PhenomenaRisk Factors

Identifiers

PMID27780972
PMCPMC5725959
OpenAlexW2543316248

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.