Adverse effects of perinatal nicotine exposure on reproductive outcomes

Nicotine exposure during pregnancy through cigarette smoking, nicotine replacement therapies or e-cigarette use continues to be a widespread public health problem, impacting both fetal and postnatal health. Yet, at this time, there remains limited data regarding the safety and efficacy in using thes...

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Veröffentlicht in:Reproduction (Cambridge, England) England), 2015-12, Vol.150 (6), p.R185-R193
Hauptverfasser: Wong, Michael K, Barra, Nicole G, Alfaidy, Nadia, Hardy, Daniel B, Holloway, Alison C
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container_end_page R193
container_issue 6
container_start_page R185
container_title Reproduction (Cambridge, England)
container_volume 150
creator Wong, Michael K
Barra, Nicole G
Alfaidy, Nadia
Hardy, Daniel B
Holloway, Alison C
description Nicotine exposure during pregnancy through cigarette smoking, nicotine replacement therapies or e-cigarette use continues to be a widespread public health problem, impacting both fetal and postnatal health. Yet, at this time, there remains limited data regarding the safety and efficacy in using these nicotine products during pregnancy. Notably, reports assessing the effect of nicotine exposure on postnatal health outcomes in humans, including reproductive health, are severely lacking. Our current understanding regarding the consequences of nicotine exposure during pregnancy is limited to a few animal studies, which do not comprehensively address the underlying cellular mechanisms involved. This paper aims to critically review the current knowledge from human and animal studies regarding the direct and indirect effects (e.g. obesity) of maternal nicotine exposure, regardless of its source, on reproductive outcomes in pregnancy and postnatal life. Furthermore, this review highlights several key cellular mechanisms involved in these adverse reproductive deficits including oxidative stress, inflammation, and endoplasmic reticulum (ER) stress. By understanding the interplay of the cellular mechanisms involved, further strategies could be developed to prevent the reproductive abnormalities resulting from exposure to nicotine in utero and influence informed clinical guidelines for pregnant women.
doi_str_mv 10.1530/REP-15-0295
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subjects Animals
Electronic Nicotine Delivery Systems - adverse effects
Endoplasmic Reticulum Stress - drug effects
Female
Fetus - drug effects
Fetus - metabolism
Fetus - pathology
Humans
Inflammation Mediators - metabolism
Journal-based learning
Life Sciences
Maternal Behavior
Nicotine - adverse effects
Nicotinic Agonists - adverse effects
Oxidative Stress - drug effects
Pregnancy
Pregnancy Complications - chemically induced
Pregnancy Complications - metabolism
Pregnancy Complications - pathology
Prenatal Exposure Delayed Effects
Reproductive Biology
Review
Risk Assessment
Risk Factors
Smoking - adverse effects
Smoking - psychology
Smoking Prevention
Tobacco Use Cessation Products - adverse effects
Unfolded Protein Response - drug effects
title Adverse effects of perinatal nicotine exposure on reproductive outcomes
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