In utero tobacco exposure epigenetically modifies placental CYP1A1 expression
Open accessAbstract
The metabolic pathways used by higher-eukaryotic organisms to deal with potentially carcinogenic xenobiotic compounds from tobacco smoke have been well characterized. Carcinogenic compounds such as polycyclic aromatic hydrocarbons are metabolized sequentially in 2 phases: in phase I, CYP1A1 catalyzes conversion into harmful hydrophilic DNA adducts, whereas in phase II, GSTT1 enables excretion via conjugation into polar electrophiles. In an effort to understand susceptibility to in utero tobacco exposure, we previously characterized known metabolic functional polymorphisms and demonstrated that although deletion of fetal GSTT1 significantly modified birth weight in smokers, no polymorphism fully accounted for fetal growth restriction. Because smoking up-regulates CYP1A1 expression, we hypothesized that nonallelic (epigenetic) dysregulation of placental CYP1A1 expression via alterations in DNA methylation (meCpG) may further modify fetal growth. In the present article, we compared placental expression of multiple CYP family members among gravidae and observed significantly increased CYP1A1 expression among smokers relative to controls (4.4-fold, P < .05). To fully characterize CYP1A1 meCpG status, bisulfite modification and sequencing of the entire proximal 1-kilobase promoter (containing 59 CpG sites) were performed. CpG sites immediately proximal to the 5′-xenobiotic response element transcription factor binding element were significantly hypomethylated among smokers (55.6% vs 45.9% meCpG, P = .027), a finding that uniquely correlated with placental gene expression (r = 0.737, P = .007). Thus, in utero tobacco exposure significantly increases placental CYP1A1 expression in association with differential methylation at a critical xenobiotic response element.
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Cord blood studies have implicated smoking-induced methylation changes in multiple specific genes, including CYP1A1, GF1, FOXP3, and AHRR.
“Cord blood studies have implicated smokinginduced methylation changes in multiple specific genes, including CYP1A1, GF1, FOXP3, and AHRR, [72][73][74] which play a role in detoxification and immune regulation and, therefore, may contribute to childhood lung disease.”
From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [72]
The Discussion reports smoking-associated hypomethylation of CYP1A1 in placenta, supporting that gene’s inclusion. But it explicitly says CYP1A1 and its promoter were not assayed in fetal blood; this paper does not establish cord-blood methylation changes in CYP1A1 or the other listed genes. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCYP1A1, GF1, FOXP3, and AHRR play a role in detoxification and immune regulation and may contribute to childhood lung disease.
“Cord blood studies have implicated smokinginduced methylation changes in multiple specific genes, including CYP1A1, GF1, FOXP3, and AHRR, [72][73][74] which play a role in detoxification and immune regulation and, therefore, may contribute to childhood lung disease.”
From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [72]
The Introduction (page not provided) reports smoking-associated hypomethylation of placental CYP1A1 and describes its role in processing tobacco-smoke compounds. The Discussion (page not provided) explicitly says the authors did not assay CYP1A1 or its promoter in fetal blood. This paper does not establish the other named genes’ roles in immune regulation or a contribution to childhood lung disease. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThese epigenetic changes in AHRR methylation persist well into postnatal life.
“These epigenetic changes in AHRR methylation persist well into postnatal life.”
From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [72]
The Introduction reports altered CYP1A1 methylation in placentas, while the Discussion describes persistence of tobacco-related epigenetic changes as a possibility, not an observed postnatal result. Searches for AHRR and postnatal persistence found no passage establishing that AHRR methylation changes persist after birth. Page numbers were not available in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredA separate longitudinal study detected persistent AHRR methylation changes at 7 years of age.
“Novakovic and colleagues 76 recently demonstrated persistent AHRR hypomethylation in blood monocytes at 1 year of age, and a separate longitudinal study detected persistent changes at 7 years of age.72,77”
From Impact of Tobacco Smoke and Nicotine Exposure on Lung Development (2016) · cites this paper as [72]
The Results and Discussion describe CYP1A1 methylation in placenta and speculate that it may provide a memory of fetal tobacco exposure. Our copy does not report AHRR methylation or a longitudinal finding at age 7 (searched for AHRR and seven-year follow-up); no page numbers are available in the copy. (LLM, conf=0.76)
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References 53 · Cited by 188
- Authors
- Suter, M., Abramovici, A., Showalter, L., Hu, M., Shope, C. D., Varner, M., & Aagaard-Tillery, K.
- Affiliations
- Baylor College of Medicine (US)
- University of Utah (US)
- Corresponding author
- Aagaard-Tillery, Kjersti
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 2010-10
- Volume
- 59
- Issue
- 10
- Pages
- 1481-1490
- ISSN
- 0026-0495 (ISSN-L)
- PMC
- PMC2921565
- OpenAlex
- W2054006501
- Cited by
- 188
- References
- 53
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 5 · 2023: 8 · 2022: 11 · 2021: 8 · 2020: 9 · 2019: 20 · 2018: 12 · 2017: 11 · 2016: 9 · 2015: 28 · 2014: 13 · 2013: 18 · 2012: 17
- FWCI
- 5.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (DP2OD001500)
- National Institute of General Medical Sciences (K12GM084897, K12 GM84897)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- maternal smoking, DNA methylation, epigenetic regulation, xenobiotic response element, fetal growth restriction, birth weight, polycyclic aromatic hydrocarbons, GSTT1, promoter hypomethylation
- MeSH terms
- Adult, Birth Weight, Female, Humans, Infant, Newborn, Maternal-Fetal Exchange, Placenta, Pregnancy, Promoter Regions, Genetic, Smoke, Smoking, Gene Expression Regulation, Enzymologic, Case-Control Studies, Maternal Exposure, DNA Methylation, Cytochrome P-450 CYP1A1, Epigenesis, Genetic
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