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Cardiorespiratory effects of nicotine exposure during development
Abstract
Exposure to tobacco smoke is a major risk factor for the sudden infant death syndrome. Nicotine is thought to be the ingredient in tobacco smoke that is responsible for a multitude of cardiorespiratory effects during development, and pre- rather than postnatal exposure is considered to be most detrimental. Nicotine interacts with endogenous acetylcholine receptors in the brain and lung, and developmental exposure produces structural changes as well as alterations in neuroregulation. Abnormalities have been described in sympathicovagal balance, arousal threshold and latency, breathing pattern at rest and apnea frequency, ventilatory response to hyperoxia or hypoxia, heart rate regulation and ability to autoresuscitate during severe hypoxia. This review discusses studies performed on infants of smoking mothers and nicotine-exposed animals yielding varying and sometimes inconsistent results that may be due to differences in experimental design, species and the dose of exposure. Taken together however, developmental nicotine exposure appears to induce vulnerability during hypoxia and a potential inability to survive severe asphyxia.
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“Animal studies of prenatal nicotine exposure have shown similar disturbances in the cardiorespiratory control as seen in infants exposed to smoking in pregnancy, which suggests that nicotine is involved in the mechanisms behind smoking-related risks of SIDS.5”
From Association of maternal snuff use and smoking with Sudden Infant Death Syndrome: a national register study (2023) · cites this paper as [5]
In the citing paper
“Further, animal studies of prenatal nicotine suggest that nicotine is involved in the mechanisms behind smoking-related risks of SIDS.5,23”
From Association of maternal snuff use and smoking with Sudden Infant Death Syndrome: a national register study (2023) · cites this paper as [5]
Citations
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Maternal Smoking during Pregnancy as a Predictor of Lung Function in Children
Cunningham, J., Dockery, D. W., & Speizer, F. E. (1994) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116961 · Cited by 230
Maternal Nicotine Exposure Upregulates Collagen Gene Expression in Fetal Monkey Lung
Sekhon, H. S., Keller, J. A., Proskocil, B. J., Martin, E. L., & Spindel, E. R. (2002) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/ajrcmb.26.1.4170 · Cited by 191
Prenatal exposure to cigarette smoking is associated with a decrease in arousal in infants
Franco, P., Groswasser, J., Hassid, S., Lanquart, J. P., Scaillet, S., & Kahn, A. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70324-0 · Cited by 146
Prenatal exposure to cigarettes in infants with obstructive sleep apneas
Kahn, A., Groswasser, J., Sottiaux, M., Kelmanson, I., Franco, P., Rebuffat, E., Dramaix, M., & Wayenberg, J. L. (1994) · PEDIATRICS · doi:10.1542/peds.93.5.778 · Cited by 117 · cited 1×
“A delayed arousal from quiet sleep during acute hypoxia was found in prenatally nicotine-exposed 5day-old lambs byHafstrom et al. (2002b) .”
BackgroundPrenatal nicotine exposure blunts the cardiorespiratory response to hypoxia in lambs
Hafström, O., Milerad, J., & Sundell, H. W. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200204-289oc · Cited by 102
Self-citationONCKEN, C. (1997) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(97)00309-8 · Cited by 77 · cited 2×
“In the study performed by (Fewell et al., 2001a), aternal mean nicotine concentrations more than 988) corresponding to approximately 20 cigarettes ay (Hill et al., 1983; Oncken et al., 1997).”
BackgroundMethodInfluences of maternal cigarette smoking on infant arousability
Horne, R. S. C., Franco, P., Adamson, T. M., Groswasser, J., & Kahn, A. (2004) · Early Human Development · doi:10.1016/j.earlhumdev.2004.04.005 · Cited by 72
The effect of cigarette smoking on fetal heart rate characteristics*1
ONCKEN, C. (2002) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(02)01948-8 · Cited by 34
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“Animal studies of prenatal nicotine exposure have shown disturbances in the development of the fetal nervous system and the cardiorespiratory control [26,27].”
BackgroundGunnerbeck, A., Lundholm, C., Rhedin, S., Mitha, A., Chen, R., D’Onofrio, B. M., & Almqvist, C. (2023) · Pediatric Research · doi:10.1038/s41390-022-02463-4 · Cited by 27
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Metadata
- Authors
- Hafström, O., Milerad, J., Sandberg, K. L., & Sundell, H. W.
- Venue
- Respiratory Physiology & Neurobiology
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 149
- Issue
- 1-3
- Pages
- 325-341
- ISSN
- 1569-9048
- Cited by
- 82
- References
- 9
- Language
- en
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