Developmental consequences of prenatal tobacco exposure
Open accessAbstract
PURPOSE OF REVIEW: This paper reviews results from published, in press, and conference proceedings from 2007 and 2008 that link in-utero tobacco exposure to neurodevelopmental outcomes in exposed offspring. RECENT FINDINGS: Prenatal tobacco exposure (PTE) affected speech processing, levels of irritability and hypertonicity, attention levels, ability to self-regulate, need to be handled, and response to novelty preference in infants. In early childhood, PTE effects were mostly behavioral outcomes including activity and inattention and externalizing behaviors, including conduct disorder and antisocial behavior. In adolescents, PTE predicted increased attention deficit hyperactivity disorder, modulation of the cerebral cortex and white matter structure, and nicotine addiction. Several studies found moderating effects with PTE and genetic susceptibilities including dopamine transporter, serotonergic synaptic function, and monomine oxidase pathways. Other studies suggested that environmental and genetic factors might be more important than the direct teratological effects of PTE. SUMMARY: The majority of studies reviewed were prospective and tobacco exposure was quantified biologically. Most demonstrated a direct association between PTE and neurodevelopmental outcomes. More work is needed to examine multifactorial influences. Effects of PTE on the offspring appear to be moderated by genetic variability, neurobehavioral disinhibition, and sex.
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Children exposed to tobacco smoke during gestation exhibit non-clinical deficits in various cognitive domains.
“A number of studies have also shown that children exposed to tobacco smoke during gestation exhibit non-clinical deficits in various cognitive domains [3, 8–10].”
From Impaired auditory discrimination learning following perinatal nicotine exposure or β2 nicotinic acetylcholine receptor subunit deletion (2012) · cites this paper as [9]
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- Authors
- Cornelius, M. D., & Day, N. L.
- Corresponding author
- Cornelius, Marie D
- ORCID
- Cornelius, Marie D
- Venue
- Current Opinion in Neurology
- Published
- 2009-04
- Volume
- 22
- Issue
- 2
- Pages
- 121-125
- ISSN
- 1350-7540 (ISSN-L)
- PMC
- PMC2745235
- OpenAlex
- W2010579794
- Cited by
- 209
- References
- 31
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 9 · 2023: 12 · 2022: 10 · 2021: 10 · 2020: 13 · 2019: 9 · 2018: 9 · 2017: 16 · 2016: 8 · 2015: 12 · 2014: 19 · 2013: 20 · 2012: 20
- FWCI
- 15.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Neurology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA-08284, AA07453, R21AA015728, R29AA008284, AA015728, T32AA007453)
- National Institute of Mental Health (MH-067924, R01MH067924)
- National Institute on Drug Abuse (DA019482, DA09275, DA008916, R01DA003874, R01DA009275, DA 03874, R01DA008916, R01DA019482)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK066266, R01DK066266)
- National Institute of Environmental Health Sciences (ES0112059)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- prenatal tobacco exposure, brain development, nicotine, speech processing, irritability, attention, self-regulation, novelty preference, externalizing problems, conduct disorder, antisocial behavior, attention deficit hyperactivity disorder, white matter structure, cerebral cortex, nicotine dependence, genetic susceptibility, dopamine transporter, monoamine oxidase, sex differences, genetic and environmental factors
- MeSH terms
- Adolescent, Adolescent Behavior, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Female, Humans, Infant, Nicotine, Pregnancy, Prenatal Exposure Delayed Effects, Prospective Studies, Smoking, Teratogens, Nicotiana, Tobacco Products
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