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Influence of second-hand smoke and prenatal tobacco smoke exposure on biomarkers, genetics and physiological processes in children-an overview in research insights of the last few years

Braun, Markus, Klingelhöfer, Doris, Oremek, Gerhard M., Quarcoo, David, Groneberg, David A.·2020·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph17093212PMC PMC7246681
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Abstract

Children are commonly exposed to second-hand smoke (SHS) in the domestic environment or inside vehicles of smokers. Unfortunately, prenatal tobacco smoke (PTS) exposure is still common, too. SHS is hazardous to the health of smokers and non-smokers, but especially to that of children. SHS and PTS increase the risk for children to develop cancers and can trigger or worsen asthma and allergies, modulate the immune status, and is harmful to lung, heart and blood vessels. Smoking during pregnancy can cause pregnancy complications and poor birth outcomes as well as changes in the development of the foetus. Lately, some of the molecular and genetic mechanisms that cause adverse health effects in children have been identified. In this review, some of the current insights are discussed. In this regard, it has been found in children that SHS and PTS exposure is associated with changes in levels of enzymes, hormones, and expression of genes, micro RNAs, and proteins. PTS and SHS exposure are major elicitors of mechanisms of oxidative stress. Genetic predisposition can compound the health effects of PTS and SHS exposure. Epigenetic effects might influence in utero gene expression and disease susceptibility. Hence, the limitation of domestic and public exposure to SHS as well as PTS exposure has to be in the focus of policymakers and the public in order to save the health of children at an early age. Global substantial smoke-free policies, health communication campaigns, and behavioural interventions are useful and should be mandatory.

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Figure 1 Adverse health effects in children induced by second-hand smoke and prenatal tobacco smoke exposure. COPD = chronic obstructive pulmonary disease.
Figure 1 Adverse health effects in children induced by second-hand smoke and prenatal tobacco smoke exposure. COPD = chronic obstructive pulmonary disease.CC BY · PubMed Central

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Metadata

Authors
Braun, M., Klingelhöfer, D., Oremek, G. M., Quarcoo, D., & Groneberg, D. A.
Affiliations
Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University Frankfurt, D-60590 Frankfurt, Germany
ORCID
Braun, Markus
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2020-05-05
Volume
17
Issue
9
Pages
3212
ISSN
1660-4601
DOI
10.3390/ijerph17093212
PMC
PMC7246681
Cited by
64
References
11
Language
en
Licence
creativecommons.org/licenses/by/4.0/ (vor)

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