American Journal of Physiology-Lung Cellular and Molecular Physiology · 1998 · 46 citations · 25 references
Life SciencesDevelopmental BiologyMolecular BiologyEmbryogenesisEmbryologyOrganogenesisFetal MaturationFetal PhysiologyLung DevelopmentMaternal SmokingPrenatal DevelopmentRespiratory Distress SyndromeFetal Lung DevelopmentGestation PeriodMaternal Cigarette SmokingMaternal Smoking ExposurePrenatal Nicotine ExposurePrenatal Tobacco ExposurePulmonary MaturationTobacco Smoke Exposure
Although the effects of maternal smoking on fetal growth and viability are overwhelmingly negative, there is a paradoxical enhancement of lung maturation as evidenced, in part, by a lower incidence of respiratory distress syndrome in infants of smoking mothers. Other epidemiologic and experimental evidence further support the view that a tobacco smoke constituent, possibly nicotine, affects the development of the lung in utero. We are studying the direct effects of nicotine on murine lung development using a serumless organ culture system. We have found that embryonic lungs explanted at 11 days gestation showed a 32% increase in branching after 4 days in culture in the presence of 1 microM nicotine and 7- to 15-fold increases in mRNAs encoding surfactant proteins A and C after 11 days. The effect of nicotine exposure on surfactant gene expression is apparently mediated by nicotinic acetylcholine receptors because it was blocked by D-tubocurarine. The nicotine-induced stimulation of surfactant gene expression could, in part, account for the effect of maternal smoking on the incidence of respiratory distress syndrome.
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