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Nicotine Exposure During Gestation: From Placental Dysfunction to Long‐Term Neurobehavioral Outcomes

Sep 2026 · Birth Defects Research · Vol 118 · 0 citations · 274 references
Medicine

TL;DR

Prenatal nicotine exposure remains a significant public health concern due to persistent tobacco use, electronic nicotine delivery systems, and second‐hand exposure during pregnancy, but existing studies are often compartmentalized by developmental stage, limiting mechanistic integration across prenatal, natal, postnatal, and later‐life outcomes.

Abstract

Prenatal nicotine exposure (PNE) remains a significant public health concern due to persistent tobacco use, electronic nicotine delivery systems, and second‐hand exposure during pregnancy. Epidemiological and experimental evidence has demonstrated that nicotine can readily cross the placenta, disrupt placental development, and interfere with tightly regulated processes of fetal organogenesis. These early perturbations are increasingly recognized as initiating a cascade of structural, functional, and molecular alterations that extend beyond gestation and influence health trajectories across the lifespan. However, existing studies are often compartmentalized by developmental stage, limiting mechanistic integration across prenatal, natal, postnatal, and later‐life outcomes.

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