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Published on: October 22, 2020
Prenatal exposure to polycyclic aromatic hydrocarbons, environmental tobacco smoke and asthma
Maria José Rosa1, Kyung Hwa Jung, Matthew S Perzanowski
1Division of Pulmonary, Allergy, Critical Care Medicine, Department of Medicine, Columbia University College of Physicians and Surgeons, NY 10032, USA. mr2805@columbia.edu
Insights
Combined prenatal exposure to polycyclic aromatic hydrocarbons (PAH) and environmental tobacco smoke (ETS) is linked to childhood asthma. PAH or ETS exposure alone did not show a significant association with asthma or seroatopy at age 5-6 years.
Area of Science:
- Environmental Health
- Pediatric Respiratory Health
- Toxicology
Background:
- Previous research linked prenatal polycyclic aromatic hydrocarbons (PAH) and postnatal environmental tobacco smoke (ETS) to early respiratory symptoms.
- This study investigated the long-term effects of combined prenatal PAH and ETS exposure on asthma and seroatopy in children aged 5-6 years.
Purpose of the Study:
- To determine if combined prenatal exposure to PAH and ETS increases the risk of asthma and seroatopy.
- To assess the independent effects of PAH and ETS exposure on these outcomes.
Main Methods:
- Prenatal PAH exposure was quantified using personal air monitoring.
- Environmental tobacco smoke (ETS) exposure, respiratory symptoms, and asthma were assessed via questionnaires.
- Immunoglobulin E (IgE) levels were measured using Immunocap assays.
Main Results:
- A significant interaction was found between prenatal PAH and prenatal ETS exposure concerning asthma risk (p < 0.05).
- Prenatal PAH exposure showed a positive, nonsignificant association with asthma in children exposed to prenatal ETS.
- No significant association was observed between prenatal PAH exposure alone and asthma or IgE levels at age 5-6.
Conclusions:
- Combined prenatal exposure to PAH and ETS is associated with an increased risk of asthma at age 5-6.
- Exposure to PAH or ETS alone was not significantly linked to asthma or seroatopy.
- Further research is needed to understand the distinct impacts of prenatal ETS exposure on these associations.
Background:
Previously, we reported that prenatal exposures to polycyclic aromatic hydrocarbons (PAH) and postnatal environmental tobacco smoke (ETS) in combination were associated with respiratory symptoms at ages 1 and 2 years. Here, we hypothesized that children exposed to both prenatal PAH and ETS may be at greater risk of asthma and seroatopy at ages 5-6 years, after controlling for current pollution exposure.
Methods:
Prenatal PAH exposure was measured by personal air monitoring over 48 h. ETS exposure, respiratory symptoms and asthma at ages 5-6 years were assessed through questionnaire. Immunoglobulin (Ig) E was measured by Immunocap.
Results:
A significant interaction between prenatal PAH and prenatal (but not postnatal) ETS exposure on asthma (p < 0.05), but not IgE, was detected. Among children exposed to prenatal ETS, a positive nonsignificant association was found between prenatal PAH exposure and asthma (OR 1.96, 95% CI [0.95-4.05]). Among children without exposure to prenatal ETS, a negative nonsignificant association was found between prenatal PAH exposure and asthma (OR 0.65, 95% CI [0.41-1.01]). Prenatal PAH exposure was not associated with asthma or IgE at age 5-6 years.
Conclusions:
Combined prenatal exposure to PAH and ETS appears to be associated with asthma but not seroatopy at age 5-6. Exposure to PAH alone does not appear associated with either asthma or seroatopy at age 5-6 years. Discerning the differential effects between ETS exposed and ETS nonexposed children requires further study.
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