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Will Widespread Synthetic Opioid Consumption Induce Epigenetic Consequences in Future Generations?
Federica Gilardi1,2, Marc Augsburger1, Aurelien Thomas1,2
1Forensic Toxicology and Chemistry Unit, University Center of Legal Medicine, Lausanne University Hospital - Geneva University Hospitals, Geneva, Switzerland.
Parental exposure to opioids, including novel synthetic opioids (NSOs), can impact descendants' health and behavior across generations. This review explores the transgenerational effects of opioid use, highlighting potential epigenetic mechanisms and public health concerns.
Area of Science:
- Pharmacology
- Toxicology
- Genetics
Background:
- Ancestral exposure to xenobiotics can alter descendant physiology and behavior.
- Parental drug history has implications for subsequent generations.
- Novel synthetic opioid (NSO) consumption is a growing public health concern.
Purpose of the Study:
- To review current knowledge on the transgenerational effects of opioid consumption.
- To summarize preclinical and clinical findings on parental opioid exposure.
- To discuss limitations and future research perspectives on NSOs.
Main Methods:
- Review of existing preclinical and clinical studies.
- Analysis of evidence on maternal and paternal transmission of phenotypes.
- Exploration of potential epigenetic mechanisms.
Main Results:
- Opioid exposure, including NSOs, can impact neuronal development and reactivity in offspring.
- Effects can be transmitted across generations, even from pre-conception use.
- Neonatal abstinence syndrome is a known consequence of in utero opioid exposure.
Conclusions:
- Parental opioid use has significant transgenerational implications.
- Epigenetic mechanisms likely mediate these effects.
- Further research is needed on NSOs and their long-term consequences.
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