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Updated: Jul 30, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Preterm Birth, Developmental Smoke/Nicotine Exposure, and Life-Long Pulmonary Sequelae
Chie Kurihara1, Katherine M Kuniyoshi1, Virender K Rehan1
1Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
Preterm birth and perinatal nicotine exposure significantly increase asthma risk in offspring. These effects may even impact future generations through epigenetic changes.
Area of Science:
- Pulmonary Medicine
- Neonatology
- Genetics
Background:
- Preterm birth is a leading cause of neonatal respiratory morbidity.
- Perinatal exposure to tobacco and nicotine is a significant environmental risk factor for respiratory diseases.
- Emerging evidence suggests transgenerational effects on respiratory health.
Purpose of the Study:
- To review pulmonary complications associated with preterm birth.
- To examine the impact of perinatal tobacco/nicotine exposure on offspring respiratory health.
- To explore the potential for transgenerational pulmonary effects.
Main Methods:
- Literature review of studies on preterm birth and respiratory outcomes.
- Analysis of research on developmental tobacco/nicotine exposure and asthma.
- Investigation of epigenetic mechanisms in transgenerational pulmonary effects.
Main Results:
- Preterm birth is linked to increased asthma risk later in life.
- Developmental nicotine exposure adversely affects offspring lung development and asthma susceptibility.
- Perinatal tobacco/nicotine exposure may induce transgenerational pulmonary changes via germline epigenetics.
Conclusions:
- Pulmonary issues from preterm birth and perinatal nicotine exposure pose long-term risks.
- Transgenerational effects on respiratory health warrant further investigation.
- Interventions targeting perinatal exposures are crucial for preventing long-term respiratory morbidity.
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