Nicotine dose–concentration relationship and pregnancy outcomes in rat: Biologic plausibility and implications for future research

• Published in: Toxicology and applied pharmacology 2007, Vol.218 (1), p.1-10
• Main Authors: Hussein, Jabeen, Farkas, Svetlana, MacKinnon, Yolanda, Ariano, Robert E., Sitar, Daniel S., Hasan, Shabih U.
• Format: Article
• Language: English
• Subjects: 60 APPLIED LIFE SCIENCES; Animals; Biological and medical sciences; BIOLOGICAL STRESS; CHEMOTHERAPY; Cigarette smoking; CLEARANCE; CORTICOSTERONE; Corticosterone - blood; Dose-Response Relationship, Drug; Female; Fetal Development - drug effects; Fetal growth; Gestational Age; Hematocrit; HUMAN POPULATIONS; Humans; INFANTS; Infusion Pumps, Implantable; Litter size; Maternal Exposure; Maternal weight gain; Medical sciences; Metabolic Clearance Rate; NICOTINE; Nicotine - administration & dosage; Nicotine - blood; Nicotine - pharmacokinetics; Nicotine - toxicity; Nicotine clearance; Nicotinic Agonists - administration & dosage; Nicotinic Agonists - blood; Nicotinic Agonists - pharmacokinetics; Nicotinic Agonists - toxicity; Organ weights; PREGNANCY; Pregnancy Outcome; Pup weight; RADIATION DOSES; RATS; Rats, Sprague-Dawley; Research Design; Risk Assessment - trends; Smoking - adverse effects; Stress; Sudden infant death syndrome (SIDS); Time Factors; TOBACCO SMOKES; Tobacco, tobacco smoking; TOXICITY; Toxicity Tests - methods; Toxicology
• ISSN: 0041-008X; 1096-0333
• DOI: 10.1016/j.taap.2006.10.019

Cigarette smoke (CS) exposure during pregnancy can lead to profound adverse effects on fetal development. Although CS contains several thousand chemicals, nicotine has been widely used as its surrogate as well as in its own right as a neuroteratogen. The justification for the route and dose of nicotine administration is largely based on inferential data suggesting that nicotine 6 mg/kg/day infused continuously via osmotic mini pumps (OMP) would mimic maternal CS exposure. We provide evidence that 6 mg/kg/day nicotine dose as commonly administered to pregnant rats leads to plasma nicotine concentrations that are 3–10-fold higher than those observed in moderate to heavy smokers and pregnant mothers, respectively. Furthermore, the cumulative daily nicotine dose exceeds by several hundred fold the amount consumed by human heavy smokers. Our study does not support the widely accepted notion that regardless of the nicotine dose, a linear nicotine dose–concentration relationship exists in a steady-state OMP model. We also show that total nicotine clearance increases with advancing pregnancy but no significant change is observed between the 2nd and 3rd trimester. Furthermore, nicotine infusion even at this extremely high dose has little effect on a number of maternal and fetal biologic variables and pregnancy outcome suggesting that CS constituents other than nicotine mediate the fetal growth restriction in infants born to smoking mothers. Our current study has major implications for translational research in developmental toxicology and pharmacotherapy using nicotine replacement treatment as an aid to cessation of cigarette smoking in pregnant mothers.