Smoking
Smoking while pregnant may increase chromosomal abnormalities
By JAMA and Archives Journals
Mar 9, 2005 - 5:59:00 PM

A preliminary report suggests that maternal smoking during pregnancy is associated with increased chromosomal abnormalities in fetal cells, according to a study in the March 9 issue of JAMA.

Maternal smoking during pregnancy has many consequences during and after pregnancy, such as infertility, coagulation problems, obstetric complications such as extrauterine pregnancy and placenta previa, and intrauterine growth retardation, according to background information in the article. However, only indirect data have been published on a possible genotoxic (effect of damaging DNA, possibly causing genetic mutation) effect on pregnancy in humans.

Rosa Ana de la Chica, M.Sc., of the Universitat Aut�noma de Barcelona, Bellaterra, Spain, and colleagues conducted a study to determine whether maternal smoking has a genotoxic effect on amniotic cells, expressed as an increased chromosomal instability, and analyzed whether any chromosomal regions are especially affected by exposure to tobacco. Fetal amniocytes (cells of fetal origin in the amniotic fluid) were obtained by routine amniocentesis for prenatal diagnosis from 25 controls and 25 women who smoke (10 or more cigarettes/d for 10 or more years). The women were asked to fill out a smoking questionnaire concerning their smoking habits.

The researchers found that when comparing genetic data between smokers and nonsmokers (controls) there were important differences for the proportion of structural chromosomal abnormalities (smokers: 12.1 percent; controls: 3.5 percent) and to a lesser degree for the proportion of metaphases (a phase of cell division) with chromosomal instability (smokers: 10.5 percent; controls: 8.0 percent), and for the proportion of chromosomal lesions (smokers: 15.7 percent; controls: 10.1 percent). Statistical analysis found a certain chromosomal region was most affected by tobacco, and noted that this region has been implicated in hematopoietic (pertaining to the formation of blood or blood cells) malignancies.

"It has been suggested that the increase of chromosomal lesions and structural abnormalities or the very existence of an increased chromosomal instability resulting from the genotoxic effect of tobacco could be indicative of an increased cancer risk and that fragile sites could be responsible for the chromosomal instability observed in cancer cells," the authors write. "Moreover, an increase of chromosomal instability is associated with an increase in the risk of cancer, especially childhood malignancies."

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