Epidemiologic studies suggest that in utero exposure to tobacco smoke, primarily through maternal smoking, increases the risk for asthma in children; however, the mechanism of this phenomenon is not clear. Cyclic adenosine monophosphate relaxes airway smooth muscles in the lung and acts as an antiasthmatic. In this study, we examined the effects of in utero cigarette smoke exposure of Balb/c mice on airway responsiveness, as determined by Penh measurements. Animals exposed prenatally but not postnatally to cigarette smoke exhibited increased airway hyperresponsiveness after a single intratracheal injection of Aspergillus fumigatus extract. The increased airway hyperresponsiveness was not associated with increased leukocyte migration or mucous production in the lung but was causally related to decreased lung cyclic adenosine monophosphate levels, increased phosphodiesterase-4 enzymatic activity, and phosphodiesterase-4D (PDE4D) isoform-specific messenger ribonucleic acid expression in the lung. Exposure of adult mice to cigarette smoke did not significantly alter airway responsiveness, cyclic adenosine monophosphate levels, or the phosphodiesterase activity. These results suggest that prenatal exposure to cigarette smoke affects lung airway reactivity by modulating the lung cyclic adenosine monophosphate levels through changes in phosphodiesterase-4D activity, and these effects are independent of significant mucous production or leukocyte recruitment into the lung.

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To study the immunological effects of nicotine, there are several rodent models for chronic nicotine administration. These models include subcutaneously implanted miniosmotic pumps, nicotine-spiked drinking water, and self-administration via jugular cannulae. Administration of nicotine via these routes affects the immune system. Smokers frequently use nicotine patches to quit smoking, and the immunological effects of nicotine patches are largely unknown. To determine whether the nicotine patch affects the immune system, nicotine patches were affixed daily onto the backs of Lewis rats for 3 to 4 weeks. The patches efficiently raised the levels of nicotine and cotinine in serum and strongly inhibited the antibody-forming cell response of spleen cells to sheep red blood cells. The nicotine patch also suppressed the concanavalin A-induced T-cell proliferation and mobilization of intracellular Ca 2؉ by spleen cells, as well as the fever response of animals to subcutaneous administration of turpentine. Moreover, immunosuppression was associated with chronic activation of protein tyrosine kinase and phospholipase C-␥1 activities. Thus, in this animal model of nicotine administration, the nicotine patch efficiently raises the levels of nicotine and cotinine in serum and impairs both the immune and inflammatory responses.Cigarette smoke is a major health risk factor worldwide and significantly increases the incidence of several diseases (reviewed in reference 38). It is hypothesized that this increased disease susceptibility reflects cigarette smoke-induced changes in the immune system (11), and chronic exposure to cigarette smoke suppresses a wide range of immunological parameters in human and animal models (35,38). Nicotine (NT), a major component of cigarette smoke, has been shown to suppress various parameters of the immune system (reviewed in references 36 and 38). Chronic NT administration of rats by subcutaneously or intracerebroventricularly implanted miniosmotic pumps or self-administration through indwelling jugular cannulae suppresses the T-cell-dependent antibody and T-cell mitogenic responses and inhibits the T-cell antigen receptor (TCR)-mediated cell signaling (8,31). TCR ligation by anti-TCR antibodies is an accepted in vitro model for an antigeninduced T-cell activation that stimulates protein tyrosine kinase (PTK) and phospholipase C-␥1 (PLC-␥1) activities (22,26) and increases the intracellular Ca 2ϩ concentration ([Ca 2ϩ ] i ) (2, 4). Use of the NT patch (NTP) has been shown to significantly help human smokers quit smoking (6,14,23,24,29), and its use has increased dramatically in recent years. In addition, NTPs have been considered for therapeutic use in some diseases such as Parkinson's disease and ulcerative colitis. However, the immunological effects of NTPs are largely unknown. Therefore, in the present study we used Lewis rats to examine the effects of the NTP on the immune and inflammatory responses. MATERIALS AND METHODSAnimals. Pathogen-free male Lewis rats were purchased from Harlan Spr...

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