Kenyon NJ, Torday JS, Rehan VK. PPAR␥ agonist rosiglitazone prevents perinatal nicotine exposure-induced asthma in rat offspring. Am J Physiol Lung Cell Mol Physiol 300: L710 -L717, 2011. First published February 25, 2011 doi:10.1152/ajplung.00337.2010.-Perinatal exposure to maternal smoke is associated with adverse pulmonary effects, including reduced lung function and increased incidence of asthma. However, the mechanisms underlying these effects are unknown, and there is no effective preventive and/or therapeutic intervention. Recently, we suggested that downregulation of homeostatic mesenchymal peroxisome proliferator-activated receptor-␥ (PPAR␥) signaling following in utero nicotine exposure might contribute to chronic lung diseases such as asthma. We used an in vivo rat model to determine the effect of perinatal nicotine exposure on 1) offspring pulmonary function, 2) mesenchymal markers of airway contractility in trachea and lung tissue, and 3) whether administration of a PPAR␥ agonist, rosiglitazone (RGZ), blocks the molecular and functional effects of perinatal nicotine exposure on offspring lung. Pregnant SpragueDawley rat dams received placebo, nicotine, or nicotine ϩ RGZ daily from embryonic day 6 until postnatal day 21, when respiratory system resistance, compliance, tracheal contractility, and the expression of markers of pulmonary contractility were determined. A significant increase in resistance and a decrease in compliance under basal conditions, with more pronounced changes following methacholine challenge, were observed with perinatal nicotine exposure compared with control. Tracheal constriction response and expression of mesenchymal markers of airway contractility were also significantly increased following perinatal nicotine exposure. Concomitant treatment with RGZ completely blocked the nicotine-induced alterations in pulmonary function, as well as the markers of airway contractility, at proximal and distal airway levels. These data suggest that perinatal smoke exposure-induced asthma can be effectively blocked by PPAR␥ agonists.pregnancy; peroxisome proliferator-activated receptor-␥; smoke THERE IS STRONG EPIDEMIOLOGICAL and experimental evidence that perinatal exposure to maternal smoking results in detrimental long-term effects on lung growth and function, including significant suppression of alveolarization and increased predisposition to asthma in the offspring (2, 4 -6, 9, 13-15, 17, 27, 30, 42, 44, 45, 49). Since the mechanisms underlying these adverse pulmonary effects remain incompletely understood, there are no effective preventive or therapeutic interventions. Recently, on the basis of in vitro and in vivo studies from our laboratory, we suggested that downregulation of homeostatic lung mesenchymal peroxisome proliferator-activated receptor-␥ (PPAR␥) signaling might be a key contributor to chronic lung diseases such as bronchopulmonary dysplasia and asthma (23,34,36,37,48). We previously showed that in vitro and in vivo nicotine exposures result in the downregulation of pulmo...