The use of tobacco products represents a major public health concern,
especially among women. Epidemiological data have consistently demonstrated that
women have less success quitting tobacco use and a higher risk for developing
tobacco-related diseases. The deleterious effects of nicotine are not restricted
to adulthood, as nicotinic acetylcholine receptors regulate critical aspects of
neural development. However, the exact mechanisms underlying the particular
sensitivity of women to develop tobacco dependence have not been well
elucidated. In this review, we show that gonadal hormone-mediated sexual
differentiation of the brain may be an important determinant of sex differences
in the effects of nicotine. We highlight direct interactions between sex steroid
hormones and ligand-gated ion channels critical for brain maturation, and
discuss the extended and profound sexual differentiation of the brain. We
emphasize that nicotine exposure during the perinatal and adolescent periods
interferes with normal sexual differentiation and can induce long-lasting,
sex-dependent alterations in neuronal structure, cognitive and executive
function, learning and memory, and reward processing. We stress important age
and sex differences in nicotine’s effects and emphasize the importance
of including these factors in preclinical research that models tobacco
dependence.