umbilical vein endothelium from these same pregnancies was unaffected by maternal smoking and remained low. In order to confirm that AHH present in endothelium was inducible, we also demonstrated dose-dependent increases in AHH activity in primary cultures of human umbilical vein endothelial cells exposed to PAHs. These findings may indicate first pass protection of the fetus by placental xenobiotic metabolism, or that endogenous factors suppress AHH induction in the fetus but not placenta. may contribute to the development of certain birth defects (4,16,17). Although complex mixtures of chemicals contained in cigarette smoke have been described, little is known about the mechanisms by which these compounds may be embryopathic or about how the human conceptus can be protected from such chemical toxicity.In order to approach these problems, we have been studying the effects of maternal smoking on xenobiotic metabolism in human placenta, concentrating on AHH, a cytochrome P-450 monooxygenase system which increases its activity when mothers smoke (14,20,24,29,30). AHH catalyzes the first step in the metabolism of several of the toxins absorbed from cigarette smoke including PAHs. These compounds, which are concentrated in cigarette smoke, have been found to be carcinogenic, mutagenic, and teratogenic in animals (5). The consequences of increased placental AHH activity in response to maternal smoking are unknown. On the one hand, microsomes from placentas from smokers have been shown to metabolize certain PAHs to mutagenic products in vitro (15). On the other hand, AHH participates in the clearance of toxins such as PAHs in vivo (18,23), and increased placental activity may reduce levels of toxic PAHs in fetal tissues. Hence, increased placental AHH, coupled with a toxic load of PAHs from maternal smoking, could theoretically protect or endanger the developing fetus.Because we are unable to measure placental clearance of PAHs directly in humans, we decided to approach the question of the role of placental PAH metabolism indirectly by comparing effects of cigarette smoking on placenta and a fetal tissue immediately distal to it, umbilical vein endothelium. We hypothesized that if increased placental AHH activity were involved in effectively decreasing levels of PAHs in distal tissues, then we would expect distal tissues to be less affected than the placenta by maternal cigarette smoke. We used AHH activity itself as a measure of PAH exposures and measured activity in placentas and umbilical vein endothelium from smoking and nonsmoking women. We report that while AHH activity in placenta is markedly increased by maternal cigarette smoking, activity in umbilical vein endothelium is not.
MATERIALS AND METHODSProcurement of tissues. Placentas were collected at the time of delivery. Several representative samples of villous tissue were immediately removed and frozen at -70" C. Umbilical cords were removed and refrigerated no longer than 8 h prior to use. Cords were used only if they contained untraumatized segments greate...