{"title":"Prenatal substance use and developmental disorders: Overview and highlights","authors":"Rocky S. Tuan","doi":"10.1002/bdrc.21133","DOIUrl":"10.1002/bdrc.21133","url":null,"abstract":"This issue of Birth Defects Research Part C: Reviews – EMBRYO TODAY, “Prenatal Substance Use and Developmental Disorders”, features contemporary reviews of the health challenges to the conceptus resulting from prenatal substance use, including methamphetamine, cocaine, alcohol, and smoking, and associated long-term developmental disorders. This topical issue complements the WileyBlackwell Symposium, “Neurodevelopmental Deficits from Fetal Exposure to Methamphetamine, Cocaine, and Alcohol: Emerging Mechanisms and Human Consequences”, jointly hosted by the Teratology Society and the Developmental Neurotoxicology Society and held at the 2016 Teratology Society Annual Meeting, San Antonio, Texas. Substance use or abuse represents an increasingly significant health concern worldwide. The 2014 U.S. National Survey on Drug Use and Health (Center for Behavioral Health Statistics and Quality, 2015) reported that over 27 million individuals aged 12 and older used an illicit drug in the preceding 30 days. Among females, 7.4% of those over age of 12 and 5.3% of pregnant women 15 to 44 years of age reported current illicit drug use. Substance use among women of reproductive age is particularly concerning, as it is well documented that children of drug abusing parents are at an increased risk for Child Protective Services involvement, child abuse, and neglect, and there is a higher likelihood of caregiver depression and other co-occurring mental health disorders. In addition to drugs such as methamphetamine and cocaine, alcohol consumption and smoking during pregnancy represent additional challenges to developmental health of the fetus. In their manuscript entitled “Fetal Oxidative Stress Mechanisms of Neurodevelopmental Deficits and Exacerbation by Ethanol and Methamphetamine”, Wells et al. reviewed research findings that support oxidative stress as a principal mechanism of the effects of methamphetamine and ethanol on developmental and brain functions, specifically the formation of reactive oxygen species (ROS), resulting in altered signal transduction, and/or oxidative damages to cellular macromolecules, including lipids/proteins and DNA, the latter leading to altered gene expression, likely via non-mutagenic mechanisms. Free radicals such as ROS are highly reactive and short-lived, and antioxidative enzymes and DNA repair proteins normally serve as the body’s protective agents. Understanding the balance between oxidative and anti-oxidative mechanisms and the role of repair enzyme is critical to the development of future treatments. In “Mechanisms Involved in the Neurotoxic and Cognitive Effects of Developmental Methamphetamine Exposure”, Vorhees and colleagues pointed out that 42% of pregnant women using methamphetamine continue to use throughout gestation, with the third trimester as the most susceptible period for the developing brain to prenatal exposure, resulting in a variety of higher-order cognitive deficits, such as decreased attention and working,","PeriodicalId":55352,"journal":{"name":"Birth Defects Research Part C-Embryo Today-Reviews","volume":"108 2","pages":"106-107"},"PeriodicalIF":0.0,"publicationDate":"2016-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/bdrc.21133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34677094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}