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Department of Physiology and Biophysics, Health Sciences Centre, The University of Calgary, Calgary, Alberta, Canada T2N 4N1
Failure to
autoresuscitate by hypoxic gasping during prolonged sleep apnea has
been suggested to play a role in sudden infant death. Furthermore,
maternal smoking has been repeatedly shown to be a risk factor for
sudden infant death. The present experiments were carried out on
newborn rat pups to investigate the influence of perinatal exposure to
nicotine (the primary pharmacological and addictive agent in tobacco)
on their time to last gasp during a single hypoxic exposure and on
their ability to autoresuscitate during repeated exposure to hypoxia.
Pregnant rats received either nicotine (6 mg · kg
1 · 24 h
1) or vehicle
continuously from day 6 of gestation
to days 5 or 6 postpartum via an osmotic minipump.
On days 5 or
6 postpartum, pups were exposed either
to a single period of hypoxia (97%
N2-3% CO2) and their time to last gasp
was determined, or they were exposed repeatedly to hypoxia and their
ability to autoresuscitate from primary apnea was determined. Perinatal
exposure to nicotine did not alter the time to last gasp, but it did
impair the ability of pups to autoresuscitate from primary apnea. After
vehicle, the pups were able to autoresuscitate from 18 ± 1 (SD)
periods of hypoxia, whereas, after nicotine, the pups were able to
autoresuscitate from only 12 ± 2 periods
(P < 0.001) of hypoxia. Thus our
data provide evidence that perinatal exposure to nicotine impairs the ability of newborn rats to autoresuscitate from primary apnea during
repeated exposure to hypoxia, such as may occur during episodes of
prolonged sleep apnea.
gasping; sudden infant death syndrome
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