Literature DB >> 23784668

Altered reward processing in adolescents with prenatal exposure to maternal cigarette smoking.

Kathrin U Müller1, Eva Mennigen, Stephan Ripke, Tobias Banaschewski, Gareth J Barker, Christian Büchel, Patricia Conrod, Mira Fauth-Bühler, Herta Flor, Hugh Garavan, Andreas Heinz, Claire Lawrence, Eva Loth, Karl Mann, Jean-Luc Martinot, Zdenka Pausova, Marcella Rietschel, Andreas Ströhle, Maren Struve, Bernadeta Walaszek, Gunter Schumann, Tomáš Paus, Michael N Smolka.   

Abstract

IMPORTANCE: Higher rates of substance use and dependence have been observed in the offspring of mothers who smoked during pregnancy. Animal studies indicate that prenatal exposure to nicotine alters the development of brain areas related to reward processing, which might be a risk factor for substance use and addiction later in life. However, no study has examined the effect of maternal smoking on the offspring's brain response during reward processing.
OBJECTIVE: To determine whether adolescents with prenatal exposure to maternal cigarette smoking differ from their nonexposed peers in the response of the ventral striatum to the anticipation or the receipt of a reward.
DESIGN: An observational case-control study.
SETTING: Data were obtained from the IMAGEN Study, a European multicenter study of impulsivity, reinforcement sensitivity, and emotional reactivity in adolescents. The IMAGEN sample consists of 2078 healthy adolescents (age range, 13-15 years) recruited from March 1, 2008, through December 31, 2011, in local schools. PARTICIPANTS: We assessed an IMAGEN subsample of 177 adolescents with prenatal exposure to maternal cigarette smoking and 177 nonexposed peers (age range, 13-15 years) matched by sex, maternal educational level, and imaging site. MAIN OUTCOME AND MEASURE: Response to reward in the ventral striatum measured with functional magnetic resonance imaging.
RESULTS: In prenatally exposed adolescents, we observed a weaker response in the ventral striatum during reward anticipation (left side, F = 14.98 [P < .001]; right side, F = 15.95 [P < .001]) compared with their nonexposed peers. No differences were found regarding the responsivity of the ventral striatum to the receipt of a reward (left side, F = 0.21 [P = .65]; right side, F = 0.47 [P = .49]).
CONCLUSIONS: The weaker responsivity of the ventral striatum to reward anticipation in prenatally exposed adolescents may represent a risk factor for substance use and development of addiction later in life. This result highlights the need for education and preventive measures to reduce smoking during pregnancy. Future analyses should assess whether prenatally exposed adolescents develop an increased risk for substance use and addiction and which role the reported neuronal differences during reward anticipation plays in this development.

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Year:  2013        PMID: 23784668     DOI: 10.1001/jamapsychiatry.2013.44

Source DB:  PubMed          Journal:  JAMA Psychiatry        ISSN: 2168-622X            Impact factor:   21.596


  23 in total

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