title: Maternal smoking during pregnancy specifically reduces human fetal desert hedgehog gene expression during testis development.
abstract: BACKGROUND
  Maternal cigarette smoking during gestation increases cryptorchidism and hypospadias and reduces testis size and fertility in sons by unknown mechanisms.
  
  
  OBJECTIVE
  The objective of the study was to determine whether maternal smoking is linked with changes in male human fetal endocrinology, testis gene expression, and liver concentrations of cigarette smoke chemicals.
  
  
  METHODS
  This was an observational study of the male fetus, comparing pregnancies during which the mothers either did or did not smoke.
  
  
  METHODS
  The study was conducted at the universities of Aberdeen, Glasgow, and Nottingham and Macaulay Institute (Aberdeen).
  
  
  METHODS
  Testes, blood, and livers were collected from 69 morphologically normal human male fetuses of women undergoing elective termination of normal second-trimester pregnancies.
  
  
  METHODS
  Testosterone, human chorionic gonadotropin, LH, and cotinine; expression of 30 reproductive/developmental genes; liver concentrations of 16 polycyclic aromatic hydrocarbons; and Leydig, Sertoli. and germ cell numbers were determined.
  
  
  RESULTS
  There were no significant differences in fetal size, testis weight, cell numbers, seminiferous tubule diameter, or circulating LH and testosterone. Fetuses from smoking mothers had smoking range cotinine levels and liver concentrations of polycyclic aromatic hydrocarbons that were significant predictors of maternal smoking (P < 0.001). Only the Sertoli cell-specific gene, desert hedgehog (DHH), was significantly altered by maternal smoking (reduced 1.8-fold, P = 0.013).
  
  
  CONCLUSIONS
  The consequences of reduced DHH signaling in men and mice are consistent with epidemiology for effects of gestational maternal smoking on sons. Given the absence of other observed effects of maternal smoking, we concluded that reduced DHH is part of a mechanism linking maternal gestational smoking with impaired reproductive development in male offspring.
authors.affiliation: Department of Obstetrics and Gynaecology, Institute of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, United Kingdom. p.a.fowler@abdn.ac.uk
authors.forename: Paul A
authors.initials: PA
authors.lastname: Fowler
authors.forename: Sarah
authors.initials: S
authors.lastname: Cassie
authors.forename: Stewart M
authors.initials: SM
authors.lastname: Rhind
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Brewer
authors.forename: J Martin
authors.initials: JM
authors.lastname: Collinson
authors.forename: Richard G
authors.initials: RG
authors.lastname: Lea
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Baker
authors.forename: Siladitya
authors.initials: S
authors.lastname: Bhattacharya
authors.forename: Peter J
authors.initials: PJ
authors.lastname: O'Shaughnessy
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D003367:Cotinine / Q000097:blood; D005260:Female; D047109:Fetal Development / Q000187:drug effects*; D005333:Fetus; D018507:Gene Expression Regulation, Developmental / Q000187:drug effects*; D053823:Hedgehog Proteins / Q000096:biosynthesis* / Q000235:genetics; D006801:Humans; D008099:Liver / Q000378:metabolism; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D018811:Maternal Exposure; D038081:Organogenesis / Q000187:drug effects / Q000235:genetics / Q000502:physiology; D011084:Polycyclic Aromatic Hydrocarbons / Q000378:metabolism; D011247:Pregnancy; D012907:Smoking / Q000009:adverse effects* / Q000235:genetics / Q000378:metabolism; D013737:Testis / Q000187:drug effects / Q000196:embryology* / Q000378:metabolism / Q000502:physiology; D013739:Testosterone / Q000097:blood
chemical_list: D006063:Chorionic Gonadotropin; C509245:DHH protein, human; D053823:Hedgehog Proteins; D011084:Polycyclic Aromatic Hydrocarbons; D013739:Testosterone; D007986:Luteinizing Hormone; D003367:Cotinine