Abstract
Increasing evidence from animal and human studies indicate that exposure to nicotine during development, separated from the effects of smoking tobacco, can contribute to dysregulation of brain development including behavioral deficits. An RNAseq study of human fetal cerebral cortex demonstrated that 9 out of 16 genes for human nicotinic acetylcholine (ACh) receptor subunits are selectively expressed between 7.5 and 12 post-conceptional weeks (PCW). The most highly expressed subunit genes were CHNRA4 and CHNRB2, whose protein products combine to form the most ubiquitous functional receptor isoform expressed in the adult brain. They exhibited correlated expression in both RNAseq samples, and in tissue sections by in situ hybridization. Co-localization studies with other cortical markers suggest they are pre-dominantly expressed by post-mitotic glutamatergic neuron pre-cursors in both cortical plate and pre-subplate, rather than cortical progenitor cells or GABAergic interneuron pre-cursors. However, GABAergic interneuron progenitor cells in the ganglionic eminences do express these sub-units. CHNRA5 also showed moderate levels of expression and again favored post-mitotic neurons. Other subunits, e.g., CHRNA7, exhibited low but detectable levels of expression. CHRN genes found not to be expressed included genes for subunits usually considered muscle specific, e.g., CHNRA1, although some muscle specific gene expression was detected, for instance CHNRB1. Although there is little or no synthesis of acetylcholine by intrinsic cortical neurons, cholinergic fibers from basal forebrain innervate the cerebral cortex from 12 PCW at the latest. Acetylcholine may have a paracrine effect on radially migrating cortical neurons and GABAergic interneuron progenitors.
Keywords: cerebral cortex, development, ganglionic eminences, glutamatergic neurons, inhibitory interneurons, nicotine, nicotinic receptors
Introduction
Nicotinic acetylcholine receptors (nAChRs) are pentameric ligand-gated cation channels that respond to acetylcholine, as well as a variety of pharmacological agents including nicotine (Albuquerque et al., 2009; Kulbatskii et al., 2018). They are widely distributed throughout human and rodent brain during all phases of development (Broide et al., 1995; Zoli et al., 1995; Agulhon et al., 1999; Hellstrom-Lindahl and Court, 2000; Pentel et al., 2006; Broide et al., 2019). Depending on their subunit composition, nAChRs can gate both Na+ and Ca++ ions and exist in one of three conformational states: open, closed at rest, and desensitized in which ligand binding cannot induce channel opening (Dani and Bertrand, 2007). There are up to 12 genes (species dependent) that encode the subunit proteins believed to be expressed in the central and autonomic nervous system, yielding seven α (α2–α10) and three β subunits (β2–β4) (McGehee, 1999). These combine in both homomeric (α7–α10) and heteromeric (α2–α7, β2–β4) configurations, which determine the pharmacological specificity, ion selectivity, and desensitization characteristics of the nAChR (Gotti et al., 2009; Wu et al., 2016). Other subunits are expressed at the neuromuscular junction in different configurations depending on the development stage (α1, αδ, αγ, αε, and β2; Cordero-Erausquin et al., 2000) and heteromeric combinations of α9α10 subunits may be expressed in mammalian vestibular and cochlear mechanosensory hair cells (Elgoyhen et al., 2001).
Tobacco smoke contains a complex mixture of many chemicals which may be potentially interfere with fetal development (Hoffmann and Hoffmann, 1997; Pazo et al., 2016). In particular, carbon monoxide can reduce oxygen transport across the placenta leading to hypoxia and growth retardation (Verhagen et al., 2011) particularly in the third trimester, which may have specific effects on neural systems, for instance dopaminergic innervation of the prefrontal cortex, leading to attention deficit and hyperactivity disorder (Zhu et al., 2016). For these reasons, nicotine replacement therapy has been proposed as advisable for pregnant women who find it hard to stop smoking during pregnancy (Benowitz and Dempsey, 2004). A recent study has shown that nicotine replacement therapy may be relatively protective of the fetus, compared to smoking, for those births that reach full term (Tran et al., 2020). Nevertheless nicotine, which is the major psychoactive component of tobacco smoke and the primary cause of addiction, has been shown to cross the placenta, enter fetal circulation and accumulate in the fetus from as early as 7 weeks of gestation (Jauniaux et al., 1999). A large number of studies have shown a correlation between maternal smoking during pregnancy and psychiatric disorders during later life (e.g., Mansi et al., 2007; Wehby et al., 2011; Ekblad et al., 2014; Dong et al., 2018) while experiments in animals have postulated potential roles for both nicotine exposure (Role and Berg, 1996; Pilarski et al., 2012; Wang and Gondre-Lewis, 2013; Zhang et al., 2019) and perinatal hypoxia (Miguel et al., 2015, 2018) in affecting neurodevelopment leading to psychiatric disease.
Interestingly, Dong et al. (2018) provided evidence that even after stopping in the first trimester smoking was still significantly associated with childhood ADHD, suggesting that the first trimester could be an important window for fetal neurodevelopment during which exposure to smoking could be a risk factor for childhood ADHD. At this early stage of development mild hypoxia is likely to be less of a threat to cortical development (Jaddoe et al., 2007). In support if this, it has been shown that third trimester smoking has deleterious effects upon growth rates, whereas smoking throughout pregnancy affects attention in neonates (Espy et al., 2011). In animal experiments, developmental exposure to nicotine causes changes in both neuronal structure and behavior (Sorenson et al., 1991; Heath and Picciotto, 2009; Ballesteros-Yanez et al., 2010; Lozada et al., 2012; Mychasiuk et al., 2013) and may act on gene expression that controls cortical circuit formation via the epigenetic regulator Ash2l, a component of a histone methyltransferase complex (Jung et al., 2016). It has been demonstrated that in the brainstem and cerebellum of the human fetus between 5 and 12 weeks gestation the gene expression pattern of both α4 and α7 nicotinic receptor subunits was different following smoking during the pregnancy (Falk et al., 2005).
Therefore, we propose that nicotinic receptors may be expressed in the human forebrain during the early stages of development, such that exposure to nicotine could disturb the very earliest stages of cortical circuit formation. Previous studies have demonstrated that nicotinic receptor sub-units are expressed in human fetal forebrain extracts at both the mRNA and protein level from about 8 post-conceptional weeks (PCW) by RT-PCR and the binding of a radioligand to membrane fractions (Hellstrom-Lindahl et al., 1998; Falk et al., 2002) and from 17 PCW by immunohistochemistry and in situ hybridization for the α4 subunit only (Schröder et al., 2001). However, to date, no studies have attempted to localize receptor expression to specific cell types in the developing human forebrain. This study presents a comprehensive exploration of nicotinic receptor subunit expression by RNAseq, coupled with in situ hybridization and immunohistochemical approaches to elucidate cell specific expression.
Materials and Methods
Human Tissue
Human fetal tissue from terminated pregnancies was obtained from the joint MRC/Wellcome Trust-funded Human Developmental Biology Resource (HDBR)1 (Gerrelli et al., 2015). All tissue was collected with appropriate maternal consent and approval from the Newcastle and North Tyneside NHS Health Authority Joint Ethics Committee. Fetal samples ranging in age from 7.5 to 12 PCW were used. Ages were estimated from foot and heel to knee length measurements according to Hern (1984).
For RNAseq, whole fetal brains were isolated from the skull and the meninges were removed. The hemispheres were separated and the choroid plexus and subcortical structures removed. One or both hemispheres was then divided into a maximum of 7 sections. Each hemisphere represented an independent sample. The temporal lobe, including lateral and medial walls was removed, and divided in half and labeled section 6 (posterior temporal cortex) or 7 (anterior). The remaining cortex was divided into 5 sections of equal width from the anterior (A) to the posterior (P) pole of the cortex including lateral and medial cortical walls (labeled 1–5) depending on size. RNA was extracted from the sections. Each RNA sample was described by age in PCW, and by position by giving an average numerical value derived by considering the anterior pole as 0, posterior pole as 5 and the temporal pole as 7 (after Miller et al., 2014). Therefore for a hemisphere minus temporal lobe divided into 5, slice 1 has a locational average value of 0.5, whereas slice 3 has a value of 2.5, slice 5 has a value of 4.5 and slice 7, 6.5, etc.
For in situ hybridization, brains were isolated and fixed for at least 24 h at 4 °C in 4% paraformaldehyde (Sigma-Aldrich, Poole, United Kingdom United Kingdom) dissolved in 0.1 M phosphate-buffered saline (PBS). Once fixed, whole or half brains (divided sagittally) were dehydrated in a series of graded ethanols before embedding in paraffin. Brain samples from fetuses aged 8, 10, and 12 PCW were cut at 8 μM section thickness in one of three different planes; horizontally, sagittally, and coronally, and mounted on slides.
RNA Seq
Full details of the origins, collection, preparation, sequencing and analysis of the human fetal RNA samples has been previously described (Lindsay et al., 2016; Harkin et al., 2017). The entire RNAseq dataset from which data was extracted for this study has been deposited at www.ebi.ac.uk/arrayexpress/experiments/E-MTAB-4840. High quality reads were then mapped to the human reference genome hg38 with Tophat2 (Kim et al., 2013). Reads aligned to genes and exons were counted with htseq-count (Anders et al., 2014) and normalized RPKMs calculated. Read length was 101 bp prior to trimming and 85 bp after trimming with no reads of less than 20 bp retained. The minimum number of reads examined per sample was 63 million (average 90 million).
RNAScope in situ Hybridization
RNA in situ hybridization experiments were performed using the RNAscope® technology, which has been previously described (Wang et al., 2012). Paired double-Z oligonucleotide probes were designed against target RNA using custom software. The following probes were used:- Hs-CHRNA4 (498331) a 20zz probe targeting 2,085–3,748 of NM_000744.6: Hs-CHRNA5 (482401) a 20zz probe targeting 282–3,587 of NM_000745.3; Hs-CHRNA7 (310101) a 21zz probe targeting 181–1,591 of NM_000746.5; Hs-CHRNB2 (498351) a 20zz probe targeting 502–2,170 of NM_000748.2. The RNAscope Reagent Kit (ACD Bio Techne, Abingdon, United Kingdom) was used according to the manufacturer’s instructions but with slight modifications. In brief, 8 μM−thick paraffin sections were baked on a heating pad for 10 min at 60°C, dewaxed in Xylene, and then boiled with target retrieval buffer (ACD) for 20 min at 95°C. Protease digestion was carried out at 40°C for 30 min, followed by probe hybridization for 2 h at 40°C with target probes. The hybridized signals were amplified by a cascade of signal amplification molecules and detected with the RNAscope 2.5 HD detection kit (Fast Red). Slides were counterstained with 50% hematoxylin and positive signals showed as red chromogenic dots in the cytoplasm or nucleus. Each sample was quality controlled for RNA integrity with a probe specific to the housekeeping gene GAPDH. Negative control background staining was evaluated using a probe specific to the bacterial dapB gene.
RNAscope Fluorescent in-situ Hybridization Coupled With Immunofluorescence
In situ hybridization was carried out first as described above using probes for human CHRNA4 and CHRNB2 only. Instead of Fast Red, the hybridized signals were detected with Cy3 tyramide (Tyramide Signal Amplification (TSATM) Cy3 plus system reagent, Perkin Elmer, Buckingham, United Kingdom). Then immunofluorescent staining was carried out according to previously described protocols (Alzu’bi et al., 2017) with antibodies to either GAD67 (interneuron marker; mouse monoclonal dilution 1:1000, Merck Millipore, Watford, United Kingdom; AB_2278725; Alzu’bi and Clowry, 2019) or Ki67 (progenitor cell marker; mouse monoclonal dilution 1:150; Dako, Ely, United Kingdom; AB_2142378; Alzu’bi and Clowry, 2019). Briefly, sections were boiled in 10 mM citrate buffer pH6, followed by incubation with primary antibody [diluted in 10% normal blocking serum in Tris buffered saline (TBS) pH 7.6] overnight at 40C. Sections were then incubated with HRP-conjugated secondary antibody for 30 min [ImmPRESSTM HRP IgG (Peroxidase) Polymer Detection Kit, Vector Labs]. Signals were detected with fluorescein tyramide for 10 min (TSATM fluorescein plus system reagent, Perkin Elmer). Sections were counterstained with 4’, 6-diamidino-2-phenylindole dihydrochloride (DAPI; Thermo Fisher Scientific, Cramlington, United Kingdom) and mounted using Vectashield Hardset Mounting Medium (Vector Labs, Peterborough, United Kingdom).
Results
Quantitative Analysis of mRNA Reveals Distinct Patterns of CHNR Gene Expression
One hundred and nine samples of cortical tissue taken from multiple locations across the cortical surface at ages ranging from 7.5 to 12 PCW, were subjected to RNAseq analysis. Of the sixteen nicotinic receptor sub-unit genes (CHNR) present in the human genome, nine were expressed at this stage of development, of which four could be regarded as moderately expressed (in the second quartile) and four showed low levels of expression (third quartile) in comparison to expression of all protein coding genes at this stage of development (see Table 1 and Harkin et al., 2017, for more details of expression level determination). Surprisingly, expression of two subunits, CHNRB1 (moderate expression) and CHNRE (low) usually associated with the neuromuscular junction rather neuron-neuron synapses (Cordero-Erausquin et al., 2000) was detected. Interestingly, although CHNRB1 is not thought to be expressed in the brain, whole genome linkage analysis has found an association with nicotine dependence (Lou et al., 2007). The most highly expressed genes were CHRNA4 and CHRNB2, the protein products of which together form the most ubiquitous isoform of the nicotinic receptor in the adult cerebral cortex and thalamus (α42β23; Cordero-Erausquin et al., 2000). Expression of the two subunits was highly correlated between samples (Figure 1A) providing indirect evidence that they were co-expressed to form this receptor sub-type. Of the other subunit genes usually pre-dominantly expressed in the central nervous system (Cordero-Erausquin et al., 2000) CHRNA5 was moderately expressed and CHRNA7 and CHRNA10 exhibited low levels of expression. CHRNFAM7A, a partial duplication of the CHRNA7 gene which codes for a non-acetyl choline binding dupα7 subunit that assembles with α7 subunits, resulting in a dominant negative regulation of receptor function (Sinkus et al., 2015), was found to exhibit very low levels of expression.
TABLE 1.
Summary of expression of nicotinic receptor subunits in the human fetal cerebral cortex.
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FIGURE 1.
Patterns of expression of nAChR subunit mRNA. (A) Shows the high correlation of expression (normalized RPKM) of CHRNA4 with CHRNB2 within specific tissue samples. (B) Shows that expression of CHRNA4 increased significantly with age (PCW, post-conceptional weeks) but only to a small degree, while (C) demonstrates that expression of CHRNA3 changed significantly but only to a small degree across cortical regions (ant, anterior; Pos, Posterior; Temp, temporal). (B,C) Are representative of the degree to which other subunits change expression over time or across the cortex (see Table 1).
Expression for all studied genes changed relatively little with either age or location within the cortex, although small but statistically significant differences were detected for some genes (Table 1 and Figures 1B,C). Apart from CHNRA5, all moderately expressed genes significantly increased expression with age, whereas genes exhibiting low expression were either unchanged or showed a slight tendency to decrease expression. Gene expression levels for a number of CHNR genes did show a tendency to correlate with cortical location which was given a numerical value derived by considering the anterior pole as 0, posterior pole as 5 and the temporal pole as 7 (see methods; Miller et al., 2014) showed that many genes were expressed in gradients along this axis. CHNRA3 (Figure 1C; see also Lindsay et al., 2016) and CHNRB4 both showed a strong tendency to increase expression toward the posterior and temporal cortical areas, as did CHNRB2 to a lesser extent (Table 1). A 32β43 isoforms of the nicotinic receptor are usually associated with autonomic ganglia and certain subcortical brain nuclei (Gotti et al., 2009) and so it is speculative to suggest such isoforms might be present in the developing cerebral cortex. CHRNA5 and CHRNE were both slightly more highly expressed in the frontal cortex.
In order for nicotinic receptor subunits to assemble into functional receptors, expression of other proteins is required. Two examples of this are NACHO (gene name TMEM35) and RIC3 (Koperniak et al., 2013; Gu et al., 2016; Matta et al., 2017). Therefore expression of these genes was also explored. It was found that TMEM35 is very highly expressed whilst RIC3 is also expressed at similar levels to CHRNA genes (see Table 1). Therefore, it is a strong possibility that functional receptors are formed in the early fetal cortex.
In situ Hybridization
Initially, immunohistochemistry for nicotinic receptor subunits was attempted using various commercially available antibodies but these proved unreliable, as previously reported (Moser et al., 2007) and so are not reported here. Instead we turned to RNAscope in situ hybridization to validate our RNAseq findings and found this to be satisfactory. The protein products of CHNRA4 and CHRNB2 are known combine to form a functioning receptor isoform in the brain (α42β23) sometimes incorporating an α5 subunit from the CHRNA5 gene (α42β22α5) which increases the magnitude of nicotine-gated currents (Bailey et al., 2010). For the two most highly expressed genes, CHNRA4 and CHNRB2, expression levels were higher in the post-mitotic layers (marginal zone, cortical plate, pre-subplate) of the cortical wall than in the proliferative layers (ventricular zone, subventricular zone) at all ages studied, especially for CHNRA4 (Figures 2A–C, 3A–D). CHNRA5 showed a lower level of expression (Figures 2A–C) reflecting the RNAseq findings. At 12 PCW there was a tendency toward higher expression in neurons in the outer layers of the cortical plate (recently arrived) than in lower levels (born earlier; Figure 2B). Low level CHNRA7 expression was detected by in situ hybridization and was located throughout the cortical wall at all ages studied (Figures 2A–C) confirming our RNAseq findings (Table 1) and a previous in situ hybridization study (Agulhon et al., 1999). The probes might have detected CHRFAM7A expression as well, due to the high homology between these genes in the probe target region.
FIGURE 2.

RNAScope in situ hybridization for nAChR subunit mRNA. (A) Sections from across the whole dorsomedial cortical wall at 8 post-conceptional weeks (PCW) with positive in situ hybridization observed as red dots and counterstained with hemotoxylin. CHRNA4 was expressed pre-dominantly in layers containing post-mitotic cells, CHRNB2 was strongly expressed in all compartments, CHRNA5 showed lower expression which was slightly higher in proliferative layers, whereas CHRNA7 was weakly expressed. Probes for the standard reference gene GAPDH detected very strong expression, whereas the bacterial gene dapB showed no detectable expression. (B,C) A broadly similar pattern of expression was seen at 12 PCW, but with CHRNA4 now all but absent from the purely proliferative VZ, and CHRNA5 expression slightly stronger in the CP. MZ, marginal zone; CP, cortical plate; pSP, pre-subplate; IZ, intermediate zone; SVZ, subventricular zone; ventricular zone. Scale bars = 100 μM.
FIGURE 3.

Combined in situ hybridization/immunohistochemistry to localize nAChR subunit expression to cell type. (A,B) Higher magnification insets A1, B1, show combined expression of either CHRNA4 or CHRNB2 (red) with GAD67 (green) a marker for inhibitory interneurons. Sections were counterstained with DAPI (blue). Although both sub-unit mRNAs were strongly expressed in post-mitotic zones, there was little co-localization with GAD67 suggesting their expression may very largely be confined to glutamatergic neurons. Conversely, in proliferative zones (C,D and higher magnification insets C1,2 and D1,2) CHRNA4 and CHRNB2 expression was generally not co-localized to cells expressing KI67, a marker for dividing cells. In the ventral telencephalon, CHRNB2 (E) and CHRNA4 (not shown) were strongly expressed in the proliferative ganglionic eminences, particularly in the MGE, a source of cortical interneurons. However, again, neither CHRNB2 (E) nor CHRNA4 (not shown) was observed to co-localize with GAD67 in post-mitotic cortical interneuron pre-cursors (F). MZ, marginal zone; CP, cortical plate; pSP, pre-subplate; IZ, intermediate zone; SVZ, subventricular zone; VZ, ventricular zone; ChP, choroid plexus; MGE, medial ganglionic eminence; LGE, lateral ganglionic eminence; Crx, cerebral cortex. Scale bars = 100 μM.
To further characterize expression the two most highly expressed sub-units, double label fluorescent In situ and immunofluorescence was carried out for CHNRA4 and CHNRB2 with either GAD67 (marker for GABAergic interneurons) or KI67 (marker for dividing cells) at 8 PCW. It was found that neither CHNRA4 nor CHNRB2 co-localized with GAD67+ neurons to any great extent, instead being preferentially expressed by GAD67- cells in the post-mitotic layers of the cortex, which are pre-dominantly glutamatergic pyramidal cell pre-cursors either migrating through the intermediate zone or settled in the cortical plate and pre-subplate (Figures 3A,B). Similarly, in the proliferative zones, low levels of CHNRA4 or CHNRB2 expression showed little co-localization with KI67+ cells undergoing cell division and preferentially localized to KI67- cells, which could either be quiescent progenitors not undergoing division, or newborn post-mitotic neuron precursors (Figures 3C,D). Interestingly, in the ganglionic eminences of the ventral telencephalon, where cortical GABAergic interneurons and GABAergic neurons of the basal ganglia are born (Marin and Rubenstein, 2001; Alzu’bi et al., 2017) high expression of both CHNRA4 (not shown) and CHNRB2 (Figures 3E,F) was observed, co-localized with progenitor cells of the VZ but not with post-mitotic GAD67+ cells in the overlying SVZ and mantle zone (Figure 3F). Thus pyramidal cells and interneurons show a reverse pattern of expression of CHNRA4 and CHNRB2, with interneurons restricting expression to their progenitor cells, and pyramidal cells restricting expression to post-mitotic neurons.
Discussion
This study provides further evidence that nAChRs may be present in the forebrain in the earliest stages of human fetal development. The majority of receptor subunits normally found in the brain were present at the mRNA level. Subunit combinations that would form functioning receptors were expressed, along with genes for proteins required to assemble the receptor at the cell membrane. In the cortex, gene expression was largely confined to post-mitotic glutamatergic neurons of the cortical plate and pre-subplate, or in the process of migrating to these locations. Cortical progenitor cells exhibited very low expression. Conversely, GABAergic interneurons showed low expression, but their progenitors in the ganglionic eminences exhibited higher expression.
Presence of Ligands for nAChRs in the Developing Telencephalon
If functional nAChRs are to have active role in the development of the cortex it is necessary to show the presence of ligands to activate these receptors. Acetylcholine could derive from cholinergic innervation early in development but there is no evidence as yet for this occurring before about 12 PCW. From this age, choline acetyltransferase activity has been detected in cortex (Candy et al., 1985) although no earlier stage was tested, however, acetylcholinesterase histochemistry has only detected putative cholinergic fibers from the basal telencephalon entering the pre-subplate just before this stage of development (Kostovic, 1986). Synapses have been demonstrated to be present in the pre-subplate and marginal zone at this stage (Kostovic and Rakic, 1990; Bayatti et al., 2008). Whether these synapses include cholinergic terminals remains to be investigated. Our own attempts to demonstrate choline acetyltransferase immunoreactivity in paraffin sections of human fetal brain have so far been unsuccessful.
An alternative source could be choline and acetylcholine in the fetal circulation. Choline as a nutrient is critical for fetal nervous system development (Zeisel, 2006). High concentrations of choline are delivered to the fetus across the placenta by specialized transport systems (Sweiry et al., 1986). Choline can act as a ligand for α7 receptors in particular (Alkondon et al., 1997), however, these subunits were not found to be highly expressed in the present study. Choline appears to be a far less potent agonist for α42β23 receptors (Alkondon et al., 1997) the most likely isoform present in the developing cortex (see above), however, it can potentiate the action of acetylcholine on α4β4 receptors (Zwart and Vijverberg, 2000) as well as modulate synaptic transmission and neuronal excitability independent of nicotinic receptor activation (Albiñana et al., 2017). Furthermore, it has been demonstrated that the placenta can synthesize and store high concentrations of acetylcholine from as early as 9 PCW (Sastry et al., 1976) and release it into both maternal and fetal circulations (Sastry, 1997). Although recent evidence suggests an effective blood brain barrier has formed by this stage of development (Møllgård et al., 2017) it seems possible that acetylcholine may enter the developing brain and act in a paracrine manner.
Potential Role for nACHRs in Development
It has long been appreciated that neurotransmitters can have paracrine effects in the developing cortex (Manent and Represa, 2007). Long before appreciable synaptogenesis has occurred there is release of GABA and glutamate by non-vesicular mechanisms that leads to communication between migrating neuronal pre-cursors in particular. It has been proposed that glutamate release by pyramidal cells attracts migrating inhibitory interneurons acting through ionotropic AMPA and NMDA receptors (Manent et al., 2005) and GABA released by interneurons influences pyramidal cell migration via ionotropic GABAA receptors (Manent et al., 2006). In this way, a balanced mix of each neuronal subtype is achieved in the cortex (Manent and Represa, 2007). Intracellular Ca2+ concentration is an important coordinator of the intracellular processes controlling migration (Komuro and Kumada, 2005) and activation of all these ionotropic receptors can directly or indirectly lead to Ca2+ entering the neuron and increasing intracellular concentrations. Activation of nicotinic receptors should also lead to depolarization and the opening of voltage gated Ca2+ channels and NMDA receptors, raising intracellular Ca2+ (Kulbatskii et al., 2018). This study revealed nicotinic receptor subunits to be pre-dominantly expressed by post-mitotic glutamatergic neurons and not GABAergic neurons, suggesting their activation could preferentially control migration of one class of neuron only.
Acetylcholine can also stimulate proliferation of cancer cells via nicotinic receptors (Song et al., 2003 and Montaño-Velázquez et al., 2018) and its preferential expression by neural progenitors for GABAergic neurons rather than for glutamatergic neurons suggest that activation of nicotinic receptors may control GABAergic cortical interneuron production independently of production of glutamatergic neurons. Interestingly, cortical glutamatergic neuron progenitors preferentially express various glutamate receptor sub-units, whereas inhibitory interneuron progenitors do not (Bagasrawala et al., 2017) suggesting that the development of subsets of neurons is controlled by different neurotransmitters.
Conclusion
The possibility that nicotinic receptors are expressed by different classes of post-mitotic neuron and neuroprogenitor cell in early human fetal forebrain raises the possibility that acetylcholine may act either as a neurotransmitter or paracrine agent to influence cortical development. Further in vitro experiments will be required to explore these possibilities. This raises the possibility that maternal ingestion of nicotine, either by smoking, or by oral or transcutaneous administration, may have effects upon brain development.
Data Availability Statement
The datasets generated for this study can be found in the www.ebi.ac.uk/arrayexpress/experiments/E-MTAB-4840.
Ethics Statement
The studies involving human participants were reviewed and approved by Newcastle and North Tyneside NHS Health Authority Joint Ethics Committee. The mothers provided their written informed consent to participate in this study.
Author Contributions
GC and MS designed the study and directed the research. AA and WM carried out the research and collected the data. GC and AA analyzed the data and prepared the manuscript. MS and WM contributed to the final production of the manuscript.
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Acknowledgments
We are grateful to Prof. Susan Lindsay for her advice and support and to the staff of the Human Developmental Biology Resource, in particular Moira Crosier for help with the in situ hybridization. The human fetal material was provided by the Joint UK MRC/Wellcome Trust (Grant # 099175/Z/12/Z) Human Developmental Biology Resource (www.hdbr.org). The RNA seq study was funded by a grant from UK MRC (Grant # MC/PC/13047). AA was funded by a grant from the Deanship of Scientific Research, Yarmouk University, Jordan. We are grateful to Dr. Yaobo Xu for help with analyzing RNAseq data, and to Ridha Karim, Joseph Middleton and Helen Furlan Torina for carrying out preliminary experiments.
Abbreviations
- KI67
cell cycle protein recognized by monoclonal antibody Ki67
- RNAseq
sequencing of total RNA species isolated from tissues
- GAD 67
glutamate decarboxylase isoform molecular weight 67 kD
- CHRNA4, CHRNB2, CHRNA5, CHNRA7, CHNRA1, CHNRB1
Genes and mRNA for particular sub-units of the nicotinic receptor
- GABA
gamma-aminobutyric acid.
Funding. Both the Wellcome Trust and MRC will fund open fees for publications resulting from Research they fund.
References
- Agulhon C., Abitbol D., Bertrand D., Malafosse A. (1999). Localisation of mRNA for CHRNA7 in human fetal brain. Neuroreport 10 2223–2227. [PubMed] [Google Scholar]
- Albiñana E., Luengo J. G., Baraibar A. M., Muñoz M. D., Gandía L., Solís J. M., et al. (2017). Choline induces opposite changes in pyramidal neuron excitability and synaptic transmission through a nicotinic receptor-independent process in hippocampal slices. Pflugers. Arch. 469 779–795. 10.1007/s00424-017-1939-5 [DOI] [PubMed] [Google Scholar]
- Albuquerque E. X., Pereira E. F., Alkondon M., Rogers S. W. (2009). Mammalian nicotinic acetylcholine receptors: from structure to function. Physiol. Rev. 89 73–120. 10.1152/physrev.00015.2008 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alkondon M., Pereira E. F. R., Cortes W. S., Maelicke A., Albuquerque E. X. (1997). Choline is a selective agonist of α7 nicotinic acetylcholine receptors in the rat brain neurons. Eur. J. Neurosci. 9 2734–2742. 10.1111/j.1460-9568.1997.tb01702.x [DOI] [PubMed] [Google Scholar]
- Alzu’bi A., Clowry G. J. (2019). Expression of ventral telencephalon transcription factors ASCL1 and DLX2 in the early fetal human cerebral cortex. J. Anat. 235 555–568. 10.1111/joa.12971 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alzu’bi A., Lindsay S., Kerwin J., Looi S. J., Khalil F., Clowry G. J. (2017). Distinct cortical and sub-cortical neurogenic domains for GABAergic interneuron precursor transcription factors NKX2.1, OLIG2 and COUP-TFII in early fetal human telencephalon. Brain Struct. Funct. 222 2309–2328. 10.1007/s00429-016-1343-5 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Anders S., Pyl T. P., Huber W. (2014). HTSeq — A Python framework to work with high-throughput sequencing data. Bioinformatics 32 166–169. 10.1093/bioinformatics/btu638 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bagasrawala I., Memi F., Radonjić N. V., Zecevic N. (2017). N-Methyl D-aspartate receptor expression patterns in the human fetal cerebral cortex. Cereb. Cortex 27 5041–5043. 10.1093/cercor/bhw289 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bailey C. D. C., De Biasi M., Fletcher P. J., Lambe E. K. (2010). The nicotinic acetylcholine receptor α5 subunit plays a key role in attention circuitry and accuracy. J. Neurosci. 30 9241–9252. 10.1523/JNEUROSCI.2258-10.2010 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ballesteros-Yanez I., Benavides-Piccione R., Bourgeois J. P., Changeux J. P., DeFelipe J. (2010). Alterations of cortical pyramidal neurons in mice lacking high-affinity nicotinic receptors. Proc. Natl. Acad. Sci. U.S.A. 107 11567–11572. 10.1073/pnas.1006269107 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bayatti N., Moss J. A., Sun L., Ambrose P., Ward J. F. H., Lindsay S., et al. (2008). A molecular neuroanatomical study of the developing human neocortex from 8 to 17 post conceptional weeks revealing the early differentiation of the subplate and subventricular zone. Cereb. Cortex 18 1536–1548. 10.1093/cercor/bhm184 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Benowitz N., Dempsey D. (2004). Pharmacotherapy for smoking cessation during pregnancy. Nicotine Tob. Res. 6(Suppl. 2), S189–S202. [DOI] [PubMed] [Google Scholar]
- Broide R. S., O’Connor L. T., Smith M. A., Smith J. A., Leslie F. M. (1995). Developmental expression of alpha 7 neuronal nicotinic receptor messenger RNA in rat sensory cortex and thalamus. Neuroscience 67 83–94. 10.1016/0306-4522(94)00623-d [DOI] [PubMed] [Google Scholar]
- Broide R. S., Winzer-Serhan U. H., Chen Y., Leslie F. M. (2019). Distribution of α7 nicotinic acetylcholine receptor subunit mRNA in the developing mouse. Front. Neuroanat. 13:76 10.3389/fnana.2019.00076 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Candy J. M., Perry E. K., Perry R. H., Bloxham C. A., Thompson J., Johnson M., et al. (1985). Evidence for early prenatal development of cortical cholinergic afferents from the nucleus of Meynert in the human fetus. Neurosci. Lett. 61 91–95. 10.1016/0304-3940(85)90406-9 [DOI] [PubMed] [Google Scholar]
- Cordero-Erausquin M., Marubio L. M., Klink R., Changeux J.-P. (2000). Nicotinic receptor function: new perspectives from knockout mice. Trends Pharmacol. Sci. 21 211–217. 10.1016/s0165-6147(00)01489-9 [DOI] [PubMed] [Google Scholar]
- Dani J. A., Bertrand D. (2007). Nicotinic acetylcholine receptors and nicotinic cholinergic mechanisms of the central nervous system. Annu. Rev. Pharmacol. Toxicol. 47 699–729. 10.1146/annurev.pharmtox.47.120505.105214 [DOI] [PubMed] [Google Scholar]
- Dong T., Hu W., Zhou X., Lin H., Lan L., Wei B. H., et al. (2018). Prenatal exposure to maternal smoking during pregnancy and attention-deficit/hyperactivity disorder in offspring: a meta-analysis. Reprod. Toxicol. 76 63–70. 10.1016/j.reprotox.2017.12.010 [DOI] [PubMed] [Google Scholar]
- Ekblad M., Gissler M., Korkeila J., Lehtonen L. (2014). Trends and risks groups for smoking during pregnancy in Finland and other Nordic countries. Eur. J. Public Health 24 544–551. 10.1093/eurpub/ckt128 [DOI] [PubMed] [Google Scholar]
- Elgoyhen A. B., Vetter D., Katz E., Rothlin C., Heinemann S., Boulter J. (2001). α10: a determinant of nicotinic cholinergic receptor function in mammalian vestibular and cochlear mechanosensory hair cells. Proc. Natl. Acad. Sci. U.S.A. 98 3501–3506. 10.1073/pnas.051622798 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Espy K. A., Fang H., Johnson C., Stopp C., Wieber S. A., Respass J. (2011). Prenatal tobacco exposure: developmental outcomes in the neonatal period. Dev. Psychol. 47 153–169. 10.1037/a0020724 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Falk L., Nordberg A., Seiger A., Kjaeldgaard A., Hellstrom-Lindahl E. (2002). The alpha7 nicotinic receptors in human fetal brain and spinal cord. J. Neurochem. 80 457–465. 10.1046/j.0022-3042.2001.00714.x [DOI] [PubMed] [Google Scholar]
- Falk L., Nordberg A., Seiger A., Kjaeldgaard A., Hellstrom-Lindahl E. (2005). Smoking during early pregnancy affects the expression pattern of both nicotinic and muscarininc acetylcholine receptors inhuman first trimester brainstem and cerebellum. Neuroscience 132 389–397. 10.1016/j.neuroscience.2004.12.049 [DOI] [PubMed] [Google Scholar]
- Gerrelli D., Lisgo S., Copp A. J., Lindsay S. (2015). Enabling research with human embryonic and fetal tissue resources. Development 142 3073–3076. 10.1242/dev.122820 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gotti C., Clementi F., Fornari A., Gaimarri A., Guiducci S., Manfredi I., et al. (2009). Structural and functional diversity of native brain neuronal nicotinic receptors. Biochem. Pharmacol. 78 703–711. 10.1016/j.bcp.2009.05.024 [DOI] [PubMed] [Google Scholar]
- Gu J. A., Matta B., Lord A. W., Harrington A. W., Sutton S. W., Davini W. B., et al. (2016). Brain α7 nicotinic acetylcholine receptor assembly requires NACHO. Neuron 89 948–955. [DOI] [PubMed] [Google Scholar]
- Harkin L. F., Lindsay S. J., Xu Y., Alzu’bi A., Ferrara A., Gullon E. A., et al. (2017). Neurexins 1–3 each have a distinct pattern of expression in the early developing human cerebral cortex. Cereb. Cortex 27 216–232. 10.1093/cercor/bhz012 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heath C. J., Picciotto M. R. (2009). Nicotine-induced plasticity during development: modulation of the cholinergic system and long-term consequences for circuits involved in attention and sensory processing. Neuropharmacoloy 56(Suppl. 1), 254–262. 10.1016/j.neuropharm.2008.07.020 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hellstrom-Lindahl E., Court J. A. (2000). Nicotinic acetylcholine receptors during prenatal development and brain pathology in human aging. Behav. Brain Res. 113 159–168. 10.1016/s0166-4328(00)00210-2 [DOI] [PubMed] [Google Scholar]
- Hellstrom-Lindahl E., Gorbounova O., Seiger A., Mousavi M., Nordberg A. (1998). Regional distribution of nicotinic receptors during prenatal development of human brain and spinal cord. Brain Res. Dev. Brain Res. 108 147–160. 10.1016/s0165-3806(98)00046-7 [DOI] [PubMed] [Google Scholar]
- Hern W. M. (1984). Correlation of fetal age and measurements between 10 and 26 weeks of gestation. Obstet. Gynecol. 63 26–32. [PubMed] [Google Scholar]
- Hoffmann D., Hoffmann I. (1997). The changing cigarette, 1950–1995. J. Toxicol. Environ. Health 50 307–364. [DOI] [PubMed] [Google Scholar]
- Jaddoe V. W., Verburg B. O., de Ridder M. A., Hofman A., Mackenbach J. P., Moll H. A., et al. (2007). Maternal smoking and fetal growth characteristics in different periods of pregnancy: the Generation R study. Am. J. Epidemiol. 165 1207–1215. 10.1093/aje/kwm014 [DOI] [PubMed] [Google Scholar]
- Jauniaux E., Gulbis B., Acharya G., Thiry P., Rodeck C. (1999). Maternal tobacco exposure and cotinine levels in fetal fluids in the first half of pregnancy. Obstet. Gynecol. 93 25–29. 10.1016/s0029-7844(98)00318-4 [DOI] [PubMed] [Google Scholar]
- Jung J., Hsieh L. S., Lee A. M., Zhou Z., Coman D., Heath C. J., et al. (2016). An epigenetic mechanism mediates developmental nicotine effects on neuronal structure and behavior. Nat. Neurosci. 19, 905–914. 10.1038/nn.4315 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kim D., Pertea G., Trapnell C., Pimentel H., Kelley R., Salzberg S. L. (2013). TopHat2: accurate alignment of transcriptomes in the presence of insertions, deletions and gene fusions. Genome Biol. 14:R36 10.1186/gb-2013-14-4-r36 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Komuro H., Kumada T. (2005). Ca2+ transients control CNS neuronal migration. Cell Calcium 37 387–393. 10.1016/j.ceca.2005.01.006 [DOI] [PubMed] [Google Scholar]
- Koperniak T. M., Garg B. K., Boltax J., Loring R. H. (2013). Cell-specific effects on surface α7 nicotinic receptor expression revealed by over-expression and knockdown of rat RIC3 protein. J. Neurochem. 124 300–309. 10.1111/jnc.12095 [DOI] [PubMed] [Google Scholar]
- Kostovic I. (1986). Prenatal development of nucleus basalis complex and related fiber systems in man: a histochemical study. Neuroscience 17 1047–1063. 10.1016/0306-4522(86)90077-1 [DOI] [PubMed] [Google Scholar]
- Kostovic I., Rakic P. (1990). Developmental history of the transient subplate zone in the visual and somatosensory cortex of the macaque monkey and human brain. J. Comp. Neurol. 297 441–470. 10.1002/cne.902970309 [DOI] [PubMed] [Google Scholar]
- Kulbatskii D. S., Bychkov M. L., Lyukmanova E. N. (2018). Human Nicotinic acetylcholine receptors: part I- structure, function, and role in neuromuscular transmission and CNS functioning. Russ. J. Bioorganic Chem. 44 595–607. [Google Scholar]
- Lindsay S., Xu Y., Lisgo S., Harkin L. F., Copp A., Gerrelli D., et al. (2016). A unique resource for global and individual gene expression studies during early human brain development. Front. Neuroanat. 10:86 10.3389/fnana.2016.00086 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lou X. Y., Ma J. Z., Sun D., Payne T. J., Li M. D. (2007). Fine mapping of a linkage region on chromosome 17p13 reveals that GABARAP and DLG4 are associated with vulnerability to nicotine dependence in European-Americans. Hum. Mol. Genet. 16 142–153. 10.1093/hmg/ddl450 [DOI] [PubMed] [Google Scholar]
- Lozada A. F., Wang X., Gounko N. V., Massey K. A., Duan J., Liu Z., et al. (2012). Induction of dendritic spines by β2-containing nicotinic receptors. J. Neurosci. 32 8391–8400. 10.1523/JNEUROSCI.6247-11.2012 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Manent J. B., Demarque M., Jorquera I., Pellegrino C., Ben Ari Y., Aniksztejn L., et al. (2005). A noncanonical release of GABA and glutamate modulates neuronal migration. J. Neurosci. 25 4755–4765. 10.1523/JNEUROSCI.0553-05.2005 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Manent J. B., Jorquera I., Ben Ari Y., Aniksztejn L., Represa A. (2006). Glutamate acting on AMPA but not NMDA receptors modulates the migration of hippocampal interneurons. J. Neurosci. 26 5901–5909. 10.1523/JNEUROSCI.1033-06.2006 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Manent J. B., Represa A. (2007). Neurotransmitters and brain maturation: early paracrine actions of GABA and glutamate modulate neuronal migration. Neuroscientist 13 268–279. 10.1177/1073858406298918 [DOI] [PubMed] [Google Scholar]
- Mansi G., Raimondi F., Pichini S., Capasso L., Sarno M., Zuccaro P., et al. (2007). Neonatal urinary cotinine correlates with behavioral alterations in newborns prenatally exposed to tobacco smoke. Pediatr. Res. 61 257–161. 10.1203/pdr.0b013e31802d89eb [DOI] [PubMed] [Google Scholar]
- Marin O., Rubenstein J. L. R. (2001). A long, remarkable journey: tangential migration in the telencephalon. Nat. Rev. Neurosci. 2 780–790. 10.1038/35097509 [DOI] [PubMed] [Google Scholar]
- Matta J. A., Gu S., Davini W. B., Lord B., Siuda E. R., Harrington A. W., et al. (2017). NACHO mediates nicotinic acetylcholine receptor function throughout the brain. Cell Rep. 19 688–696. 10.1016/j.celrep.2017.04.008 [DOI] [PubMed] [Google Scholar]
- McGehee D. S. (1999). Molecular diversity of neuronal nicotinic acetylcholine receptors. Ann. N. Y. Acad. Sci. 868 565–577. 10.1111/j.1749-6632.1999.tb11330.x [DOI] [PubMed] [Google Scholar]
- Miguel P. M., Deniz B. F., Deckmann I., Confortim H. D., Diaz R., Laureano D. P., et al. (2018). Prefrontal cortex dysfunction in hypoxic-ischaemic encephalopathy contributes to executive function impairments in rats: potential contribution for attention-deficit/hyperactivity disorder. World J. Biol. Psychiatry 19 547–560. 10.1080/15622975.2016.1273551 [DOI] [PubMed] [Google Scholar]
- Miguel P. M., Schuch C. P., Rojas J. J., Carletti J. V., Deckmann I., Martinato L. H. M., et al. (2015). Neonatal hypoxia-ischemia induces attention-deficit hyperactivity disorder-like behavior in rats. Behav. Neurosci. 129 309–320. 10.1037/bne0000063 [DOI] [PubMed] [Google Scholar]
- Miller J. A., Ding S.-L., Sunkin S. M., Smith K. A., Ng L., Szafer A., et al. (2014). Transcriptional landscape of the prenatal human brain. Nature 508 199–206. 10.1038/nature13185 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Møllgård K., Dziegielewska K. M., Holst C. B., Habgood M. D., Saunders N. R. (2017). Brain barriers and functional interfaces with sequential appearance of ABC efflux transporters during human development. Sci. Rep. 7:11603 10.1038/s41598-017-11596-0 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Montaño-Velázquez B. B., Benavides Méndez J. C., García-Vázquez F. J., Conde-Vázquez E., Sánchez-Uribe M., Taboada-Murrieta C. R., et al. (2018). Influence of tobacco smoke exposure on the protein expression of a7 and a4 nicotinic acetylcholine receptors in squamous cell carcinoma tumors of the upper aerodigestive tract (out of the larynx). Subst Abuse 12:1178221818801316 10.1177/1178221818801316 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moser N., Mechawar N., Jones I., Gochberg-Sarver A., Orr-Utreger A., Plomann M., et al. (2007). Evaluating the suitability of nicotinic acetylcholine receptor antibodies for standard immunodetection procedures. J. Neurochem. 102 479–492. 10.1111/j.1471-4159.2007.04498.x [DOI] [PubMed] [Google Scholar]
- Mychasiuk R., Muhammad A., Gibb R., Kolb B. (2013). Long-term alterations to dendritic morphology and spine density associated with prenatal exposure to nicotine. Brain Res. 1499 53–60. 10.1016/j.brainres.2012.12.021 [DOI] [PubMed] [Google Scholar]
- Pazo D. Y., Moliere F., Sampson M. M., Reese C. M., Agnew-Heard K. A., Walters M. J., et al. (2016). Mainstream smoke levels of volatile organic compounds in 50 U.S. Domestic cigarette brands smoked with the iso and canadian intense protocols. Nicotine Tob. Res. 18 1886–1894. 10.1093/ntr/ntw118 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pentel P. R., Keyler D. E., Chen Y., LeSage M. G., Dufek M. B., Le C., et al. (2006). Vaccination against nicotine does not prevent nicotine-induced changes in fetal nicotinic receptor binding and c-fos mRNA expression in rats. Neurotoxicol. Teratol. 28 589–596. 10.1016/j.ntt.2006.08.001 [DOI] [PubMed] [Google Scholar]
- Pilarski J. Q., Wakefield H. E., Fuglevand A. J., Levine R. B., Fregosi R. F. (2012). Increased nicotinic receptor desensitization in hypoglossal motor neurons following chronic developmental nicotine exposure. J. Neurophysiol. 107 257–264. 10.1152/jn.00623.2011 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Role L. W., Berg D. K. (1996). Nicotinic receptors in the development and modulation of CNS synapses. Neuron 16 1077–1085. 10.1016/s0896-6273(00)80134-8 [DOI] [PubMed] [Google Scholar]
- Sastry B. V. R. (1997). Human placental cholinergic system. Biochem. Pharmacol. 53 1577–1586. [DOI] [PubMed] [Google Scholar]
- Sastry B. V. R., Olubadewo J., Harbison R. D., Schmidt D. E. (1976). Human placental cholinergic system: occurrence, distribution, and variation with gestational age of acetylcholine in human placenta. Biochem. Pharmacol. 25 425–431. 10.1016/0006-2952(76)90345-2 [DOI] [PubMed] [Google Scholar]
- Schröder H., Schütz U., Burghaus L., Lindstrom J., Kuryatov A., Monteggia L., et al. (2001). Expression of the α4 isoform of the nicotinic acetylcholine receptor in the fetal human cerebral cortex. Dev. Brain Res. 132 33–45. 10.1016/s0165-3806(01)00293-0 [DOI] [PubMed] [Google Scholar]
- Sinkus M. L., Graw S., Freedman R., Ross R. G., Lester H. A., Leonard S. (2015). The human CHRNA7 and CHRFAM7A genes: a review of the genetics, regulation and function. Neuropharmacology 96 274–278. 10.1016/j.neuropharm.2015.02.006 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Song P., Sekhon H. S., Jia Y., Keller J. A., Blusztajn J. K., Mark G. P., et al. (2003). Acetylcholine is synthesized by and acts as an autocrine growth factor for small cell lung carcinoma. Cancer Res. 63 214–221. [PubMed] [Google Scholar]
- Sorenson C. A., Raskin L. A., Suh Y. (1991). The effects of prenatal nicotine on radial-arm maze performance in rats. Pharmacol. Biochem. Behav. 40 991–993. 10.1016/0091-3057(91)90117-k [DOI] [PubMed] [Google Scholar]
- Sweiry J. H., Page K. R., Dacke C. G., Abramovich D. R., Yudilevich D. L. (1986). Evidence of saturable uptake mechanisms at maternal and fetal sides of the perfused human placenta by rapid paired-tracer dilution: studies with calcium and choline. J. Dev. Physiol. 8 435–445. [PubMed] [Google Scholar]
- Tran D. T., Preen D. B., Einarsdottir K., Kemp-Casey A., Randall D., Jorm L. R., et al. (2020). Use of smoking cessation pharmacotherapies during pregnancy is not associated with increased risk of adverse pregnancy outcomes: a population-based cohort study. BMC Med. 18:15 10.1186/s12916-019-1472-9 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Verhagen E. A., Ter Horst H. J., Kooi E. M., Keating P., van den Berg P. P., Bos A. F. (2011). Prenatal tobacco exposure influences cerebral oxygenation in preterm infants. Early. Hum. Dev. 87 401–406. 10.1016/j.earlhumdev.2011.03.002 [DOI] [PubMed] [Google Scholar]
- Wang F., Flanagan J., Su N., Wang L.-C., Bui S., Nielson A., et al. (2012). RNAscope: a novel in situ RNA analysis platform for formalin-fixed, paraffin-embedded tissues. J. Mol. Diagn. 14 22–29. 10.1016/j.jmoldx.2011.08.002 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wang H., Gondre-Lewis M. (2013). Prenatal nicotine and maternal deprivation stress de-regulate the development of CA1, CA3, and dentate gyrus neurons in hippocampus of infant rats. PLoS ONE 8:e65517 10.1371/journal.pone.0065517 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wehby G. L., Prater K., McCarthy A. M., Castilla E. E., Murray J. C. (2011). The impact of maternal smoking during pregnancy on early child neurodevelopment. J. Hum. Capital 5 207–254. 10.1086/660885 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wu J., Liu Q., Tang P., Mikkelsen J. D., Shen J., Whiteaker P., et al. (2016). Heteromeric α7β2 nicotinic acetylcholine receptors in the brain. Trends Pharmacol. Sci. 37 562–574. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zeisel S. H. (2006). Choline: critical role during fetal development and dietary requirement in adults. Annu. Rev. Nutr. 26 229–250. 10.1146/annurev.nutr.26.061505.111156 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhang C., Fan S. J., Sun A. B., Liu Z. Z., Liu L. (2019). Prenatal nicotine exposure induces depression-like behavior in adolescent female rats via modulating neurosteroid in the hippocampus. Mol. Med. Rep. 19 4185–4194. 10.3892/mmr.2019.10105 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhu T., Gan J., Huang J., Li Y., Qu Y., Mu D. (2016). Association between perinatal hypoxic-ischemic conditions and attention-deficit/hyperactivity disorder: a meta-analysis. J. Child Neurol. 31 1235–1244. 10.1177/0883073817700494 [DOI] [PubMed] [Google Scholar]
- Zoli M., Le Novère N., Hill J. A., Changeux J. P. (1995). Developmental regulation of nicotinic ACh receptor subunit mRNAs in the rat central and peripheral nervous systems. J. Neurosci. 15 1912–1939. 10.1523/JNEUROSCI.15-03-01912.1995 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zwart R., Vijverberg H. P. M. (2000). Potentiation and inhibition of neuronal α4β4 nicotinic acetylcholine receptors by choline. Eur. J. Pharmacol. 393 209–214. 10.1016/s0014-2999(00)00002-9 [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets generated for this study can be found in the www.ebi.ac.uk/arrayexpress/experiments/E-MTAB-4840.


