Abstract
Alcohol has been recognized as a teratogen for over 150 years.1 In 1968, a constellation of birth defects which would become known as the Fetal Alcohol Syndrome (FAS) was described in France,2 and confirmed shortly thereafter in the United States.3 An explosion of case reports ensued, and a number of clinical and animal investigations were initiated.4 A general consensus from these studies is that in uteroalcohol exposure produces a continuum of alcohol-related birth defects, also known as fetal alcohol effects (FAE), and that FAS represents the severe end of that spectrum. To date, only limited human studies have been conducted on the immune status of children with FAS,5-7 and none have been done on alcohol-exposed children without the full-blown syndrome. The present study is aimed at filling these gaps in knowledge.
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References
Streissguth A., Landesman-Dwyer S., Martin J., and Smith D. Teratogenic effects of alcohol in humans and laboratory animals. Science 209: 353–361, 1980.
Lemoine P., Harouseau H., Borteryu J., and Menuet JC. Les enfants des parents alcooliques. Anomalies observees apropos de 127 cas. Ouest Medical 21: 476–482, 1968.
Jones K., and Smith D. Recognition of the fetal alcohol syndrome in early infancy. Lancet 2: 999–1001, 1973.
Eighth Special Report to the U.S. Congress on Alcohol and Health. NIH, National Institute on Alcohol Abuse and Alcoholism. 1993.
Johnson S., Knight R., Marmer D., and Steele R. Immune deficiency in fetal alcohol syndrome. Pediatr Res 15: 908–911, 1981.
Ammann A., Wara D., Cowan M., Barrett D., and Stiehm R. The DiGeorge syndrome and the fetal alcohol syndrome. Am J Dis Child 136: 906–908, 1982.
Calvani Mario, Ghirelli D., Calvani M., Fortuna C., Lalli F., and Marcolini P. La sindrome feto-alcolica: follow-up clinico-metabolico-immunitario di 14 casi. Minerva Ped. 37: 77–88, 1985.
Ewald S., and Waiden S. Flow cytometric and histological analysis of mouse thymus in fetal alcohol syndrome. J Leukocyte Biol 44: 434–440, 1988.
Weinberg J., and Jerrells T. Suppression of immune responsiveness: sex differences in prenatal ethanol effects. Alcoholism: Clin Exp Res 15: 525–531, 1991.
Chang M-R, Yamaguchi D., Yeh M., Taylor A., and Norman D. Mechanism of the impaired T-cell proliferation in adult rates exposed to alcohol in utero. Int J Immunopharmacol 16: 345–357, 1994.
Gottesfeld Z., Christie R., Feiten D., and LeGrue S. Prenatal ethanol exposure alters immune capacity and noradrenergic synaptic transmission in lymphoid organs of the adult mouse. Neurosci 35: 185–194, 1990.
Clausing P., Ali S., Taylor L., Newport G., Rybak S., and Paule M. Central and peripheral neurochemical alterations and immune effects of prenatal ethanol exposure in rats. Int J Devl Neuroscience 14: 461–469, 1996.
Wolcott M., Jennings S., and Chervenak R. In utero exposure to ethanol affects postnatal development of T-and B-lymphocytes, but not natural killer cells. Alcohol Clin Exp Res 19: 170–176. 1995.
Grossmann A., Astley S., Liggitt D., Clarren S., Shiota E, Kennedy B., Thouless M., and Maggio-Price L. Immune function in offspring of nonhuman primates (Macaca nemestrina) exposed weekly to 1.8 g/kg ethanol during pregnancy: preliminary observations. Alcoholism: Clin Exp Res 17: 822–827, 1993.
Streissguth A., Clarren S., and Jones K. Natural history of the fetal alcohol syndrome: A 10-year follow-up of eleven patients. Lancet 2: 85–91, 1985.
Steinhausen, HC, Nestler, V., and Spohr, HL. Development and psychopathology of children with the fetal alcohol syndrome. Devi Behavior Pediatr 3: 49–54, 1982
Spohr, HL., Willms J., and Steinhausen HC. The fetal alcohol syndrome in adolescence. Acta Paediatr 404: 19–26, 1994.
Streissguth A., Aase J., Clarren S., Randels S., LaDue R., and Smith D. Fetal alcohol syndrome in adolescents and adults. JAMA 265: 1961–1967, 1991.
Coles C., Smith I., Fernhoff P., and Falek A. Neonatal ethanol withdrawal: characteristics in clinically normal, nondysmorphic neonates. J Pediatr 105: 445–451, 1984.
Coles C. Impact of prenatal alcohol exposure on the newborn and the child. Clin Obstetr Gyn 36: 255–266, 1993.
Coles C., Brown R., Smith I., Platzman K., Erickson S., and Falek A. Effects of prenatal alcohol exposure at school age. I. Physical and cognitive development. Neurotoxicol Teratol 13: 357–367, 1991.
Brown R., Coles C., Smith I., Platzman K., Silverstein J., Erickson S., and Falek A. Effects of prenatal alcohol exposure at school age. II. Attention and behavior. Neurotoxicol Teratol 13: 369–376, 1991.
Petersen A., Crockett L., Richards M., and Boxer A. A self-report measure of pubertal status: reliability, validity, and initial norms. J Youth Adoles 17: 117–133, 1988.
Vital and health statistics. Questionnaires from the National Health Interview Survey, 1985-1989. Hyattsville, MD. DHHS Publication No. (PHS) 93-1307. 1993.
Burney P.G.J., Laitinen L.A., Perdizet S., et al. Validity and repeatability of the IUATLD (1984) Bronchial symptoms questionnaire: an international comparison. Eur Respir J 2: 940–945, 1989.
Todd N. At-risk populations for hearing impairment in infants and young children. Int J Pediatr Otorhinolaryn 29: 11–21, 1994.
Church M., and Gerkin K. Hearing disorders in children with fetal alcohol syndrome: findings from case reports. Pediatr 82: 147–154, 1988.
Crain E., Weiss K., Bijur P., Hersh M., Westbrook L., and Stein R. An estimate of the prevalence of asthma and wheezing among inner-city children. Pediatr 94: 356–362, 1994.
Weitzman M., Gortmaker S., Walker D., and Sobol A. Maternal smoking and childhood asthma. Pediatr 85: 505–511, 1990.
Hoffman-Goetz L., and Pedersen B. Exercise and the immune system: a model of the stress response? Immunol Today 15: 382–386, 1994.
Brosschot J., Benschop R., Godaert G., De Smet M., Olff M., Heijnen C., and Ballieux R. Effects of experimental psychological stress on distribution and function of peripheral blood cells. Psychosomatic Med 54: 394–406, 1992.
Palm S., Hinrichsen H., Barth J., Halabi A., Ferstl R., Tolk J., Kirsten R., and Kirch W. Modulation of lymphocyte subsets due to psychological stress in patients with rheumatoid arthritis. Eur J Clin Invest 22: Suppl 1, 26–29, 1992.
Benschop R., Nieuwenhuis E., Tromp E., Godaert G., Ballieux R., and van Doornen L. Effects of β-adren-ergic blockade on immunologic and cardiovascular changes induced by mental stress. Circulation 89: 762–769, 1994.
Sgoutas-Emch S., Cacioppo J., Uchino B., Malarkey W., Pearl D., Kiecolt-Glaser J., and Glaser R. The effects of an acute psychological Stressor on cardiovascular, endocrine, and cellular immune response: A prospective study of individuals high and low in heart rate reactivity. Psychophysiol 31: 264–271, 1994.
Hinrichsen H., Barth J., Rückemann M., Ferstl R., and Kirch W. Influence of prolonged neuropsychological testing on immunoregulatory cells and hormonal parameters in patients with systemic lupus erythematosus. Rheumatol Int 12: 47–51, 1992.
Cacioppo J., Malarkey W., Kiecolt-Glaser J., Uchino B., Sgoutas-Emch S., Sheridan J., Berntson G., and Glaser R. Heterogeneity in neuroendocrine and immune responses to brief psychological Stressors as a function of autonomic cardiac activation. Psychosomatic Med 57: 154–164, 1995.
Bachen E., Manuck S., Marsland A., Cohen S., Malkoff S., Muldoon M., and Rabin B. Lymphocyte subset and cellular immune responses to a brief experimental Stressor. Psychosomatic Med 54: 673–679, 1992.
Crary B., Hauser S., Borysenko M., Jutz I., Hoban C., Ault K., Weiner H, and Benson H., Epinephrine-induced changes in the distribution of lymphocyte subsets of peripheral blood of humans. J Immunol 131: 1178–1181, 1983.
Fukuda R., Ichikawa Y., Takaya M., Ogawa Y., and Masumoto A. Orcadian variations and prednisoloneinduced alterations of circulating lymphocyte subsets in man. Intern Med 33: 733–738, 1994.
Maisel A., Fowler P., Rearden A., Motulsky H., and Michel M. A new method for isolation of human lymphocyte subsets reveals differential regulation of β-adrenergic receptors by terbutaline treatment. Clin Pharmacol Ther 46: 429–439, 1989.
Ottaway C., and Husband A. Central nervous system influences on lymphocyte migration. Brain Behav Immunity 6: 97–116, 1992.
Taylor A., Branch B., Liu S., and Kokka N. Long-term effects of fetal ethanol exposure on pituitary-adrenal response to stress. Pharm Biochem Behav 16: 585–589, 1982.
Weinberg J. Neuroendocrine effects of prenatal alcohol exposure. Ann NY Acad Sci 697: 86–96, 1993.
Weinberg J., Taylor A., and Gianoulakis C. Fetal ethanol exposure: hypothalamic-pituitary-adrenal and β-endorphin responses to repeated stress. Alcohol: Clin Exp Res 20: 122–131, 1996.
Lee S., and Rivier C. Gender differences in the effect of prenatal alcohol exposure on the hypothalamic-pituitary-adrenal axis response to immune signals. Psychoneuroendocrinology 21:145–155, 1996.
Ladd C., Owens M., and Nemerofif C. Persistent changes in corticotropin-releasing factor neuronal systems induced by maternal deprivation. Endocrinology 137: 1212–1218, 1996.
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Oleson, D.R., Magee, R.M., Donahoe, R.M., Falek, A., Coles, C.D. (1998). Immunity and Prenatal Alcohol Exposure. In: Friedman, H., Madden, J.J., Klein, T.W. (eds) Drugs of Abuse, Immunomodulation, and Aids. Advances in Experimental Medicine and Biology, vol 437. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5347-2_28
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DOI: https://doi.org/10.1007/978-1-4615-5347-2_28
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