Maternal cigarette smoking during pregnancy represents the most prevalent e
xposure to a suspected neuroteratogen, nicotine. Although animal models hav
e demonstrated brain cell loss and synaptic abnormalities after prenatal ni
cotine exposure, the multiple effects of nicotine on the maternal-fetal uni
t make it difficult to prove that nicotine itself is a neuroteratogen. In t
he current study, whole rat embryo culture was used to study the effects of
nicotine at the neural tube stage of development. Beginning on embryonic d
ay 9.5, embryos were exposed to 1, 10 or 100 mu M nicotine. After 48 hr, em
bryos were examined for dysmorphogenesis and were then processed for light
microscopic examination of the neuroepithelium. Examination of the forebrai
n, midbrain and hindbrain regions revealed extensive cytotoxicity, evidence
d by cytoplasmic vacuolation, enlargement of intercellular spaces and a sha
rply increased incidence of pyknotic/apoptotic cells. These alterations wer
e evident in the absence of generalized dysmorphogenesis and were detectabl
e even at the lowest concentration of nicotine. At the highest concentratio
n, abnormalities were present in the majority of cells. Superimposed on cel
l damage, we found an increase in mitotic figures. Although enhanced mitosi
s could represent partial compensation for cell loss, the regional selectiv
ity and concentration dependence of the mitogenic effect differed significa
ntly from that of cell death, suggesting separable mechanisms. The present
results support the view that nicotine is a neuroteratogen, specifically ta
rgeting brain development at concentrations below the threshold for dysmorp
hogenesis.