Antenatal substance exposure and infants’ telomere length: A scoping review

Background: Antenatal substance exposure due to maternal substance use during pregnancy has increased significantly, leading to suboptimal health outcomes for infants. Telomere length (TL) is a biological aging marker that may be affected by antenatal substance exposures. A comprehensive review of r...

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Main Authors: Holly Wei, Lori A. Devlin, Yan Cao, Aaron Wei, Christiana M. Keinath, Rose Mary Xavier
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Global Pediatrics
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667009725000107
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author Holly Wei
Lori A. Devlin
Yan Cao
Aaron Wei
Christiana M. Keinath
Rose Mary Xavier
author_facet Holly Wei
Lori A. Devlin
Yan Cao
Aaron Wei
Christiana M. Keinath
Rose Mary Xavier
author_sort Holly Wei
collection DOAJ
description Background: Antenatal substance exposure due to maternal substance use during pregnancy has increased significantly, leading to suboptimal health outcomes for infants. Telomere length (TL) is a biological aging marker that may be affected by antenatal substance exposures. A comprehensive review of relevant studies is crucial for providing insights into the etiology of infant developmental outcomes. Objectives: This scoping review, guided by the PRISMA guideline, aims to identify and summarize the existing research on the relationships between infants’ antenatal substance exposure and TL. Methods: A systematic literature search was conducted using PubMed, Cochrane, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO. Search terms included antenatal, prenatal, infant, and various psychotropic substances. The review included studies examining the associations between antenatal substance exposure and TL. The last literature search was conducted on April 16, 2023. Results: Seven articles met the inclusion criteria, addressing diverse substances such as alcohol, opioids, and tobacco. Among the seven studies, one evaluated the influence of antenatal alcohol exposure, one assessed antenatal opioid exposure, and five investigated antenatal tobacco exposure. The findings across the articles were varied, with five reporting indirect correlations and two reporting direct correlations between antenatal substance exposure and the TL in exposed infants. Conclusions: This scoping review identified a significant gap in the current literature about the associations between antenatal substance exposure and TL in infants. The diverse findings emphasize the need for further research to explore whether TL could serve as a potential biomarker for predicting the effects of substance exposure on offspring. This study lays the foundation for future investigation and contributes to understanding the complex relationship between antenatal substance exposure and telomere biology in infants.
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spelling doaj-art-02cfdefbd9684b99b18ea543923caa022025-08-20T03:05:21ZengElsevierGlobal Pediatrics2667-00972025-06-011210025210.1016/j.gpeds.2025.100252Antenatal substance exposure and infants’ telomere length: A scoping reviewHolly Wei0Lori A. Devlin1Yan Cao2Aaron Wei3Christiana M. Keinath4Rose Mary Xavier5Texas Tech University Health Sciences Center School of Nursing, TX, USA; Corresponding author at: Texas Tech University Health Sciences Center School of Nursing, Lubbock, Texas, USA.Division of Neonatology, University of Louisville School of Medicine, KY, USAEast Tennessee State University College of Nursing, Johnson City, TN, USAUniversity of North Carolina Chapel Hill, NC, USAEast Tennessee State University, Johnson City, TN, USAUniversity of North Carolina Chapel Hill School of Nursing, NC, USABackground: Antenatal substance exposure due to maternal substance use during pregnancy has increased significantly, leading to suboptimal health outcomes for infants. Telomere length (TL) is a biological aging marker that may be affected by antenatal substance exposures. A comprehensive review of relevant studies is crucial for providing insights into the etiology of infant developmental outcomes. Objectives: This scoping review, guided by the PRISMA guideline, aims to identify and summarize the existing research on the relationships between infants’ antenatal substance exposure and TL. Methods: A systematic literature search was conducted using PubMed, Cochrane, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO. Search terms included antenatal, prenatal, infant, and various psychotropic substances. The review included studies examining the associations between antenatal substance exposure and TL. The last literature search was conducted on April 16, 2023. Results: Seven articles met the inclusion criteria, addressing diverse substances such as alcohol, opioids, and tobacco. Among the seven studies, one evaluated the influence of antenatal alcohol exposure, one assessed antenatal opioid exposure, and five investigated antenatal tobacco exposure. The findings across the articles were varied, with five reporting indirect correlations and two reporting direct correlations between antenatal substance exposure and the TL in exposed infants. Conclusions: This scoping review identified a significant gap in the current literature about the associations between antenatal substance exposure and TL in infants. The diverse findings emphasize the need for further research to explore whether TL could serve as a potential biomarker for predicting the effects of substance exposure on offspring. This study lays the foundation for future investigation and contributes to understanding the complex relationship between antenatal substance exposure and telomere biology in infants.http://www.sciencedirect.com/science/article/pii/S2667009725000107AntenatalInfantsPrenatalSubstance exposureTelomere length
spellingShingle Holly Wei
Lori A. Devlin
Yan Cao
Aaron Wei
Christiana M. Keinath
Rose Mary Xavier
Antenatal substance exposure and infants’ telomere length: A scoping review
Global Pediatrics
Antenatal
Infants
Prenatal
Substance exposure
Telomere length
title Antenatal substance exposure and infants’ telomere length: A scoping review
title_full Antenatal substance exposure and infants’ telomere length: A scoping review
title_fullStr Antenatal substance exposure and infants’ telomere length: A scoping review
title_full_unstemmed Antenatal substance exposure and infants’ telomere length: A scoping review
title_short Antenatal substance exposure and infants’ telomere length: A scoping review
title_sort antenatal substance exposure and infants telomere length a scoping review
topic Antenatal
Infants
Prenatal
Substance exposure
Telomere length
url http://www.sciencedirect.com/science/article/pii/S2667009725000107
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AT aaronwei antenatalsubstanceexposureandinfantstelomerelengthascopingreview
AT christianamkeinath antenatalsubstanceexposureandinfantstelomerelengthascopingreview
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