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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neural Circuits</journal-id>
<journal-title>Frontiers in Neural Circuits</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neural Circuits</abbrev-journal-title>
<issn pub-type="epub">1662-5110</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fncir.2024.1408187</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of prenatal alcohol exposure on the olfactory system development</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><name><surname>Imamura</surname> <given-names>Fumiaki</given-names></name><xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/155780/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
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<aff><institution>Department of Pharmacology, Penn State College of Medicine</institution>, <addr-line>Hershey, PA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Charles A. Greer, Yale University, United States</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Diego Garc&#x00ED;a-Gonz&#x00E1;lez, Spanish National Research Council (CSIC), Spain</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Fumiaki Imamura, <email>fui1@psu.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>05</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>18</volume>
<elocation-id>1408187</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>05</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2024 Imamura.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Imamura</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Fetal Alcohol Spectrum Disorders (FASD), resulting from maternal alcohol consumption during pregnancy, are a prominent non-genetic cause of physical disabilities and brain damage in children. Alongside common symptoms like distinct facial features and neurocognitive deficits, sensory anomalies, including olfactory dysfunction, are frequently noted in FASD-afflicted children. However, the precise mechanisms underpinning the olfactory abnormalities induced by prenatal alcohol exposure (PAE) remain elusive. Utilizing rodents as a model organism with varying timing, duration, dosage, and administration routes of alcohol exposure, prior studies have documented impairments in olfactory system development caused by PAE. Many reported a reduction in the olfactory bulb (OB) volume accompanied by reduced OB neuron counts, suggesting the OB is a brain region vulnerable to PAE. In contrast, no significant olfactory system defects were observed in some studies, though subtle alterations might exist. These findings suggest that the timing, duration, and extent of fetal alcohol exposure can yield diverse effects on olfactory system development. To enhance comprehension of PAE-induced olfactory dysfunctions, this review summarizes key findings from previous research on the olfactory systems of offspring prenatally exposed to alcohol.</p>
</abstract>
<kwd-group>
<kwd>Fetal Alcohol Spectrum Disorders</kwd>
<kwd>prenatal alcohol exposure</kwd>
<kwd>olfactory system</kwd>
<kwd>olfactory bulb</kwd>
<kwd>development</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="68"/>
<page-count count="6"/>
<word-count count="6000"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Frontiers in Neural Circuits</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Maternal alcohol consumption during pregnancy is the most commonly identifiable non-genetic cause of physical disabilities and damage to the brain in the child. These disabilities or damages are collectively known as Fetal Alcohol Spectrum Disorders (FASD) (<xref ref-type="bibr" rid="ref52">Popova et al., 2023</xref>). Estimates of the prevalence of FASD in the US and Western Europe range from 0.6 to 5.0% among school-aged children (<xref ref-type="bibr" rid="ref40">May et al., 2009</xref>, <xref ref-type="bibr" rid="ref38">2014</xref>, <xref ref-type="bibr" rid="ref39">2018</xref>). There is no known safe amount and timing of alcohol to drink during pregnancy. Some may drink throughout pregnancy, and some may binge drink, consuming a large amount of alcohol in a short period. Human pregnancy is roughly divided into 3 stages known as trimesters of about 3&#x2009;months each: first trimester &#x2013; conception to 12&#x2009;weeks; second trimester &#x2013; 13 to 27&#x2009;weeks; third trimester &#x2013; 28 to 40&#x2009;weeks. The prevalence of drinking during pregnancy varies by trimester and is higher in the first trimester than in the second and third trimesters (<xref ref-type="bibr" rid="ref16">Ethen et al., 2009</xref>). According to a 2013 report, approximately 18% of US women consumed alcohol during early pregnancy, and 6.6% binge drank (The NSDUH Report, <xref ref-type="bibr" rid="ref57">Substance Abuse and Mental Health Services Administration, 2014</xref>). While both binge drinking and chronic low-level drinking during pregnancy are harmful, it is important to note that binge drinking poses a significant risk for serious brain damage (<xref ref-type="bibr" rid="ref34">Maier and West, 2001</xref>).</p>
<p>There are some common features such as physical features including lower birth weight, shorter stature, smaller head circumference, facial dysmorphism, and neurocognitive deficits including intellectual disability, speech and language delays, poor social skills, and increased risk of anxiety, depression, and ADHD (<xref ref-type="bibr" rid="ref53">Riley et al., 2011</xref>; <xref ref-type="bibr" rid="ref58">Temple et al., 2019</xref>). In addition, sensory abnormalities are often observed in children with FASD. They may show signs of being hypersensitive or hyposensitive to the senses of touch, taste, smell, sight, and sound. Particularly, changes in smell/taste sensitivity affect children&#x2019;s eating behaviors (<xref ref-type="bibr" rid="ref13">Carr et al., 2010</xref>; <xref ref-type="bibr" rid="ref20">Hannigan et al., 2015</xref>; <xref ref-type="bibr" rid="ref28">Jirikowic et al., 2020</xref>). Furthermore, children with a history of heavy alcohol exposure before birth exhibited impaired odor identification (<xref ref-type="bibr" rid="ref11">Bower et al., 2013</xref>) as well as arhinencephaly (<xref ref-type="bibr" rid="ref51">Peiffer et al., 1979</xref>). Therefore, it is important to understand how maternal drinking during pregnancy affects the child&#x2019;s olfactory system. This review summarizes the previous animal studies focusing on the impacts of prenatal alcohol exposure (PAE) on the olfactory system. The author apologizes to those whose work was not included here due to space limitations.</p>
</sec>
<sec id="sec2">
<title>Studies of prenatal alcohol exposure focusing on the olfactory system</title>
<p>The characteristics of FASD vary in severity and depend on the timing, amount, and pattern of alcohol consumption during pregnancy. Several animal models have been used to simulate maternal drinking episodes. Among them, animal models widely used to see how PAE affects brain development are rodents such as mice and rats (<xref ref-type="bibr" rid="ref50">Patten et al., 2014</xref>; <xref ref-type="bibr" rid="ref4">Almeida et al., 2020</xref>). Generally, mice or rats were trained to consume ethanol from their drinking water or diet to simulate chronic drinking during pregnancy. In addition, intraperitoneal injection, subcutaneous injection, and intragastric gavage have been used to simulate binge drinking episodes. As a rough approximation, gestation day (GD) 1&#x2013;10 of mice and rats corresponds to the first trimester of human pregnancy, GD10-20 (just before delivery) to the second trimester, and postnatal day (P) 1&#x2013;10 to the third trimester (<xref ref-type="bibr" rid="ref4">Almeida et al., 2020</xref>). In this review, I adopted a definition of GD0 as the date when the copulation plug was confirmed. When different dates were used in a study, I adjusted the day for a consistent interpretation.</p>
<sec id="sec3">
<title>Development of rodents&#x2019; olfactory system</title>
<p>Odors are initially detected by odorant receptors expressed in olfactory sensory neurons (OSNs) within the olfactory epithelium (OE). These OSNs extend their axons to the glomeruli of the olfactory bulb (OB) to form synapses with mitral and tufted cells, which serve as OB projection neurons transmitting olfactory information to the olfactory cortex. In the OB, the activity of mitral/tufted cells is modulated by OB interneurons such as periglomerular cells and granule cells, which synapse with dendrites of mitral/tufted cells within the glomerular layer (GL) and external plexiform layer (EPL), respectively.</p>
<p>The development of the rodents&#x2019; olfactory system has been studied and summarized in detail in other studies (<xref ref-type="bibr" rid="ref60">Treloar et al., 2010</xref>; <xref ref-type="bibr" rid="ref29">Kim et al., 2023</xref>). Briefly, the OE is generated from the olfactory placodes, a thickened ectoderm in the head region. In mice, the olfactory pits begin invaginate from the olfactory placode around GD10. The nostrils are narrowed to small slits and the olfactory pit has further invaginated into a more complex nasal cavity by GD11.5 (<xref ref-type="bibr" rid="ref43">Miller et al., 2010b</xref>). The invaginated olfactory pits differentiate into OE where OSNs are generated. Generation of OSNs in the OE begins around GD11 and turns over throughout life (<xref ref-type="bibr" rid="ref15">Eerdunfu et al., 2017</xref>; <xref ref-type="bibr" rid="ref46">Nguyen and Imamura, 2019</xref>). On the other hand, the OB is located at the most anterior region of the brain in rodents. In mice, the formation of the OB begins with the evagination of the anterior end of the telencephalic vesicle around GD11 (<xref ref-type="bibr" rid="ref43">Miller et al., 2010b</xref>; <xref ref-type="bibr" rid="ref26">Imamura et al., 2011</xref>). Mitral/tufted cells are generated from radial glial cells in this developing OB between GD9 and GD17; while mitral cells are mostly generated between embryonic day GD9 and GD13, peaking at GD11, tufted cells are born later, between GD12 and GD17 (<xref ref-type="bibr" rid="ref23">Hinds, 1972</xref>; <xref ref-type="bibr" rid="ref8">Blanchart et al., 2006</xref>; <xref ref-type="bibr" rid="ref26">Imamura et al., 2011</xref>; <xref ref-type="bibr" rid="ref25">Hirata et al., 2019</xref>). OB interneurons are mostly generated during late gestation and early postnatal stages and are continuously newly born throughout life (<xref ref-type="bibr" rid="ref22">Hinds, 1968</xref>; <xref ref-type="bibr" rid="ref27">Imayoshi et al., 2008</xref>).</p>
<p>OSN axons first reach the developing OB at GD11 and penetrate the basement membrane to form an olfactory nerve layer by GD12 (<xref ref-type="bibr" rid="ref42">Miller et al., 2010a</xref>). The immature mitral/tufted cells have multiple broadly spread apical dendrites, and they begin to form protoglomeruli with OSN axons around GD15 (<xref ref-type="bibr" rid="ref61">Treloar et al., 1999</xref>; <xref ref-type="bibr" rid="ref8">Blanchart et al., 2006</xref>). Synapse formation in the OB also starts at this stage in the GL, followed by the EPL and granule cell layer (GCL) (<xref ref-type="bibr" rid="ref24">Hinds and Hinds, 1976</xref>). Dendritic refinements of mitral/tufted cells, such as discrimination of primary and secondary dendrites and retraction of supernumerary primary dendrites, occur during early postnatal days (<xref ref-type="bibr" rid="ref30">Lin et al., 2000</xref>; <xref ref-type="bibr" rid="ref2">Aihara et al., 2021</xref>). Axonogenesis of mitral/atrial cells begins around GD11.5 immediately after final differentiation, and they extend between GD12 and GD14 to form the lateral olfactory tract (<xref ref-type="bibr" rid="ref32">Lopez-Mascaraque et al., 1996</xref>; <xref ref-type="bibr" rid="ref62">Walz et al., 2006</xref>). Axons of mitral/tufted cells target the piriform cortex, anterior olfactory nucleus, olfactory tubercle, amygdaloid cortex, and entorhinal cortex, consisting of the olfactory cortex. Many neurons in the olfactory cortex are born during similar stages with the mitral/tufted cells, GD11 &#x2013; GD18 (<xref ref-type="bibr" rid="ref36">Martin-Lopez et al., 2017</xref>, <xref ref-type="bibr" rid="ref37">2019</xref>; <xref ref-type="bibr" rid="ref1">Aerts and Seuntjens, 2021</xref>).</p>
</sec>
<sec id="sec4">
<title>Effects of PAE on the rodent olfactory system</title>
<p>Different timing in ethanol exposure may cause different effects on the olfactory system development. Many rodent studies simulated exposure to alcohol during pregnancy and the findings are summarized in <xref ref-type="table" rid="tab1">Table 1</xref>. A study fed pregnant mice with 10% EtOH in drinking water throughout pregnancy (<xref ref-type="bibr" rid="ref3">Akers et al., 2011</xref>). In this case, P60 offspring exhibited the greatest volume reduction in the OB among 62 brain regions examined with MRI and showed impaired discrimination between similar odors (80% R-carvone/20% S-carvone vs. 20% R-carvone/80% S-carvone) but left odor memory intact (<xref ref-type="bibr" rid="ref3">Akers et al., 2011</xref>). Similarly, when pregnant female rats were fed with a 35% ethanol-derived calorie (EDC) liquid diet from GD6 to GD20 of pregnancy, offspring showed a volume decrease in the OB at P3 (<xref ref-type="bibr" rid="ref7">Barron and Riley, 1992</xref>). Interestingly, the P3 rats born from females fed with 35% EDC did not show a preference for the odor paired with milk infusion, and the P10 rats did not avoid the odor associated with lithium chloride injection, which induced a mild toxicosis (<xref ref-type="bibr" rid="ref6">Barron et al., 1988</xref>). However, the P100 adult rats born from females fed with 35% EDC showed the same level of odor aversion learning as the control group (<xref ref-type="bibr" rid="ref6">Barron et al., 1988</xref>). Another study fed pregnant mice and pups with a 20% EDC liquid diet from GD13 to P21, equivalent to humans&#x2019; second and third trimesters and early postnatal weeks (<xref ref-type="bibr" rid="ref47">Nyouist-Battie and Gochee, 1985</xref>). This study showed an approximately 25% volume reduction in the OB of ethanol-fed mice at P21 compared to a normal diet-fed group, with reductions in the volume of the GL, EPL, and GCL, while the laminar organization and cellular cytoarchitecture were not substantially altered by ethanol.</p>
<table-wrap position="float" id="tab1"><label>Table 1</label>
<caption>
<p>Effects of prenatal alcohol exposure on the rodent olfactory system.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Species Timing / Duration</th>
<th align="left" valign="top">Route (dose)</th>
<th align="left" valign="top">Age examined</th>
<th align="left" valign="top">Effects on the olfactory system</th>
<th align="left" valign="top">References</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Mice<break/>GD0 &#x2013; GD19</td>
<td align="left" valign="middle">Drinking water (10%)</td>
<td align="left" valign="middle">P60</td>
<td align="left" valign="middle">Decrease in OB volume<break/>Failed to discriminate relatively similar odors</td>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref3">Akers et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle">Rats<break/>GD0 &#x2013; GD19</td>
<td align="left" valign="middle">Intragastric gavage (6.0&#x2009;g/kg daily; 22.5% solution)</td>
<td align="left" valign="middle">GD20 &#x0026; P10</td>
<td align="left" valign="middle">Decrease in OB volume<break/>Reduction in the granule cell numbers</td>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref33">Maier et al. (1999)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">Rats<break/>GD6 &#x2013; GD20</td>
<td align="left" valign="middle" rowspan="3">EDC liquid diet (35%)</td>
<td align="left" valign="middle">P3</td>
<td align="left" valign="middle">Decrease in OB volume; no odor preference paired with milk</td>
<td align="left" valign="middle" rowspan="3"><xref ref-type="bibr" rid="ref6">Barron et al. (1988)</xref> and <xref ref-type="bibr" rid="ref7">Barron and Riley (1992)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">P10</td>
<td align="left" valign="middle">no odor aversion associated with mild toxicosis</td>
</tr>
<tr>
<td align="left" valign="middle">P100</td>
<td align="left" valign="middle">the same level of odor aversion associated with mild toxicosis as the control group</td>
</tr>
<tr>
<td align="left" valign="middle">Mice<break/>GD7 or GD8</td>
<td align="left" valign="middle" rowspan="2">Intraperitoneal injection (2.9&#x2009;g/kg- 25% solution or 2.8&#x2009;g/kg- 23.7% solution; twice at four-hour intervals)</td>
<td align="left" valign="middle" rowspan="2">GD17</td>
<td align="left" valign="middle">Decrease in OB volume</td>
<td align="left" valign="middle" rowspan="2"><xref ref-type="bibr" rid="ref49">Parnell et al. (2009)</xref>, <xref ref-type="bibr" rid="ref19">Godin et al. (2010)</xref>, and <xref ref-type="bibr" rid="ref31">Lipinski et al. (2012)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">GD8.5</td>
<td align="left" valign="middle">Increase in OB volume</td>
</tr>
<tr>
<td align="left" valign="middle">Mice<break/>GD7 &#x2013; GD11</td>
<td align="left" valign="middle" rowspan="2">Liquid diet containing ethanol (4.8%)</td>
<td align="left" valign="middle" rowspan="2">GD17</td>
<td align="left" valign="middle">Decrease in the length of the right OB</td>
<td align="left" valign="middle" rowspan="2">
<xref ref-type="bibr" rid="ref48">Parnell et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle">GD12 &#x2013; GD16</td>
<td align="left" valign="middle">No significant defects</td>
</tr>
<tr>
<td align="left" valign="middle">Rats<break/>GD11 &#x2013; GD20</td>
<td align="left" valign="middle">EDC liquid diet (35%)</td>
<td align="left" valign="middle">P40 - P48</td>
<td align="left" valign="middle">Gene expression changes in OB<break/>&#x002A; Enhanced ethanol intake at P15</td>
<td align="left" valign="middle"><xref ref-type="bibr" rid="ref67">Youngentob et al. (2007a)</xref>, <xref ref-type="bibr" rid="ref68">Youngentob et al. (2007b)</xref>, <xref ref-type="bibr" rid="ref41">Middleton et al. (2009)</xref>, <xref ref-type="bibr" rid="ref66">Youngentob and Glendinning (2009)</xref>, and <xref ref-type="bibr" rid="ref18">Gano et al. (2020)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">Mice<break/>GD13 &#x2013; P21</td>
<td align="left" valign="middle">EDC liquid diet (20%)</td>
<td align="left" valign="middle">P21</td>
<td align="left" valign="middle">Decrease in OB volume</td>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref47">Nyouist-Battie and Gochee (1985)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="2">Rats<break/>P4 &#x2013; P9</td>
<td align="left" valign="middle">Intragastric gavage (4.5&#x2009;g/kg daily; 5.1% or 10.2% solution)</td>
<td align="left" valign="middle" rowspan="2">P10 &#x0026; adult (&#x003E; P90)</td>
<td align="left" valign="middle">Decrease in OB volume<break/>Reduction in the granule and mitral cell numbers</td>
<td align="left" valign="middle" rowspan="2"><xref ref-type="bibr" rid="ref10">Bonthius and West (1991)</xref> and <xref ref-type="bibr" rid="ref9">Bonthius et al. (1992)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">Intragastric gavage (6.6&#x2009;g/kg daily; 2.5% solution)</td>
<td align="left" valign="middle">No significant reduction in the granule and mitral cell numbers</td>
</tr>
<tr>
<td align="left" valign="middle">Mice<break/>P4 &#x2013; P9</td>
<td align="left" valign="middle">Intraperitoneal injection (4.4&#x2009;g/kg daily; 20% solution)</td>
<td align="left" valign="middle">Adult (P110 &#x2013; P122)</td>
<td align="left" valign="middle">Decrease in OB volume<break/>Reduction in the granule cell numbers</td>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref59">Todd et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle">Mice<break/>P7</td>
<td align="left" valign="middle">Subcutaneous injection (2.5&#x2009;g/kg- 20%; twice at two-hour intervals)</td>
<td align="left" valign="middle">3-month-old</td>
<td align="left" valign="middle">Enhanced odor-evoked local field potential in the OB and anterior piriform cortex</td>
<td align="left" valign="middle">
<xref ref-type="bibr" rid="ref65">Wilson et al. (2011)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In another study, alcohol was administered by intragastric gavage (6.0&#x2009;g/kg/day) to pregnant rats from GD0 to GD19, which corresponds to the first two trimesters of human pregnancy (<xref ref-type="bibr" rid="ref33">Maier et al., 1999</xref>). Compared to the control group that received an isocaloric maltose-dextrin solution, the offspring of ethanol-fed females had smaller OBs with a reduced number of granule cells at GD20 and P10. Exposure to alcohol during the third trimester also affected OB formation. Rat pups were reared artificially and were administered alcohol with intragastric gavage (4.5&#x2009;g/kg daily; administered either as a 5.1% or 10.2% solution) over P4 through P9. This alcohol exposure paradigm also reduced the OB volume and caused the reduction of the number of granule cells as well as mitral cells in P10 and adult (&#x003E; P90) OBs (<xref ref-type="bibr" rid="ref10">Bonthius and West, 1991</xref>; <xref ref-type="bibr" rid="ref9">Bonthius et al., 1992</xref>). Interestingly, a higher daily dose (6.6&#x2009;g/kg) but administered continuously with a lower (2.5%) ethanol concentration did not affect the number of either granule or mitral cells (<xref ref-type="bibr" rid="ref10">Bonthius and West, 1991</xref>). Decreases in OB volume and number of granule cells were also observed in adult mice that received intraperitoneal injections of ethanol (4.4&#x2009;g/kg) daily over P4 to P9, but not at lower doses (2.2&#x2009;g/kg) (<xref ref-type="bibr" rid="ref59">Todd et al., 2018</xref>). Therefore, chronic PAE impairs the OB formation and affects the generation and survival of OB neurons. Although the underlying mechanisms of OB damages are not known, gene expression profiling revealed a PAE, feeding with 35% EDC from GD11 to GD20, affected the expression of genes involved in neuronal development, synaptic transmission, and plasticity as well as inflammatory-related genes during adolescence (P40&#x2013;P48) (<xref ref-type="bibr" rid="ref41">Middleton et al., 2009</xref>; <xref ref-type="bibr" rid="ref18">Gano et al., 2020</xref>). Moreover, the rats exposed to gestational ethanol showed enhanced ethanol intake as well as different sniffing responses to ethanol odor at P15, but the ethanol preference was absent at P90 (<xref ref-type="bibr" rid="ref67">Youngentob et al., 2007a</xref>,<xref ref-type="bibr" rid="ref68">b</xref>; <xref ref-type="bibr" rid="ref66">Youngentob and Glendinning, 2009</xref>).</p>
<p>In addition to chronic PAE, acute PAE caused by binge drinking also affects the development of the olfactory system. To cause an acute PAE, several studies used the intraperitoneal ethanol injection method. When ethanol (2.9&#x2009;g/kg) was administered intraperitoneally to pregnant female mice twice (four-hour intervals) at GD7, MRI measurement at GD17 found a reduction in overall brain size with marked volume reduction in the OB (<xref ref-type="bibr" rid="ref19">Godin et al., 2010</xref>; <xref ref-type="bibr" rid="ref31">Lipinski et al., 2012</xref>). Reduction of OB volume at GD17 was also observed with the intraperitoneal ethanol exposure at GD8 (2.8&#x2009;g/kg; twice at four-hour intervals) (<xref ref-type="bibr" rid="ref49">Parnell et al., 2009</xref>), while the same ethanol exposing paradigm performed at GD8.5 caused approximately 10% increase of the OB volume (<xref ref-type="bibr" rid="ref31">Lipinski et al., 2012</xref>). Since some of the mice that showed a reduction of OB volume also had abnormal nasal cavity, defects in the development of olfactory sensory neurons might affect the OB formation in these mice (<xref ref-type="bibr" rid="ref49">Parnell et al., 2009</xref>; <xref ref-type="bibr" rid="ref19">Godin et al., 2010</xref>). On the other hand, the same group fed the pregnant mice with the 4.8% (v/v) ethanol-containing liquid diet for five days, from GD7 to 11 and from GD12 to 16 (<xref ref-type="bibr" rid="ref48">Parnell et al., 2014</xref>). In this case, GD 7&#x2013;11 and GD 12&#x2013;16 ethanol-exposed groups showed a significant decrease in the volumes of the cerebellum and hippocampus at GD17, respectively, but no significant change in OB size was observed except for a shortening of the right OB of mice exposed to ethanol from GD7 to GD11.</p>
<p>Another study simulated binge drinking in the third trimester by causing acute PAE with subcutaneous injection of ethanol (2.5&#x2009;g/kg; twice at two-hour intervals) into P7 mouse pups (<xref ref-type="bibr" rid="ref65">Wilson et al., 2011</xref>). This treatment caused widespread cell death within 1&#x2009;day of exposure, with the highest levels in the neocortex, intermediate levels in the dorsal hippocampus, and relatively low levels in the primary olfactory system including OB and piriform cortex. The acute PAE did not change the odor investigation or odor habituation in 3-month-old mice compared to saline-administered controls, whereas the hippocampal-dependent object place memory was significantly impaired. Interestingly, odor-evoked local field potential activity was enhanced in the OB, anterior piriform cortex, and hippocampus. These data suggest that the activity of neural circuits involved in odor information processing can be modified by acute PAE at a later gestational stage, which may contribute to specific behavioral abnormalities seen in children with FASD.</p>
<p>These results from rodent studies indicate that timing, quantity, and style of drinking are important to understanding the impact of PAE on olfactory system development. A previous study showed that acute PAE induced by intraperitoneal ethanol injection (2.9&#x2009;g/kg) at GD11, but not at GD6, caused apparent deficits in the social behavior of male rat offspring; reduction of social investigation, contact behavior, and play fighting (<xref ref-type="bibr" rid="ref45">Mooney and Varlinskaya, 2011</xref>). Considering the pivotal role of the olfactory system in rodent social behavior (<xref ref-type="bibr" rid="ref5">Bakker et al., 2022</xref>), it is plausible that PAE-induced defects in olfactory information processing resulted in impaired social behavior.</p>
</sec>
<sec id="sec5">
<title>Other animal models of PAE</title>
<p>Several other studies used non-rodent animals to examine the effects of PAE on the development of OB. For example, pregnant sheep were administered with alcohol. A moderate dose of alcohol was infused intravenously (1.75&#x2009;g/kg) on 3 consecutive days followed by 4&#x2009;days without alcohol beginning on GD 4 and continuing until GD 132, which corresponds with the end of the third trimester of human pregnancy (<xref ref-type="bibr" rid="ref63">Washburn et al., 2015</xref>). In contrast to the findings from rat studies (<xref ref-type="bibr" rid="ref10">Bonthius and West, 1991</xref>; <xref ref-type="bibr" rid="ref9">Bonthius et al., 1992</xref>), there was no change in the number, density, or volume of mitral cells in the fetal (GD133) sheep OB, although it does not exclude the presence of functional abnormalities or the reduction in number of granule cells. In another study, fewer actively proliferating cells were found in the OBs of newborn monkeys born from females who voluntarily consumed alcohol (a maximum of 3.5&#x2009;g alcohol/kg body weight on 4&#x2009;days of the week) starting in the mid-gestation stage (<xref ref-type="bibr" rid="ref12">Burke et al., 2016</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec6">
<title>Discussion</title>
<p>As summarized in this review, it&#x2019;s evident that the olfactory system is vulnerable both to chronic and acute PAE. In particular, the reduction in OB volume was prominent and was often associated with a decrease in the number of granule cells and mitral cells, suggesting that PAE affects the neurogenesis of OB neurons. This view is also supported by studies in animal models and human patients showing that PAE reduced the proliferation of neural stem cells in the subventricular zone (SVZ) (<xref ref-type="bibr" rid="ref54">Roitbak et al., 2011</xref>; <xref ref-type="bibr" rid="ref14">Dong et al., 2014</xref>; <xref ref-type="bibr" rid="ref35">Marguet et al., 2020</xref>). Moreover, defects in adult neurogenesis may also contribute to PAE-induced reduction of OB volume and olfactory function in adult rodents, as new OB interneurons are continuously produced in the SVZ of the adult rodent brain (<xref ref-type="bibr" rid="ref64">Whitman and Greer, 2009</xref>).</p>
<p>The impairment in the olfactory system development likely leads to abnormal olfactory information processing. This, in turn, may contribute to abnormal smell sensitivity and impaired odor identification seen in children with FASD. However, studies to date have varied in terms of timing, duration, dosage, and route of ethanol administration as well as the age of offspring investigated, making it still challenging to formulate a cohesive understanding of how PAE precisely influences the child&#x2019;s olfactory system. Systematic identification of differences in the effects of PAE at different stages of olfactory system development may provide valuable insights into important windows of vulnerability. In addition, it is necessary to study in more detail the effects of PAE on the structure and function of regions involved in olfactory processing other than the OB, such as olfactory epithelium and olfactory cortex.</p>
<p>Furthermore, while diverse <italic>in vivo</italic> and <italic>in vitro</italic> studies have elucidated various signaling pathways affected by PAE during brain development (<xref ref-type="bibr" rid="ref21">Hashimoto-Torii et al., 2011</xref>; <xref ref-type="bibr" rid="ref44">Mohammad et al., 2020</xref>; <xref ref-type="bibr" rid="ref17">Fischer et al., 2021</xref>; <xref ref-type="bibr" rid="ref55">Salem et al., 2021</xref>; <xref ref-type="bibr" rid="ref56">Sambo et al., 2022</xref>), this type of research has so far been insufficient for the olfactory system. Understanding the molecules and pathways affected by PAE in the developing olfactory system could shed light on potential mechanisms underlying the etiology of abnormal sense of smell. Integrating findings from diverse experimental models and methodologies could facilitate the construction of comprehensive models that capture the multifaceted nature of PAE-induced alterations in olfactory system development and could inform targeted intervention strategies aimed at mitigating the detrimental effects of PAE on olfactory function. Therefore, collaborative efforts across disciplines, including neuroscience, developmental biology, and clinical research, are essential to surmount the complexities associated with understanding and addressing the consequences of PAE on olfactory function and beyond.</p>
</sec>
<sec sec-type="author-contributions" id="sec7">
<title>Author contributions</title>
<p>FI: Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
</body>
<back>
<sec sec-type="funding-information" id="sec8">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by NIH grant R01DC016307, the PA Tobacco Settlement Fund, and the Children&#x2019;s Miracle Network (FI).</p>
</sec>
<sec sec-type="COI-statement" id="sec9">
<title>Conflict of interest</title>
<p>The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="sec10">
<title>Publisher's note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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