This is an unedited manuscript accepted for publication and provided as an Article in Press for early access at the author’s request. The article will undergo copyediting, typesetting, and galley proof review before final publication. Please be aware that errors may be identified during production that could affect the content. All legal disclaimers of the journal apply.
Aayush Goyal,
- Student, Maharaja Agrasen Medical College, Haryana, India
Abstract
While the negative effects of maternal smoking during pregnancy are well-established, the lasting and transgenerational impact of paternal pre-pubertal smoking remains a critical, underexplored area. Emerging evidence in sperm epigenetics suggests that cigarette exposure during early male development may create persistent molecular imprints that can affect the health of future offspring. This phenomenon is rooted in the fact that heredity extends beyond the DNA sequence. Sperm carry a complex epigenetic cargo, including small non-coding RNAs (like microRNAs and piRNAs) and DNA methylation marks, which regulate gene expression without altering the underlying genetic code. The period of adolescence, when spermatogonial stem cells are undergoing rapid proliferation, represents a particularly sensitive developmental window. Exposure to cigarette smoke constituents during this time—including nicotine and reactive oxygen species—can disrupt germ cell maturation and permanently modify the epigenetic ‘blueprint’. The proposed transgenerational pathway involves three steps: toxicants from cigarette smoke reach the developing testes (Exposure); germ cells respond by altering their DNA methylation and small RNA expression (Epigenetic alteration); and these altered marks modulate gene expression in the zygote upon fertilization, leading to long-term physiological changes (Embryonic influence). Human epidemiological studies support this, showing that children of men who began smoking before puberty have higher risks of obesity, asthma, and accelerated epigenetic aging. This body of work challenges the traditional view that only maternal factors shape the next generation. If validated, these mechanisms underscore the urgency of tobacco-control efforts targeting adolescents and highlight the need for sperm epigenetic biomarkers to assess exposure history and counsel prospective fathers.
Keywords: DNA, RNA, paternal pre-pubertal smoking, obesity, Transgenerational Transmission, Biological
Aayush Goyal. Paternal Pre-Pubertal Smoking: Small RNAs, Lasting Marks, and the Hidden Legacy of Early Exposure. Emerging Trends in Personalized Medicines. 2025; 03(01):-.
Aayush Goyal. Paternal Pre-Pubertal Smoking: Small RNAs, Lasting Marks, and the Hidden Legacy of Early Exposure. Emerging Trends in Personalized Medicines. 2025; 03(01):-. Available from: https://journals.stmjournals.com/etpm/article=2025/view=236744
References
1. Soubry A. POHaD: Why we should study future fathers. Environ Epigenet.
2018;4(2):dvy007.
Available from: https://doi.org/10.1093/eep/dvy007
2. Marczylo EL, Amoako AA, Konje JC, Gant TW, Marczylo TH. Smoking induces differential
miRNA expression in human spermatozoa: A potential transgenerational epigenetic concern?
Epigenetics. 2012;7(5):432–9.
Available from: https://doi.org/10.4161/epi.19794
3. Jenkins TG, Aston KI, Pflueger C, Cairns BR, Carrell DT. Age-associated sperm DNA
methylation alterations: Possible implications in offspring disease susceptibility. PLoS Genet.
2014;10(7):e1004458.
Available from: https://doi.org/10.1371/journal.pgen.1004458
4. Pembrey ME, Bygren LO, Kaati G, Edvinsson S, Northstone K, Sjöström M, et al. Sex-
specific, male-line transgenerational responses in humans. Eur J Hum Genet.
2006;14(2):159–66.
Available from: https://doi.org/10.1038/sj.ejhg.5201538
5. Sharma R, Biedenharn KR, Fedor JM, Agarwal A. Lifestyle factors and reproductive health:
Taking control of your fertility. Reprod Biol Endocrinol. 2013;11:66.
Available from: https://doi.org/10.1186/1477-7827-11-66
6. Laubenthal J, Zlobinskaya O, Poterlowicz K, Baumgartner A, Cooke MS, Young J, Krawetz
SA. Cigarette smoke–induced disruption of sperm DNA methylation and potential for
transmission to the offspring: A review. Hum Reprod Update. 2012;18(4):527–39.
Available from: https://doi.org/10.1093/humupd/dms009
7. Kitaba N, et al. Fathers’ preconception smoking and offspring DNA methylation. Clin
Epigenet. 2023;15(1):131.
8. Kitaba N, et al. Paternal pre-pubertal tobacco smoking and offspring DNA methylation. Eur
Respir J. 2022;60:2200257.
9. Kitaba N, et al. Paternal tobacco smoke correlated to offspring asthma and prenatal epigenetic
programming. Front Genet. 2019;10:471.
10. Tollefsbol TO, editor. Handbook of Epigenetics: The New Molecular and Medical Genetics.
2nd ed. Amsterdam: Academic Press; 2017.
11. Curley JP, Mashoodh R, Champagne FA. Epigenetics and the origins of paternal effects.
Horm Behav. 2009;55(3):306–14.

Emerging Trends in Personalized Medicines
| Volume | 03 |
| 01 | |
| Received | 11/10/2025 |
| Accepted | 28/10/2025 |
| Published | 10/11/2025 |
| Publication Time | 30 Days |
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