In the present study we tested the hypothesis that prenatal nicotine exposure increases heart susceptibility to ischemia/ reperfusion (I/R) injury in adult offspring. Nicotine was administered to pregnant rats via subcutaneous osmotic minipumps throughout gestation. Nicotine treatment resulted in a rapid and transient decrease in food-intake and a moderate decrease in maternal body weight gain. Hearts were isolated from adult male and female offspring and subjected to I/R in a Langendorff preparation. Nicotine significantly attenuated left ventricle (LV) developed pressure, heart rate, and coronary flow rate in female but not male hearts at baseline. Additionally, nicotine significantly increased LV infarct size and attenuated postischemic recovery of LV function in both male and female offspring with more pronounced effects in females. In female but not male hearts, nicotine significantly decreased the postischemic coronary flow rate. However, coronary nitric oxide release was decreased in male but not female hearts. Caspase-3, -8, and -9 levels were not significantly changed in either female or male hearts. However, nicotine caused a significant decrease in protein levels of protein kinase (PK) C in both male and female hearts and a decrease in PKC␦ levels in female hearts only. Control studies of maternal food restriction showed that a moderate decrease in maternal body weight gain had no effect on female hearts but significantly improved postischemic recovery of LV function in male hearts. The results suggest that prenatal nicotine exposure causes in utero programming of the PKC isozyme gene expression pattern in the developing heart and increases heart susceptibility to I/R injury in adult offspring.Epidemiological studies have demonstrated that in utero exposure to maternal cigarette smoking is a significant risk factor for sudden infant death syndrome and is associated with elevated blood pressure and cardiovascular disease in offspring later in life (Beratis et al., 1996;Blake et al., 2000). As one of the major components in cigarette smoking, nicotine is likely to contribute to the development of cardiovascular disorders. Nicotine readily crosses the placenta and maternal cigarette smoking produces higher nicotine concentrations in fetal circulation than that experienced by the mother (Lambers and Clark, 1996). Because nicotine is an agonist of nicotinic acetylcholine receptors, exposure to nicotine early in life may cause permanent changes in nicotinic receptors and consequent cell function (Slotkin, 1998). We have recently demonstrated that fetal and neonatal nicotine exposure alters vascular function in adult offspring in a gender-specific manner, which may lead to an increased risk of cardiovascular dysfunction in adult life (Xiao et al., 2007).The effects of prenatal nicotine exposure on fetal heart development and their long-term pathophysiological consequences in the adult heart have not been determined. Human epidemiological studies suggested a link between adverse intrauterine environme...