Epigenetic effects of psychoactive substance use on male germ cells and its implication for the neurodevelopment of offspring: A narrative review

Authors

DOI:

https://doi.org/10.62954/n7ckx122

Keywords:

Epigenetics, Spermatozoa, Neurodevelopment, Psychoactive Substances

Abstract

The consumption of psychoactive substances has been negatively associated with male fertility, compromising not only semen quality but also the genetic and epigenetic integrity of spermatozoa; these alterations may have significant implications for the neurodevelopment of the offspring. Current evidence indicates that substances such as alcohol, tobacco/nicotine, cannabis, and cocaine induce changes in DNA methylation, histone modification, and disruption of non-coding RNAs in male germ cells. The aim of this review was to analyze how epigenetic changes induced by paternal preconception exposure to psychoactive substances may affect the brain development of the offspring. To achieve this, an integrative narrative review was conducted through a search of scientific literature in various databases, including English-language articles published between 2020 and 2025, selected based on their relevance in the fields of epigenetics and reproduction. The findings indicate that such epigenetic modifications in sperm impact key genes, including BDNF, DLGAP2, Cdkn1a, and Shank1, which are involved in synaptic plasticity, the hypothalamic-pituitary-adrenal axis, dopaminergic function, and an increased risk of autism. In animal models, these alterations persist in the brains of the offspring, manifesting as behavioral disorders, attention deficits, and reduced drug sensitivity. This evidence suggests the role of sperm exposed to psychoactive substances in transmitting epigenetic marks to the next generation, affecting brain programming and increasing the risk of neurodevelopmental disorders.

References

1. Secretaría de Salud. El consumo de drogas en México. Secretaría de Salud. [Internet] 2025 [citado en Junio de 2025]. Disponible en: https://salud.gob.mx/unidades/cdi/documentos/CDM.html

2. Medina-Mora María Elena, Real Tania, Villatoro Jorge, Natera Guillermina. Las drogas y la salud pública: ¿hacia dónde vamos?. Salud Pública Méx [Internet]. 2013 [citado en Junio de 2025]; 55 ( 1 ): 67-73. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000100010&lng=es.

3. Encuesta Nacional de Salud y Nutrición. Sistema de Control de Encuestas - Repositorio. ENSANUT [Internet]. 2025 [citado en Junio de 2025] Disponible en: https://encuestas.insp.mx/repositorio/encuestas/ENCODAT2025/index.php

4. Comisión Nacional de Salud Mental y Adicciones. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco. ENCODAT. [Internet] 2025 [citado en Enero de 2026]. Disponible en: https://www.gob.mx/conasama/documentos/encuesta-nacional-de-consumo-de-drogas-alcohol-y-tabaco-encodat-2025?state=published

5. Sistema de Vigilancia Epidemiológica de las Adicciones. Informes Anuales del Sistema de Vigilancia Epidemiológica de las Adicciones. SISVEA [Internet] 2023 [citado en Junio de 2025]. Disponible en: https://epidemiologia.salud.gob.mx/gobmx/salud/documentos/info_sisvea/informes_sisvea_2023.pdf

6. Soubry A, Hoyo C, Jirtle RL, Murphy SK. A paternal environmental legacy: Evidence for epigenetic inheritance through the male germ line. BioEssays. 2014; 36(4):359–71. doi:10.1002/bies.201300113

7. Baratta AM, Rathod RS, Plasil SL, Seth A, Homanics GE. Exposure to drugs of abuse induce effects that persist across generations. Int Rev Neurobiol. 2020; 30:217–77. doi:10.1016/bs.irn.2020.08.003

8. Bohnsack JP, Pandey SC. Histone modifications, DNA methylation, and the epigenetic code of alcohol use disorder. Int Rev Neurobiol. 2021; 156:1–62. doi:10.1016/bs.irn.2020.08.005

9. Nieto SJ, Harding MJ, Nielsen DA, Kosten TA. Paternal alcohol exposure has task- and sex-dependent behavioral effect in offspring. Alcohol Clin Exp Res. 2022; 46(12):2191–202. doi:10.1111/acer.14964

10. Nieto SJ, Haile CN, Quave CB, Harding MJ, Nielsen DA, Meisch RA, Kosten TA. Paternal alcohol exposure reduces acquisition of operant alcohol self‐administration and affects Bdnf DNA methylation in male and female offspring. Addict Biol. 2021; 21(1). doi:10.1111/adb.13078

11. Schrott R, Murphy SK, Modliszewski JL, King DE, Hill B, Itchon-Ramos N, Raburn D, Price T, Levin ED, Vandrey R, Corcoran DL, Kollins SH, Mitchell JT. Refraining from use diminishes cannabis-associated epigenetic changes in human sperm. Enviro Epigenet. 2021; 7(1). doi:10.1093/eep/dvab009

12. Swinford-Jackson SE, Fant B, Wimmer ME, Chan D, Knouse MC, Sarmiento M, Thomas AS, Huffman PJ, Mankame S, Worobey SJ, Pierce RC. Cocaine-Induced Changes in Sperm Cdkn1a Methylation Are Associated with Cocaine Resistance in Male Offspring. J Neurosci. 2022; 42(14):2905–16. doi:10.1523/JNEUROSCI.3172-20.2022

13. Schrott R, Rajavel M, Acharya K, Huang Z, Acharya C, Hawkey A,Pippen E, Lyerly HK, Levin ED, Murphy SK. Sperm DNA methylation altered by THC and nicotine: Vulnerability of neurodevelopmental genes with bivalent chromatin. Sci Rep. 2020; 10(1). doi:10.1038/s41598-020-72783-0

14. Holloway ZR, Hawkey AB, Pippin E, White H, Wells C, Kenou B, Rezvani AH, Murphy SK, Levin ED. Paternal factors in neurodevelopmental toxicology: THC exposure of male rats causes long-lasting neurobehavioral effects in their offspring. Neurotoxicol. 2020; 78:57–63. doi:10.1016/j.neuro.2020.01.009

15. Schrott R, Greeson KW, King D, Crow KMS, Easley CA, Murphy SK. Cannabis alters DNA methylation at maternally imprinted and autism candidate genes in spermatogenic cells. Syst Biol Reprod Med. 2022; 68(5–6):357–69. doi:10.1080/19396368.2022.2073292

16. Leisegang K, Dutta S. Do lifestyle practices impede male fertility? Rev Int Androl. 2020; 53(1). doi: 10.1111/and.13595

17. Wang H, Liu J, Gao J, Yan W, Rehan VK. Perinatal exposure to nicotine alters sperm RNA profiles in rats. Front Endocrinol. 2022; 13. doi: 10.3389/fendo.2022.893863

18. Dulman RS, Wandling GM, Pandey SC. Epigenetic mechanisms underlying pathobiology of alcohol use disorder. Curr Pathobiol Rep. 2020; 8(3):61–73. doi:10.1007/s40139-020-00210-0

19. Longley MJ, Lee J, Jung J, Lohoff FW. Epigenetics of alcohol use disorder—A review of recent advances in DNA methylation profiling. Addict Biol. 2021; 26(6). doi: 10.1111/adb.13006

20. Ciafrè S, Ferraguti G, Greco A, Polimeni A, Ralli M, Ceci FM, Ceccanti M, Fiore M. Alcohol as an early life stressor: Epigenetics, metabolic, neuroendocrine and neurobehavioral implications. Neurosci Biobehav Rev. 2020; 118:654–68. doi:10.1016/j.neubiorev.2020.08.018

21. Heidari N, Hajikarim-Hamedani A, Heidari A, Ghane Y, Ashabi G, Zarrindast MR, Sadat-Shirazi MS. Alcohol: Epigenome alteration and inter/transgenerational effect. Alcohol. 2024; 117:27–41. doi: 10.1016/j.alcohol.2024.03.008

22. Akhatova A, Jones C, Coward K, Yeste M. How do lifestyle and environmental factors influence the sperm epigenome? Effects on sperm fertilising ability, embryo development, and offspring health. Clin Epigenetics. 2025; 17(7). doi:10.1186/s13148-025-01815-1

23. Rice RC, Gil DV, Baratta AM, Frawley RR, Hill SY, Farris SP, Homanics GE. Inter- and transgenerational heritability of preconception chronic stress or alcohol exposure: Translational outcomes in brain and behavior. Neurobiol Stress. 2023; 29:100603. doi: 10.1016/j.ynstr.2023.100603

24. Al Aboud NM, Tupper C, Jialal I. Genetics, epigenetic mechanism [Internet]. StatPearls. 2023 [citado en Junio de 2025]; Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK532999/

25. Gibney ER, Nolan CM. Epigenetics and gene expression. Heredity. 2010; 105(1):4–13. doi:10.1038/hdy.2010.54

26. Jarczak J, Miszczak M, Radwanska K. Is DNA methylation in the brain a mechanism of alcohol use disorder? Front Behav Neurosci. 2023; 17. doi:10.3389/fnbeh.2023.957203

27. Wu L, Zhang Y, Ren J. Epigenetic modification in alcohol use disorder and alcoholic cardiomyopathy: From pathophysiology to therapeutic opportunities. Metabolism 2021; 125:154909. doi:10.1016/j.metabol.2021.154909

28. Zeid D, Gould TJ. Impact of nicotine, alcohol, and cocaine exposure on germline integrity and epigenome. Neuropharmacology. 2020; 173:108127. doi:10.1016/j.neuropharm.2020.108127

29. MacKenzie A, Hay EA, McEwan AR. Context-dependant enhancers as a reservoir of functional polymorphisms and epigenetic markers linked to alcohol use disorders and comorbidities. Addict Neurosci. 2022; 2:100014. doi:10.1016/j.addicn.2022.100014

30. Zhang Y, Sun Z, Jia J, Du T, Zhang N, Tang Y, Fang Y, Fang D. Overview of histone modification. Adv Exp Med Biol [Internet]. 2021 [citado en Junio de 2025]; 1283:1-16. Disponible en: https://doi.org/10.1007/978-981-15-8104-5_1

31. Pabarja A, Hakemi SG, Musanejad E, Ezzatabadipour M, Nematollahi-Mahani SN, Afgar A, Afarinesh MR, Haghpanah T. Genetic and epigenetic modifications of F1 offspring’s sperm cells following in utero and lactational combined exposure to nicotine and ethanol. Sci Rep. 2021; 11(1). doi:10.1038/s41598-021-91739-6

32. Dali O, Muriel-Muriel JA, Vargas-Baco A, Tevosian S, Zubcevic J, Smagulova F, Hayward LF. Prenatal nicotine exposure leads to epigenetic alterations in peripheral nervous system signaling genes in the testis of the rat. Epigenetics Chromatin . 2024; 17(1). doi:10.1186/s13072-024-00539-5

33. Zucchi A, Innocenzi E, Onorato A, Dolci S, Colopi A, Balistreri CR, et al. Prenatal exposure to CB2 receptors agonist differentially impacts male and female germ cells via histone modification. Mech Ageing Dev. 2023; 213:111840. doi:10.1016/j.mad.2023.111840

34. Mattick JS, Makunin IV. Non-coding RNA. Hum Mol Genet. 2006; 15(suppl_1):R17-29. doi:10.1093/hmg/ddl046

35. Ajayi AF, Oyovwi MO, Olatinwo G, Phillips AO. Unfolding the complexity of epigenetics in male reproductive aging: a review of therapeutic implications. Mol Biol Rep. 2024; 51(1). doi:10.1007/s11033-024-09823-9

36. Di Fazio A, Gullerova M. An old friend with a new face: tRNA-derived small RNAs with big regulatory potential in cancer biology. Br J Cancer. 2023; 128(9):1625-35. doi:10.1038/s41416-023-02191-4

37. Van Wolfswinkel JC. Insights in piRNA targeting rules. Wiley Interdiscip Rev RNA. 2023; 15(1):e1811. doi:10.1002/wrna.1811

38. Naeli P, Winter T, Hackett AP, Alboushi L, Jafarnejad SM. The intricate balance between microRNA‐induced mRNA decay and translational repression. FEBS J. 2022; 290(10):2508-24. doi:10.1111/febs.16422

39. Bedi Y, Chang RC, Gibbs R, Clement TM, Golding MC. Alterations in sperm-inherited noncoding RNAs associate with late-term fetal growth restriction induced by preconception paternal alcohol use. Reprod Toxicol. 2019; 87:11–20. doi:10.1016/j.reprotox.2019.04.006

40. Karatayev O, Collier AD, Targoff SR, Leibowitz SF. Neurological disorders induced by drug use: Effects of adolescent and embryonic drug exposure on behavioral neurodevelopment. Int J Mol Sci. 2024; 25(15):8341. doi: 10.3390/ijms25158341

41. Schrott R, Modliszewski JL, Hawkey AB, Grenier C, Holloway Z, Evans J,Pippen E, Corcoran DL, Levin ED, Murphy SK. Sperm DNA methylation alterations from cannabis extract exposure are evident in offspring. Epigenetics Chromatin. 2022; 15(33). doi:10.1186/s13072-022-00466-3

42. Bake S, Rouzer SK, Mavuri S, Miranda RC, Mahnke AH. The interaction of genetic sex and prenatal alcohol exposure on health across the lifespan. Front Neuroendocrinol. 2023;71:101103. doi: https://doi.org/10.1016/j.yfrne.2023.101103

43. Tesarik J. Lifestyle and environmental factors affecting male fertility, individual predisposition, prevention, and intervention. Int J Mol Sci. 2025; 26(6):2797. doi: 10.3390/ijms26062797

44. Gursky ZH, Savage LM, Klintsova AY. Executive functioning-specific behavioral impairments in a rat model of human third trimester binge drinking implicate prefrontal-thalamo-hippocampal circuitry in Fetal Alcohol Spectrum Disorders. Behav Brain Res. 2021; 405:113208. doi: 10.1016/j.bbr.2021.113208

45. Bedi YS, Wang H, Thomas KN, Basel A, Prunier J, Robert C, Golding MC. Alcohol induced increases in sperm Histone H3 lysine 4 trimethylation correlate with increased placental CTCF occupancy and altered developmental programming. Sci Rep . 2022; 12(1). doi:10.1038/s41598-022-12188-3

46. Zhang W, Li M, Sun F, Xu X, Zhang Z, Liu J, Sun X, Zhang A, Shen Y, Xu J, Miao M, Wu B, Yuan Y, Huang X, Shi H, Du J. Association of sperm methylation at LINE-1, four candidate genes, and Nicotine/Alcohol exposure with the risk of infertility. Front Genet. 2019;10. doi:10.3389/fgene.2019.01001

47. Ross JA, Levy S. The impact of cannabis use on adolescent neurodevelopment and clinical outcomes amidst changing state policies. Clin Ther. 2023; 45(6):535–40. doi:10.1016/j.clinthera.2023.03.009

48. Krebs M o., Demars F, Frajerman A, Kebir O, Jay T. Cannabis et neurodéveloppement. Bull Acad Natl Med. 2020; 204(6):561–9. doi:10.1016/j.banm.2020.04.002

49. Kelly C, Castellanos FX, Tomaselli O, Lisdahl K, Tamm L, Jernigan T,Newman E, Epstein JN, Molina BS, Greenhill LL, Potkin SG, Hinshaw S, Swanson JM; MTA Neuroimaging Group. Distinct effects of childhood ADHD and cannabis use on brain functional architecture in young adults. Neuroimage Clin. 2016; 13:188–200. doi: https://doi.org/10.1016/j.nicl.2016.09.012

50. Buontempo S, Laise P, Hughes JM, Trattaro S, Das V, Rencurel C, Testa G. EZH2-Mediated H3K27ME3 targets transcriptional circuits of neuronal differentiation. Front Neurosci. 2022; 16. doi: 10.3389/fnins.2022.814144

51. González B, Gancedo SN, Garazatua SJ, Roldán E, Vitullo AD, González CR. Dopamine receptor D1 contributes to cocaine epigenetic reprogramming of histone modifications in male germ cells. Front Cell Dev Biol. 2020; 8. doi:10.3389/fcell.2020.00216

52. Rudibaugh TT, Stuppy SR, Keung AJ. Reactive oxygen species mediate transcriptional responses to dopamine and cocaine in human cerebral organoids. Int J Mol Sci. 2023; 24(22):16474. doi: 10.3390/ijms242216474

53. Rosati L, Chianese T, Mileo A, De Falco M, Capaldo A. Cocaine Effects on Reproductive Behavior and Fertility: An Overview. Vet Sci. 2023; 10(8):484. doi:10.3390/vetsci10080484

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2026-07-02

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Epigenetic effects of psychoactive substance use on male germ cells and its implication for the neurodevelopment of offspring: A narrative review. (2026). Revista Mexicana De Investigación Médica. https://doi.org/10.62954/n7ckx122

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