Prenatal THC exposure disrupts mitochondrial respiratory gene programs and medium spiny neuron maturation trajectories in the nucleus accumbens

Prenatal cannabis exposure (PCE) is increasingly prevalent and has been associated with adverse neurodevelopmental outcomes, yet its molecular impact on brain reward circuitry remains poorly defined. Here, we investigated transcriptional and epigenomic alterations in the nucleus accumbens (NAc) following prenatal {Delta}9-tetrahydrocannabinol exposure in a rat model using snRNA-seq and snATAC-seq analyses. PCE markedly suppressed the expression of genes involved in mitochondrial oxidative phosphorylation (OXPHOS) in the NAc on postnatal day 24 (P24), indicating reduced mitochondrial respiration capacity. This disrupted mitochondrial respiratory gene programming was accompanied by coordinated alterations in ribosomal and proteasomal pathways regulating protein homeostasis in NAc medium spiny neurons (MSNs), suggesting coupled disruption of cellular metabolism and neuronal maturation. snATAC-seq analysis revealed altered chromatin accessibility at promoter regions enriched for Nrf1 and Yy2 binding motifs, implicating Hrf1- and Yy2-associated transcriptional regulation of mitochondrial genes in MSNs following PCE. Moreover, an acute THC challenge in PCE offspring at P24 further exacerbated the suppression of genes involved in mitochondrial OXPHOS and MSN maturation. Together, these findings define a transcriptional and epigenetic framework through which PCE may perturb mitochondrial function and impair MSN maturation trajectories in the NAc, providing mechanistic insights into how PCE may alter the development of reward circuitry.