Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting

Abstract Background Tobacco smoking remains a major preventable cause of disease and death worldwide. Combustible cigarettes release thousands of chemicals that can initiate inflammatory pathways leading to smoking-related illness. This review aims to synthesize current scientific knowledge on mecha...

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Main Authors: Tamer A. Addissouky, Ibrahim El Tantawy El Sayed, Majeed M. A. Ali, Yuliang Wang, Ayman El Baz, Naglaa Elarabany, Ahmed A. Khalil
Format: Article
Language:English
Published: SpringerOpen 2024-01-01
Series:Bulletin of the National Research Centre
Subjects:
Online Access:https://doi.org/10.1186/s42269-024-01174-6
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author Tamer A. Addissouky
Ibrahim El Tantawy El Sayed
Majeed M. A. Ali
Yuliang Wang
Ayman El Baz
Naglaa Elarabany
Ahmed A. Khalil
author_facet Tamer A. Addissouky
Ibrahim El Tantawy El Sayed
Majeed M. A. Ali
Yuliang Wang
Ayman El Baz
Naglaa Elarabany
Ahmed A. Khalil
author_sort Tamer A. Addissouky
collection DOAJ
description Abstract Background Tobacco smoking remains a major preventable cause of disease and death worldwide. Combustible cigarettes release thousands of chemicals that can initiate inflammatory pathways leading to smoking-related illness. This review aims to synthesize current scientific knowledge on mechanisms of smoking-induced disease, epidemiological trends, and clinical strategies from recent literature. Main body of the abstract At the cellular level, cigarette smoke triggers oxidative stress through reactive oxygen species (ROS), causing DNA damage. This provokes inflammatory signaling cascades mediated by damage-associated molecular patterns (DAMPs), receptors like RAGE and TLRs, and downstream cytokines. Smoking also disrupts apoptosis and autophagy. In the lungs, oxidative stress and inflammation from smoking play central roles in COPD pathogenesis. Smoking-induced oxidative DNA damage, chronic inflammation, and impaired immunity combine to promote lung carcinogenesis. For cardiovascular disease, smoking triggers endothelial dysfunction, platelet activation, and atherogenesis through oxidized LDL and effects on nitric oxide and adhesion molecules. Short conclusion Given the unequivocal evidence of health risks, smoking cessation is critical to reducing preventable death and disability. Both counseling and pharmacotherapy have proven efficacy for quitting, but efficacy remains limited long-term. Emerging nicotine products like e-cigarettes have unknown impacts on cessation and population health. Comprehensive efforts encompassing prevention, screening, treatment innovation, harm reduction, and policy reform focused on curbing smoking-attributable morbidity and mortality are warranted.
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spelling doaj.art-40914a987284439397b99ae699d589ec2024-01-29T10:55:49ZengSpringerOpenBulletin of the National Research Centre2522-83072024-01-0148111610.1186/s42269-024-01174-6Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targetingTamer A. Addissouky0Ibrahim El Tantawy El Sayed1Majeed M. A. Ali2Yuliang Wang3Ayman El Baz4Naglaa Elarabany5Ahmed A. Khalil6Al-Hadi University CollegeDepartment of Biochemistry, Science Faculty, Menoufia UniversityAl-Hadi University CollegeJoint International Research Laboratory of Metabolic and Developmental Sciences, Key Laboratory of Urban Agriculture (South) Ministry of Agriculture, Plant Biotechnology Research Center, Fudan-SJTU-Nottingham Plant Biotechnology R&D Center, School of Agriculture and Biology, Shanghai Jiao Tong UniversityDepartment of Basic Medical Sciences, Faculty of Medicine, Ibn Sina University for Medical SciencesBiology Department, Sajir College of Arts and Science, Shaqra UniversityDepartment of Pathology, BayState Medical CenterAbstract Background Tobacco smoking remains a major preventable cause of disease and death worldwide. Combustible cigarettes release thousands of chemicals that can initiate inflammatory pathways leading to smoking-related illness. This review aims to synthesize current scientific knowledge on mechanisms of smoking-induced disease, epidemiological trends, and clinical strategies from recent literature. Main body of the abstract At the cellular level, cigarette smoke triggers oxidative stress through reactive oxygen species (ROS), causing DNA damage. This provokes inflammatory signaling cascades mediated by damage-associated molecular patterns (DAMPs), receptors like RAGE and TLRs, and downstream cytokines. Smoking also disrupts apoptosis and autophagy. In the lungs, oxidative stress and inflammation from smoking play central roles in COPD pathogenesis. Smoking-induced oxidative DNA damage, chronic inflammation, and impaired immunity combine to promote lung carcinogenesis. For cardiovascular disease, smoking triggers endothelial dysfunction, platelet activation, and atherogenesis through oxidized LDL and effects on nitric oxide and adhesion molecules. Short conclusion Given the unequivocal evidence of health risks, smoking cessation is critical to reducing preventable death and disability. Both counseling and pharmacotherapy have proven efficacy for quitting, but efficacy remains limited long-term. Emerging nicotine products like e-cigarettes have unknown impacts on cessation and population health. Comprehensive efforts encompassing prevention, screening, treatment innovation, harm reduction, and policy reform focused on curbing smoking-attributable morbidity and mortality are warranted.https://doi.org/10.1186/s42269-024-01174-6Oxidative stressSmoking cessationHealth disparitiesE-cigarettesNicotine addiction
spellingShingle Tamer A. Addissouky
Ibrahim El Tantawy El Sayed
Majeed M. A. Ali
Yuliang Wang
Ayman El Baz
Naglaa Elarabany
Ahmed A. Khalil
Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
Bulletin of the National Research Centre
Oxidative stress
Smoking cessation
Health disparities
E-cigarettes
Nicotine addiction
title Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
title_full Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
title_fullStr Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
title_full_unstemmed Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
title_short Oxidative stress and inflammation: elucidating mechanisms of smoking-attributable pathology for therapeutic targeting
title_sort oxidative stress and inflammation elucidating mechanisms of smoking attributable pathology for therapeutic targeting
topic Oxidative stress
Smoking cessation
Health disparities
E-cigarettes
Nicotine addiction
url https://doi.org/10.1186/s42269-024-01174-6
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