Literature DB >> 28627972

Immunomodulatory effects of cigarette smoke condensate in mouse macrophage cell line.

Junwei Zhao1, Xiang Li1, Fuwei Xie1, Zhihua Yang2, Xiujie Pan2, Maoxiang Zhu2, Pingping Shang1, Cong Nie1, Huimin Liu1, Jianping Xie1.   

Abstract

Increasing evidence has demonstrated that the secretion of cytokines may be associated with cigarette smoke-induced immunomodulatory effects, but a comprehensive analysis of the cytokine profile for cigarette smoke condensate (CSC) exposure is lacking. The aims of this study were to (1) examine the release of 20 cytokines induced by CSC from 12 brands of cigarettes in macrophages cells (Ana-1) and (2) to investigate the general characteristics of the immunomodulatory effects of CSC. Luminex technology was used to simultaneously determine the levels of 20 cytokines (interleukin (IL)-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, IL-12, IL-13, IL-17, granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon-γ (IFN-γ), keratinocyte-derived Chemokine (KC), monocyte chemoattractant protein 1 (MCP-1), macrophage inflammatory protein 1α (MIP-1α), induced protein 10 (IP-10), tumor necrosis factor α (TNF-α), vascular endothelial growth factor (VEGF), monkine inducible by γ interferon (MIG), and fibroblast growth factor (FGF)-basic) in the supernatants from Ana-1 cells treated with the CSC. The results showed that the release of eight cytokines was altered (IL-5, IL-6, IL-12, TNF-α, VEGF, IP-10, MCP-1, and MIP-1α) compared with the control. These cytokines fall into two major subtypes: proinflammatory cytokines, including IL-5, IL-6, IL-12, TNF-α, and VEGF, and chemokines, including IP-10, MCP-1, and MIP-1α. Compared with control, the remaining 12 cytokines were not significantly affected by CSC from the 12 brands of cigarettes. As a general characteristic, CSC exerts potently suppressive immunomodulatory effects on cytokine production of Ana-1 cells. Proinflammatory cytokines and chemokines may account for or contribute to the immunosuppressive properties of CSC.

Entities:  

Keywords:  cigarette smoke condensate; cytokines; immunomodulatory; macrophage cells

Mesh:

Substances:

Year:  2017        PMID: 28627972      PMCID: PMC5815266          DOI: 10.1177/0394632017716370

Source DB:  PubMed          Journal:  Int J Immunopathol Pharmacol        ISSN: 0394-6320            Impact factor:   3.219


Introduction

Tobacco smoke is a complex mixture of thousands of different chemicals, many of which have immunotoxicity.[1] Many constituents of cigarette smoke not only modulate the function of immune cells in vitro and/or after in vivo administration[2] but also impact the immunomodulatory response in a variety of experimental animal models and humans.[3] Increasing evidence has demonstrated that the effects of cigarette smoke on the immune system may reflect the cumulative effects of both immunosuppressive and immunostimulatory components in cigarette smoke. Cytokines are small molecules with large roles in modulating immune reactions. Macrophages may be activated by cigarette smoke condensate (CSC) to release inflammatory mediators. Several studies have shown that cigarette smoking is associated with mitogenic responses in lung lymphocytes and the production of interleukin (IL)-1β, IL-6, and tumor necrosis factor α (TNF-α) by peripheral blood mononuclear cells (PBMCs) and macrophages.[4] Macrophages play an important role in all organisms and are essential mediators of the immune system that contribute to inflammation and regulate tissue homeostasis.[5] As one type of mouse macrophages, the Ana-1 cell line has been used to assess toxicological effects due to cigarette smoke.[6] Macrophages play a major role in releasing cytokines, which regulate innate, adaptive immunity, cell growth, and tissue destruction. The aim of this study was to investigate the general characteristics of the immunomodulatory effects of CSC. We selected the Ana-1 cell line and used Luminex technology to assess the release of 20 cytokines (IL-1a, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, IL-12, IL-13, IL-17, granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon-γ (IFN-γ), keratinocyte-derived chemokine (KC), monocyte chemoattractant protein 1 (MCP-1), macrophage inflammatory protein 1α (MIP-1α), induced protein 10 (IP-10), TNF-α, vascular endothelial growth factor (VEGF), monkine inducible by γ interferon (MIG), and fibroblast growth factor (FGF)-basic) from macrophages stimulated with CSC from 12 brands of cigarettes.

Materials and methods

Reagents and equipment

Ana-1 is a macrophage cell line, isolated from mouse thymus, obtained from the Cell Bank of the Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences (China). RPMI 1640 culture medium and fetal bovine serum (FBS) were purchased from Gibco Co. Ltd (USA). The Cell Counting Kit-8 (CCK-8) was purchased from the Tokyo Institute of Japan. The Mouse Cytokine 20-Plex Panel was purchased from Life Technologies (USA). A high-speed centrifuge was purchased from Thermo Fisher Scientific (USA). A Bio-Plex Liqui Chip was purchased from Bio-Bad (USA), and 96-well plates were purchased from Corning Costar (USA). RM-20H smoking machine was purchased from Borgwaldt KC (Germany). Fully humidified incubator was purchased from Thermo Fisher Scientific (Germany). The 12 brands of cigarettes used are shown in Table 1.
Table 1.

Characteristics of study samples.

BrandTypeSpecificity
Origin
Tar[a]Nicotine[a]CO[a]
C1Blended-type cigarette90.711Anhui Province, China
C2Flue-cured cigarette121.112Yunnan Province, China
C3Flue-cured cigarette101.013Hunan Province, China
C4Flue-cured cigarette111.113Hubei Province, China
C5Flue-cured cigarette101.011Henan Province, China
C6Blended-type cigarette71.09Fujian Province, China
C7Flue-cured cigarette111.011Zhejiang Province, China
C8Flue-cured cigarette60.68Fujian Province, China
C9Blended-type cigarette111.012Guangdong Province, China
C10Flue-cured cigarette80.89Yunnan Province, China
C11Flue-cured cigarette80.810Jilin Province, China
C12Blended-type cigarette80.710Beijing, China

Label of cigarette case.

Characteristics of study samples. Label of cigarette case.

Preparation of CSC

Cigarettes of 12 brands were conditioned unpacked in open containers following ISO standards[7] (at least 48 h at target conditions of 22°C ± 1°C and a relative humidity of 60% ± 3%). Borgwaldt RM-20H smoking machine was used to collect cigarette smoke. Total particulate matter was collected on glass fiber filters extracted with dimethyl sulfoxide (DMSO) followed by sterile filtration and then stored at −70°C.

Cell culture

Ana-1 cells were cultured in RPMI 1640 medium, which was supplemented with 10% FBS, 100 units/mL penicillin, and 100 mg/mL streptomycin at 37°C in a fully humidified incubator containing 5% CO2.

Cell inhibition assay

The exposure experiment of Ana-1 cells to CSC with the concentrations of 0, 12.5, 25, 50, 100, and 200 µg/mL was conducted. Cell viability was measured by CCK-8 assay. Each sample was assayed in sixtuplicate, and the values were expressed as mean of six experiments. Next, 2 × 105 cells/well were seeded into a 96-well culture plate at a final volume of 200 µL. After 24 h of treatment, 10 µL of CCK-8 was added into each well and incubated for 90 min at 37°C in a 5% CO2 incubator. The absorbance at 490 nm was measured using a microplate reader. The inhibition rate was calculated using the following equation: Inhibition rate = [(experimental group − blank group)/(control group − blank group)] × 100%. An inhibition curve was plotted based on the CSC concentration and the inhibition rate. The concentrations of CSC selected (cell viability is more than 80%) were used for testing cytokines in this study.[8]

Detection of cytokines after treatment with CSC

Detection of cytokines of CSC treated with the concentrations of 0, 2.5, 5, 10, and 20 µg/mL was assessed. The assay was performed in five replicates for each group. Next, 2 × 105 cells/well were seeded into a 96-well culture plate to a final volume of 200 µL. After 24 h of treatment, cells were centrifuged at 1000 g for 10 min and then cell-free supernatants were recovered and stored at −80°C for subsequent analysis. All assays were performed according to the Mouse Cytokine 20-Plex Panel kit instructions. Median fluorescence intensities were collected on a Luminex-100 instrument using Bio-Plex Manager software version 6. Standard curves for each cytokine were generated using the premixed lyophilized standards provided in the kits. Cytokine concentrations in samples were determined from the appropriate standard curve. Each sample was run the five replicates, and the average of these replicates was used as the present data.

Statistical analyses

The results are shown as the mean of the observed concentration of cytokines for CSC. A statistical analysis of the results was performed, and the statistical significance of the differences was tested using Fisher’s test. Differences between groups were considered significant at P < 0.05, and the actual P values are indicated for each series of experiments. A complete statistical analysis of the data was conducted with the statistical software package, SPSS Statistics 19.0 (IBM, USA).

Results

Effect of CSC exposure on viability

CSC differentially induced cytotoxicity and reduced cell viability in a concentration-dependent manner in the macrophage cell line Ana-1, as measured by CCK-8 assay. For 12 brands of CSC, CCK-8 assay indicated that the number of Ana-1 cells in the CSC-treated group was lower than that of the control group (P < 0.05). CSC significantly inhibited the proliferation of Ana-1 cells after 24 h of treatment. The data are shown in Figure 1.
Figure 1.

The results show cell viability after exposure for 24 h to CSC from 12 brands (n = 6) as the mean ± standard deviation.

The results show cell viability after exposure for 24 h to CSC from 12 brands (n = 6) as the mean ± standard deviation.

Levels of cytokines after exposure to CSC from 12 brands of cigarette

Compared with control (Table 2), the release of IL-5, IL-6, IL-12, TNF-α, IP-10, MCP-1, MIP-1α, and VEGF (expect C10) (Table 3) was significantly different for all 12 brands of cigarettes (P < 0.05). However, there was no significant difference between some cytokines (IL-1α, IL-1β, IL-2, IL-4, IL-10, IL-13, IL-17, GM-CSF, IFN-γ, KC, MIG, and FGF-basic) and control (P > 0.05) (Table 2).
Table 2.

Release of 20 cytokines for the control (non-stimulated macrophages).

CytokineRelease level (mean ± SD) (pg/mL)
FGF-basic192.47 ± 8.20
GM-CSF23.98 ± 1.40
IFN-γ25.18 ± 2.14
IL-1α36.49 ± 1.96
IL-1β91.78 ± 6.98
IL-233.75 ± 2.37
IL-4240.59 ± 18.23
IL-51092.68 ± 106.58
IL-65137.66 ± 257.06
IL-101297.45 ± 84.43
IL-12173.01 ± 16.31
IL-13108.56 ± 9.36
IL-177.56 ± 0.64
IP-103332.97 ± 678.80
KC1004.74 ± 41.33
MCP-13498.78 ± 466.58
MIG361.47 ± 21.89
MIP-1α54,242.08 ± 8325.12
TNF-α2028.48 ± 464.00
VEGF1995.03 ± 252.24

SD: standard deviation; FGF: fibroblast growth factor; GM-CSF: granulocyte-macrophage colony-stimulating factor; IL: interleukin; IP-10: induced protein 10; VEGF: vascular endothelial growth factor; MCP-1: monocyte chemoattractant protein 1; MIP-1α) macrophage inflammatory protein 1α; TNF-α: tumor necrosis factor α; IFN-γ: interferon-γ.

Table 3.

Cytokine profiling of lower limits of detection with CSC exposure.

Cigarette samplesBiologic functionCytokineLower limit of detection (µg/mL CSC)Release level (mean ± SD) (pg/mL)P value
C1InterleukinsIL-5101049.07 ± 8.620.045
IL-62.54958.46 ± 243.250.013
IL-125178.87 ± 3.140.006
ChemokinesIP-102.54003.55 ± 450.70<0.001
MCP-12.53091.60 ± 281.950.004
MIP-1α205346.08 ± 1496.87<0.001
Growth factorsVEGF52114.88 ± 88.700.005
Tumor necrosis factorTNF-α52076.27 ± 59.73<0.001
C2InterleukinsIL-510999.75 ± 54.01<0.001
IL-62.53910.23 ± 311.790.001
IL-1210144.21 ± 9.300.003
ChemokinesIP-102.53896.13 ± 575.93<0.001
MCP-12.53020.66 ± 118.960.006
MIP-1α208186.74 ± 1945.78<0.001
Growth factorsVEGF201402.73 ± 47.66<0.001
Tumor necrosis factorTNF-α2.51969.39 ± 79.450.048
C3InterleukinsIL-520543.54 ± 21.240.019
IL-652461.313 ± 1262.00<0.001
IL-122080.01 ± 6.810.030
ChemokinesIP-10101278.39 ± 231.750.043
MCP-1201030.51 ± 68.08<0.001
MIP-1α202114.36 ± 370.800.001
Growth factorsVEGF201012.15 ± 326.240.041
Tumor necrosis factorTNF-α20248.90 ± 72.43<0.001
C4InterleukinsIL-510884.12 ± 101.930.004
IL-653202.08 ± 979.880.001
IL-1210117.45 ± 31.740.001
ChemokinesIP-10101492.63 ± 83.89<0.001
MCP-1201137.29 ± 185.70<0.001
MIP-1α202037.31 ± 187.56<0.001
Growth factorsVEGF20854.11 ± 156.700.005
Tumor necrosis factorTNF-α20167.52 ± 66.78<0.001
C5InterleukinsIL-551114.46 ± 29.830.021
IL-62.53648.16 ± 511.83<0.001
IL-1210147.88 ± 10.400.005
ChemokinesIP-102.52265.18 ± 102.72<0.001
MCP-1102517.43 ± 93.67<0.001
MIP-1α208232.52 ± 898.63<0.001
Growth factorsVEGF201285.77 ± 86.27<0.001
Tumor necrosis factorTNF-α101775.41 ± 63.580.002
C6InterleukinsIL-520549.72 ± 36.720.039
IL-62.55123.25 ± 349.120.001
IL-125177.77 ± 7.270.001
ChemokinesIP-102.540,003.55 ± 450.700.001
MCP-1102550.83 ± 224.64<0.001
MIP-1α201977.30 ± 512.06<0.001
Growth factorsVEGF101945.85 ± 145.880.001
Tumor necrosis factorTNF-α102019.75 ± 116.600.001
C7InterleukinsIL-520648.54 ± 145.99<0.001
IL-655528.61 ± 1373.020.025
IL-125184.23 ± 18.680.006
ChemokinesIP-102.54866.26 ± 1112.070.042
MCP-152950.79 ± 216.110.013
MIP-1α2046,429.79 ± 57,254.800.003
Growth factorsVEGF203237.31 ± 533.890.028
Tumor necrosis factorTNF-α20498.53 ± 49.62<0.001
C8InterleukinsIL-5101145.75 ± 44.020.003
IL-6102768.47 ± 251.340.010
IL-122091.44 ± 4.780.047
ChemokinesIP-1053542.57 ± 23.920.042
MCP-154698.25 ± 496.070.038
MIP-1α203388.37 ± 747.960.036
Growth factorsVEGF201279.67 ± 96.170.024
Tumor necrosis factorTNF-α20214.95 ± 17.30<0.001
C9InterleukinsIL-5101053.83 ± 52.70<0.001
IL-62.55078.52 ± 188.87<0.001
IL-125178.15 ± 6.580.047
ChemokinesIP-10102153.12 ± 276.800.044
MCP-153403.97 ± 357.540.008
MIP-1α202841.48 ± 547.03<0.001
Growth factorsVEGF201582.33 ± 56.27<0.001
Tumor necrosis factorTNF-α2.52357.16 ± 88.24<0.001
C10InterleukinsIL-520638.38 ± 31.08<0.001
IL-655528.61 ± 1373.010.038
IL-1220104.41 ± 6.70<0.001
ChemokinesIP-1057768.87 ± 2750.43<0.001
MCP-1102614.74 ± 177.560.001
MIP-1α2027,647.41 ± 5080.000.000
Tumor necrosis factorTNF-α20634.19 ± 22.88<0.001
C11InterleukinsIL-5101037.19 ± 195.450.022
IL-654666.14 ± 272.450.002
IL-1220100.31 ± 3.700.007
ChemokinesIP-1051798.974 ± 549.03<0.001
MCP-154975.74 ± 426.890.043
MIP-1α202790.32 ± 804.59<0.001
Growth factorsVEGF201612.03 ± 168.470.002
Tumor necrosis factorTNF-α20286.30 ± 48.72<0.001
C12InterleukinsIL-520475.36 ± 25.89<0.001
IL-6102659.19 ± 134.470.004
IL-122074.18 ± 6.830.001
ChemokinesIP-1051867.55 ± 101.760.002
MCP-1102148.69 ± 139.000.042
MIP-1α202176.66 ± 383.20<0.001
Growth factorsVEGF201306.18 ± 67.250.026
Tumor necrosis factorTNF-α101614.70 ± 66.950.037

CSC: cigarette smoke condensate; SD: standard deviation; IL: interleukin; IP-10: induced protein 10; MCP-1: monocyte chemoattractant protein 1; MIP-1α: macrophage inflammatory protein 1α; TNF-α: tumor necrosis factor α; VEGF: vascular endothelial growth factor.

Release of 20 cytokines for the control (non-stimulated macrophages). SD: standard deviation; FGF: fibroblast growth factor; GM-CSF: granulocyte-macrophage colony-stimulating factor; IL: interleukin; IP-10: induced protein 10; VEGF: vascular endothelial growth factor; MCP-1: monocyte chemoattractant protein 1; MIP-1α) macrophage inflammatory protein 1α; TNF-α: tumor necrosis factor α; IFN-γ: interferon-γ. Cytokine profiling of lower limits of detection with CSC exposure. CSC: cigarette smoke condensate; SD: standard deviation; IL: interleukin; IP-10: induced protein 10; MCP-1: monocyte chemoattractant protein 1; MIP-1α: macrophage inflammatory protein 1α; TNF-α: tumor necrosis factor α; VEGF: vascular endothelial growth factor.

Cytokine profiling of lower limits of detection with CSC treatment

Lower limits of detection for 12 brands of CSC were IL-6 and IP-10, which were significantly reduced compared with the control group (⩽10 µg/mL). For CSC from all 12 brands, relatively low amounts (5–20 µg/mL) of IL-5, IL-12, and MCP-1 were detected. In contrast, the lower limits of detection for VEGF, MIP-1α, and TNF-α were not very sensitive (⩾20 µg/mL). The results are shown in Table 3.

Discussion

Several studies have demonstrated that macrophages from smokers are functionally impaired and secrete significantly lower levels of cytokines.[9] However, the impact of CSC exposure on macrophage cytokine secretion in vitro is not known. To investigate the general characteristics of the immunomodulatory effects of cigarette smoke, we used Luminex technology to assess the secretion of 20 cytokines from Ana-1 cells exposed to CSC from 12 brands of cigarettes. The results demonstrated that 8 of the 20 cytokines measured were secreted at significantly lower levels after exposure to CSC from 12 brands of cigarettes. Our data showed that CSC differentially induced cytotoxicity. It has been demonstrated that cigarette smoke extract not only decreased cell viability but also induced apoptosis of Ana-1 cells.[6] Previous studies have also shown that exposure of human umbilical vein endothelial cells (HUVECs) to cigarette smoke extract led to phase cell cycle arrest.[10] Our study shows that CSC induced reduction in release of several cytokines, such as IL-5, IL-6, IL-12, TNF-α, IP-10, MCP-1, MIP-1α, and VEGF. The affected cytokines constitute two major subtypes: proinflammatory cytokines, including IL-5, IL-6, IL-12, TNF-α, and VEGF, and chemotactic cytokines, including IP-10, MCP-1, and MIP-1α. These subtypes are both known to play an important role in the immune response to infections. In light of our results, changes in the expression of these cytokines might explain, at least in part, the delayed wound repair process, increased susceptibility to infections, and relative resistance to some inflammatory diseases observed in smokers.[11] The effects on cytokines observed in this study can be supported by other studies.[12,13] In this report, lower limits of detection with CSC exposure showed that IL-6 and IP-10 were reduced significantly compared with the control group in a dose-dependent manner in Ana-1 cells treated with the majority of CSC. Specifically, 5 µg/mL CSC did not affect cell viability but significantly induced the secretion of these cytokines. In contrast, VEGF, MIP-1α, and TNF-α were not sensitive to CSC. Indeed, 20 µg/mL CSC significantly reduced the secretion of some cytokines. For example, IL-5, IL-12, and MCP-1 had distinct lower limits of detection. These phenomena indicate that the diverse components of cigarette smoke may impact its immunomodulatory effects in Ana-1 cells.

Limitation

We do only tested one mouse macrophage for viability and cytokine production. This is the limitation of our study. We learned that the Ana-1 cell has been used to assess toxicological effects due to cigarette smoke. So, Ana-1 was selected in this study. In the further work, we will test CSC’s effects in primary macrophage for viability and cytokine production.
  11 in total

Review 1.  Effects of cigarette smoke on the immune system.

Authors:  Mohan Sopori
Journal:  Nat Rev Immunol       Date:  2002-05       Impact factor: 53.106

2.  Cigarette smoke is an endothelial stressor and leads to cell cycle arrest.

Authors:  Blair Henderson; Adam Csordas; Aleksandar Backovic; Michaela Kind; David Bernhard; Georg Wick
Journal:  Atherosclerosis       Date:  2008-02-29       Impact factor: 5.162

3.  Cigarette smoke exposure attenuates cytokine production by mouse alveolar macrophages.

Authors:  Gordon J Gaschler; Caleb C J Zavitz; Carla M T Bauer; Marko Skrtic; Maria Lindahl; Clinton S Robbins; Biao Chen; Martin R Stämpfli
Journal:  Am J Respir Cell Mol Biol       Date:  2007-09-13       Impact factor: 6.914

4.  Crotonaldehyde induces apoptosis and immunosuppression in alveolar macrophages.

Authors:  Bi-cheng Yang; Zhi-hua Yang; Xiu-jie Pan; Xing-yu Liu; Mao-xiang Zhu; Jian-ping Xie
Journal:  Toxicol In Vitro       Date:  2012-09-20       Impact factor: 3.500

5.  Cytokine production by alveolar macrophages is down regulated by the alpha-methylhydroxylation pathway of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK).

Authors:  Léa-Isabelle Proulx; André Castonguay; Elyse Y Bissonnette
Journal:  Carcinogenesis       Date:  2004-02-04       Impact factor: 4.944

Review 6.  Immunomodulatory effects of cigarette smoke.

Authors:  M L Sopori; W Kozak
Journal:  J Neuroimmunol       Date:  1998-03-15       Impact factor: 3.478

Review 7.  Effects of tobacco smoke on immunity, inflammation and autoimmunity.

Authors:  Yoav Arnson; Yehuda Shoenfeld; Howard Amital
Journal:  J Autoimmun       Date:  2009-12-29       Impact factor: 7.094

8.  Toxicological effects of cigarette smoke on Ana-1 macrophages in vitro.

Authors:  Fengjiao Yuan; Ping Dong; Xiang Wang; Xiao Fu; Mingjun Dai; Weiyun Zhang
Journal:  Exp Toxicol Pathol       Date:  2013-03-19

9.  Alpha,beta-unsaturated aldehydes in cigarette smoke release inflammatory mediators from human macrophages.

Authors:  Fabrizio Facchinetti; Francesco Amadei; Pierangelo Geppetti; Francesca Tarantini; Claudia Di Serio; Alberto Dragotto; Paolo M Gigli; Silvia Catinella; Maurizio Civelli; Riccardo Patacchini
Journal:  Am J Respir Cell Mol Biol       Date:  2007-06-28       Impact factor: 6.914

10.  Apigenin induces the apoptosis and regulates MAPK signaling pathways in mouse macrophage ANA-1 cells.

Authors:  Yuexia Liao; Weigan Shen; Guimei Kong; Houning Lv; Wenhua Tao; Ping Bo
Journal:  PLoS One       Date:  2014-03-19       Impact factor: 3.240

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Authors:  Agnieszka Strzelak; Aleksandra Ratajczak; Aleksander Adamiec; Wojciech Feleszko
Journal:  Int J Environ Res Public Health       Date:  2018-05-21       Impact factor: 3.390

2.  Tobacco extracts promote PD-L1 expression and enhance malignant biological differences via mTOR in gefitinib-resistant cell lines.

Authors:  Fengqi Xiao; Yanguo Liu; Zhihui Zhang; Luojia Wang; Ting Wang; Xiuwen Wang
Journal:  Thorac Cancer       Date:  2020-06-18       Impact factor: 3.500

3.  Cigarette Smoking Modulation of Saliva Microbial Composition and Cytokine Levels.

Authors:  Mary Rodríguez-Rabassa; Pablo López; Ronald E Rodríguez-Santiago; Antonio Cases; Marcos Felici; Raphael Sánchez; Yasuhiro Yamamura; Vanessa Rivera-Amill
Journal:  Int J Environ Res Public Health       Date:  2018-11-07       Impact factor: 3.390

4.  Cigarette smoke alters inflammatory genes and the extracellular matrix - investigations on viable sections of peripheral human lungs.

Authors:  Helena Obernolte; Monika Niehof; Peter Braubach; Hans-Gerd Fieguth; Danny Jonigk; Olaf Pfennig; Thomas Tschernig; Gregor Warnecke; Armin Braun; Katherina Sewald
Journal:  Cell Tissue Res       Date:  2021-11-25       Impact factor: 5.249

Review 5.  Tobacco Use and Response to Immune Checkpoint Inhibitor Therapy in Non-Small Cell Lung Cancer.

Authors:  Lucy K Corke; Janice J N Li; Natasha B Leighl; Lawson Eng
Journal:  Curr Oncol       Date:  2022-08-30       Impact factor: 3.109

6.  Anti-HIV Activity of Cucurbitacin-D against Cigarette Smoke Condensate-Induced HIV Replication in the U1 Macrophages.

Authors:  Sunitha Kodidela; Namita Sinha; Asit Kumar; Santosh Kumar
Journal:  Viruses       Date:  2021-05-27       Impact factor: 5.048

7.  E-cigarettes: Effects in phagocytosis and cytokines response against Mycobacterium tuberculosis.

Authors:  Andromeda-Celeste Gómez; Pablo Rodríguez-Fernández; Raquel Villar-Hernández; Isidre Gibert; Beatriz Muriel-Moreno; Alicia Lacoma; Cristina Prat-Aymerich; Jose Domínguez
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