Literature DB >> 34093947

Is sputum cytology reliable for detection of atypical lung epithelial proliferative changes triggered by cigarette smoking?

Hussain Gadelkarim Ahmed1,2, Emad Abboh Abdallah Abboh1, Alfatih Mohamed Ahmed Alnajib1, Gamal Eldin Mohamed Osman Elhussein1, Naif K Binsaleh3, Saadalnour Abusail Mustafa4, Rania Abdeen Hussain Abdalla1, Ali Yousef Yahia Babiker5, Mohammed Siddig AbdElaziz Mohammed6.   

Abstract

BACKGROUND: In recent years, Saudi Arabia has witnessed major tobacco smoking-related disease, such as cardiovascular disease and cancer, particularly among the younger population.
METHODOLOGY: The present study aimed at evaluating the effect of cigarette smoke on lung epithelial cells.
RESULTS: This was a cross-sectional case-control study involving 300 apparently healthy volunteers living in Ha'il, Northern Saudi Arabia. Cigarette smokers (N = 100) were used as cases, and non-smokers (N = 200) were used as controls. A sputum specimen was obtained from each participant, employing all necessary safety precautions and sample adequacy measures.
RESULTS: Among 300 study subjects, cytologic atypia was identified in 14/300 (4.7%). Among the 14 cases with atypical cytologic changes, 13/14 (92.9%) were in smokers and 1/14 (7.1%) was in a non-smoker. The risk of lung cytologic atypia associated with cigarette smoking, was OR (95% CI) = 29.73 (3.82-230.87), P = 0.0001. Out of 300 study subjects, metaplasia was identified in 45/300 (15%). Among 45 cases with metaplastic changes, 26/45 (57.8%) were in the smokers and 19/45 (42.2%) were in non-smokers. The risk of lung epithelial metaplasia associated with cigarette smoking was OR (95% CI) = 3.34 (1.74-6.41), P = 0.0003.
CONCLUSION: Cigarette smoking is a significant risk for developing lung epithelial atypia, lung metaplasia, and inflammatory cell infiltrate (especially chronic inflammation). Sputum cytology is a simple, non-invasive method that can be used in screening at-risk populations for early detection of lung proliferative changes associated with tobacco smoking. IJCEP
Copyright © 2021.

Entities:  

Keywords:  Tobacco smoking; atypia; cytology; lung; metaplasia; sputum

Year:  2021        PMID: 34093947      PMCID: PMC8167489     

Source DB:  PubMed          Journal:  Int J Clin Exp Pathol        ISSN: 1936-2625


  18 in total

Review 1.  [Cytology of primary lung cancer].

Authors:  Marianne Engels
Journal:  Pathologe       Date:  2020-02       Impact factor: 1.011

2.  The effect of the duration of preoperative smoking cessation timing on outcomes after elective open abdominal aortic aneurysm repair and lower extremity bypass.

Authors:  Nkiruka Arinze; Alik Farber; Scott R Levin; Thomas W Cheng; Douglas W Jones; Carrie G Siracuse; Virendra I Patel; Denis Rybin; Gheorghe Doros; Jeffrey J Siracuse
Journal:  J Vasc Surg       Date:  2019-05-27       Impact factor: 4.268

3.  Inhibition of Rac1 activity alleviates PM2.5-induced pulmonary inflammation via the AKT signaling pathway.

Authors:  Shuijuan Zhang; Weixi Zhang; Xiaolei Zeng; Wei Zhao; Zhe Wang; Xinwei Dong; Yongliang Jia; Jian Shen; Ruijie Chen; Xixi Lin
Journal:  Toxicol Lett       Date:  2019-04-21       Impact factor: 4.372

Review 4.  Tobacco and lung cancer: risks, trends, and outcomes in patients with cancer.

Authors:  Graham W Warren; K Michael Cummings
Journal:  Am Soc Clin Oncol Educ Book       Date:  2013

5.  Sputum cytological atypia as a predictor of incident lung cancer in a cohort of heavy smokers with airflow obstruction.

Authors:  Sheila A Prindiville; Tim Byers; Fred R Hirsch; Wilbur A Franklin; York E Miller; Kieu O Vu; Holly J Wolf; Anna E Barón; Kenneth R Shroyer; Chan Zeng; Tim C Kennedy; Paul A Bunn
Journal:  Cancer Epidemiol Biomarkers Prev       Date:  2003-10       Impact factor: 4.254

6.  Prevalence of smoking among male secondary school students in Arar City, Saudi Arabia.

Authors:  Fahed Hlilan Albangy; Amal Elwan Mohamed; Sabry Mohamed Hammad
Journal:  Pan Afr Med J       Date:  2019-04-08

7.  Tobacco consumption and environmental exposure among healthcare students in King Saud University in Riyadh.

Authors:  Hussein S Amin; Abdullah N Alomair; Abdulaziz H Alhammad; Faisal A Altwijri; Abdulaziz A Altaweel; Tawfeq A Alandejani
Journal:  J Family Med Prim Care       Date:  2020-02-28

8.  Squamous Metaplasia Is Increased in the Bronchial Epithelium of Smokers with Chronic Obstructive Pulmonary Disease.

Authors:  Helen M Rigden; Ahmad Alias; Thomas Havelock; Rory O'Donnell; Ratko Djukanovic; Donna E Davies; Susan J Wilson
Journal:  PLoS One       Date:  2016-05-26       Impact factor: 3.240

9.  Macrophage Depletion Protects against Cigarette Smoke-Induced Inflammatory Response in the Mouse Colon and Lung.

Authors:  Dahae Lim; Woogyeong Kim; Chanju Lee; Hyunsu Bae; Jinju Kim
Journal:  Front Physiol       Date:  2018-02-12       Impact factor: 4.566

10.  The Prevalence of Smoking (Cigarette and Waterpipe) among University Students in Some Arab Countries: A Systematic Review.

Authors:  Abdulsalam M A Nasser; Yarui Geng; Samer Abdo Al-Wesabi
Journal:  Asian Pac J Cancer Prev       Date:  2020-03-01
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