From: Rheumatoid arthritis and smoking: putting the pieces together
Effect of smoking | Details |
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Immune cells | Exposure to cigarette smoke results in the depression of phagocytic and antibacterial functions of alveolar macrophages [6, 7]. |
 | Killing of intracellular bacteria in smokers' alveolar macrophages is impaired [8]. |
 | Owing to smoke condensate, the primary immune response is diminished [9]. |
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 | Nicotinic acetylcholine receptor is involved in the suppression of antimicrobial activity [16]. |
 | Nicotine decreases the induction of antigen-presenting cell-dependent T-cell responses in dendritic cells [10]. |
 | Nicotine attenuates neutrophil functions such as superoxide production [10]. |
Cytokine production | Due to smoke exposure, lipopolysaccharide-induced TNF secretion of alveolar macrophages from experimental animals is decreased [11, 12]. |
 | Smokers' alveolar macrophages release less TNFα, IL-1 and IL-6 [13, 14]. |
 | Nicotine decreases the production of IL-12 in dendritic cells [10]. |
 | Nicotinic acetylcholine receptor is involved in the downregulation of IL-6, IL-12, and TNFα [16]. |
 | Acetylcholine attenuates the release of TNF, IL-1 and IL-6 in lipopolysaccharide-induced human macrophage cultures [17]. |
 | Hydroquinone causes suppression in the production of IL-1, IFNγ and TNFα in human macrophages [19]. |
 | Hydroquinone inhibits IFNγ secretion in lymphocytes [20]. |
 | Unsaturated aldehydes evoke the release of IL-8 and TNFα in human macrophages [21]. |
Oxidative stress | Smoke contains high amounts of free radicals. |
 | Smoke induces the depletion of intracellular glutathione, resulting in cell injury [23]. |
 | Owing to smoking, redox-sensitive NF-κB and activator protein-1 are activated [22]. |
 | Activator protein-1 is a cis-acting factor bound to the promoter of PAD4 [27]. |
 | Agents, acting on cysteine sulfhydril groups, inactivate peptidyl arginine deiminase, while reduced compounds enhance its activity [28]. |
 | Peptidyl arginine deiminase expression and activity are increased in the lungs of smokers [29]. |
Anti-estrogenic effect | Smoking has an anti-estrogenic effect through the formation of inactive estrogens [30]. |
Fibrinogen | Smokers have higher levels of serum fibrinogen [31]. |