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. 2023 May 3;38(13):1041–1069. doi: 10.1089/ars.2022.0087

Table 3.

Noncarcinogenic Danger-Associated Molecular Patterns from Cigarette Smoke Activate Both Innate and Adaptive Immune Cells

Cell type Effects PMID
Macrophages Increased cell activation
Increased expression of TLR4
Increased secretion of proinflammatory mediators (TNF-α)
Increased ROS production
Impaired bactericidal and phagocytotic processes
Activation of IL-1R-associated kinase, p38, and NF-κB
12033743
17630319
16004610
16620395
19409098
17947684
Neutrophils Increased cell number
Increased IL-8 production
Increased ROS production
Enhanced degradation of IκB-α/β proteins and activity of p65 and p50
6556892
12960242
DCs Increased number of immature DCs and decreased number of mature DCs
Decreased T cell stimulatory capacity and Th1-cell polarization
Increased expression of MHC-II molecules and costimulatory molecules CD40 and CD86
Increased CD4+ cells rather than CD8+ cells
18337593
25338516
16055867
NK cells Decreased NK cell numbers and activity
Decreased cytotoxic activity and cytokine production
Decreased IFN-γ, TNF-α secretions, and perforin expression
26201093
18055568
B lymphocytes Increased levels of memory B cells and memory IgG+ B cells
Increased levels of circulating IgE
Decreased IgG, IgM, and IgA
Increased expression of nicotinic receptors
19909533
24502245
14500745
25011477
T cells Increased lung CD3+, CD8+, and CD4+ T cells
Increased the percentage of CD8+ NKG2D+ cells
Enhanced percentage of CD8+ CD69+ cells and cell surface expression of CD69
Increased IFN-γ and CCR6 expression
Increased Th17 cells and Th17-related cytokines (IL-17A, IL-6, and IL-23)
Increased percentages of Treg cells
Increased activation of cytotoxic CD8+ T cells
Increased production of IL-1β, IL-6, IL-10, IL-12p70, TNF-α, and IFN-γ
Decreased CD4+ CD25+ Treg cells, Foxp3, TGF-β, and IL-10
18706444
21763119
20863413
20646637
23044435
23319833
28745532
22070100

CS affects both innate and adaptive immunity and plays dual functions in regulating immunity by promoting pathogenic immune responses or suppressing defensive immunity. Innate immune cells affected by CS include macrophages, neutrophils, DCs, and NK cells, while adaptive immune cells affected by CS mainly include T helper cells (Th1/Th2/Th17), CD4+CD25+ regulatory T cells, CD8+ T cells, B cells, and memory T/B lymphocytes.

Foxp3, forkhead box P3; TGF-β, transforming growth factor-β.