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. 2023 Jun 3;12(6):1210. doi: 10.3390/antiox12061210

Table 1.

Treatment approaches for cigarette smoke-induced lung diseases.

Respiratory Disease Therapy CS-Induced Mechanism Reference
COPD Metformin Inhibition of apoptosis through regulation of AMP kinase. [226]
Astaxanthin Inhibition of Nrf2-modulated oxidative stress and regulation of NF-κB-related inflammatory responses through binding with SIRT1. [231]
HUC-MSC-
derived EVs
Alleviation of airway inflammation in the CS-induced rat model. [232]
LPHNPs Upregulation of cytocompatibility toward bronchial epithelial cells and macrophages. [233]
Pulmonary
Fibrosis
N-acetylcysteine Replenish the levels of the antioxidant glutathione and reduce reactive oxygen species by targeting pro-inflammatory cytokines such as TNF-α, IL-1, and TGF-β. [262,263]
PDE4B inhibitors Reducing inflammation and fibrotic processes by inhibiting the degradation of cAMP. [269]
Cancer PD-1/PD-L1 inhibitors Enhance the immune system’s ability to target cancer cells and restore immune cell functionality by combining PD-L1 from cancer and PD-1 from T cells. [309]
Trastuzumab Durable anticancer activity in patients with previously treated HER2-mutant of NSCLC. [291]
Rituximab Depletes CD20-positive B cells in lung tumors. [292]
CRISPR-Cas9 Modify or correct disease-related genes causing mutations in cancer cells. [316]
CAR-T-cell improve the survival and functionality of engineered T-cells by reducing ROS and eliminating cancer cells. [318]
MSCs-exosome Cell-to-cell communication within the tumor microenvironment and suppression of angiogenesis. [321]
ARDS and
AE-COPD
Vitamin C Antioxidant vitamin C inhibits ROS-mediated NET by inactivating NADPH oxidase. [335]
ICAM/NLC Decrease pro-inflammatory cytokines in the ARDS mouse model. [338]