Influence of Cigarette Smoking on Blood Cell Subpopulations, Plasma Proteins, Cytokines, and Chemokines in Adult Healthy Individuals

Authors

  • Thitiya Luetragoon Cellular and Molecular Immunology Research Unit, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok Province, Thailand

Keywords:

Cigarette smoking, Blood cells, Plasma proteins, Cytokines, Chemokines

Abstract

Cigarette smoke contains various toxic, carcinogenic and addictive substances. Cigarette smoking is an unhealthy lifestyle with increasing risks for cancer and various diseases. We investigated the influence of cigarette smoking on systemic immunological biomarkers in adult healthy individuals. Three hundred fifty-seven adult healthy participants, consisting of 135 cigarette smokers (smokers) and 222 who never have been smoking (non-smokers), were included for this investigation. Rapid and low-cost blood-based biomarkers were analyzed. Abnormal test results of platelets, total white blood cells and its subpopulations and reticulocytes were found in the smoker participants. Alterations of plasma proteins (CRP and PDGF), cytokines (IL-2, IL-6, IFN-g, and TNF-α) and chemokines (MCP-1, MIP-1β and RANTES) was found. No influence on levels of these plasma biomarkers was observed when comparing neither female and male smokers nor young (< 50 years) smokers and non-smokers Additive Influence of age and smoking on these blood-based biomarkers was detected in the older (≥ 50 years) smokers. Gender and aging have a marginal influence on some systemic blood cell and plasma immune response biomarkers of healthy individuals, including platelets, total white blood cells, IL-6, PDGF, and TNF-α. Cigarette smoking dysregulated systemic immunological response in adult healthy individuals, and an apparent increase was observed in old age smokers. Our investigation suggested that the rapid and low-cost blood-based biomarkers might be suitable for monitoring host immunological status in clinical studies of smokers, cigarette smoking-associated diseases and motivate adult healthy smokers or smoking patients to quit smoking.

References

GBD 2015 Tobacco Collaborators. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015. Lancet (London, England). 2017;389(10082):1885-906.

Laytragoon Lewin N, Karlsson JE, Robinsson D, Fagerberg M, Kentsson M, Sayardoust S, et al. Influence of single nucleotide polymorphisms among cigarette smoking and non-smoking patients with coronary artery disease, urinary bladder cancer and lung cancer. PLoS One. 2021;16(1):e0243084.

Laytragoon-Lewin N, Bahram F, Rutqvist LE, Turesson I, Lewin F. Direct effects of pure nicotine, cigarette smoke extract, Swedish-type smokeless tobacco (Snus) extract and ethanol on human normal endothelial cells and fibroblasts. Anticancer Res. 2011;31(5):1527-34.

Roxburgh CS, McMillan DC. Role of systemic inflammatory response in predicting survival in patients with primary operable cancer. Future Oncol. 2010;6(1):149-63.

Fox P, Hudson M, Brown C, Lord S, Gebski V, De Souza P, et al. Markers of systemic inflammation predict survival in patients with advanced renal cell cancer. Br J Cancer. 2013;109(1):147-53.

Wang X, Yang X, Tsai Y, Yang L, Chuang KH, Keng PC, et al. IL-6 Mediates Macrophage Infiltration after Irradiation via Up-regulation of CCL2/CCL5 in Non-small Cell Lung Cancer. Radiat Res. 2017;187(1):50-9.

Soria G, Ben-Baruch A. The inflammatory chemokines CCL2 and CCL5 in breast cancer. Cancer Lett. 2008;267(2):271-85.

Andersson BA, Lewin F, Lundgren J, Nilsson M, Rutqvist LE, Lofgren S, et al. Plasma tumor necrosis factor-alpha and C-reactive protein as biomarker for survival in head and neck squamous cell carcinoma. J Cancer Res Clin Oncol. 2014;140(3):515-9.

Yuan S, Titova OE, Damrauer SM, Akesson A, Larsson SC. Swedish snuff (snus) dipping, cigarette smoking, and risk of peripheral artery disease: a prospective cohort study. Sci Rep. 2022;12(1):12139.

Benjamini Y, Hochberg Y. Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing. J R Stat Soc Series B Stat Methodol. 1995;57(1):289-300.

Strindhall J, Skog M, Ernerudh J, Bengner M, Lofgren S, Matussek A, et al. The inverted CD4/CD8 ratio and associated parameters in 66-year-old individuals: the Swedish HEXA immune study. Age (Dordr). 2013;35(3):985-91.

Muller L, Pawelec G. Aging and immunity - impact of behavioral intervention. Brain Behav Immun. 2014;39:8-22.

Pepper JK, Nguyen Zarndt A, Eggers ME, Nonnemaker JM, Portnoy DB. Impact of Pictorial Cigarette Warnings Compared With Surgeon General's Warnings on Understanding of the Negative Health Consequences of Smoking. Nicotine Tob Res. 2020;22(10):1795-804.

Cederblad L, Thunberg U, Engstrom M, Castro J, Rutqvist LE, Laytragoon-Lewin N. The combined effects of single-nucleotide polymorphisms, tobacco products, and ethanol on normal resting blood mononuclear cells. Nicotine Tob Res. 2013;15(5):890-5.

Hansson GK. Inflammation, atherosclerosis, and coronary artery disease. N Engl J Med. 2005;352(16):1685-95.

Murray LA, Dunmore R, Camelo A, Da Silva CA, Gustavsson MJ, Habiel DM, et al. Acute cigarette smoke exposure activates apoptotic and inflammatory programs but a second stimulus is required to induce epithelial to mesenchymal transition in COPD epithelium. Respir Res. 2017;18(1):82.

Boehm RE, Do Nascimento SN, Cohen CR, Bandiera S, Pulcinelli RR, Balsan AM, et al. Cigarette smoking and antioxidant defences in packed red blood cells prior to storage. Blood Transfus. 2020;18(1):40-8.

Csordas A, Bernhard D. The biology behind the atherothrombotic effects of cigarette smoke. Nat Rev Cardiol. 2013;10(4):219-30.

Liu C, Chu D, Kalantar-Zadeh K, George J, Young HA, Liu G. Cytokines: From Clinical Significance to Quantification. Adv Sci (Weinh). 2021;8(15):e2004433.

Dinarello CA. Proinflammatory cytokines. Chest. 2000;118(2):503-8.

Kany S, Vollrath JT, Relja B. Cytokines in Inflammatory Disease. Int J Mol Sci. 2019;20(23).

Liu J, Liang Q, Frost-Pineda K, Muhammad-Kah R, Rimmer L, Roethig H, et al. Relationship between biomarkers of cigarette smoke exposure and biomarkers of inflammation, oxidative stress, and platelet activation in adult cigarette smokers. Cancer Epidemiol Biomarkers Prev. 2011;20(8):1760-9.

Barbieri SS, Zacchi E, Amadio P, Gianellini S, Mussoni L, Weksler BB, et al. Cytokines present in smokers' serum interact with smoke components to enhance endothelial dysfunction. Cardiovasc Res. 2011;90(3):475-83.

Sgambato JA, Jones BA, Caraway JW, Prasad GL. Inflammatory profile analysis reveals differences in cytokine expression between smokers, moist snuff users, and dual users compared to non-tobacco consumers. Cytokine 2018; 107: 43–51.

Sharp L, McDevitt J, Carsin AE, Brown C, Comber H. Smoking at diagnosis is an independent prognostic factor for cancer-specific survival in head and neck cancer: findings from a large, population-based study. Cancer Epidemiol Biomarkers Prev. 2014;23(11):2579-90.

Graham PD, Thigpen SC, Geraci SA. Lung cancer in women. South Med J. 2013;106(10):582-7.

Sheikh M, Mukeriya A, Shangina O, Brennan P, Zaridze D. Postdiagnosis Smoking Cessation and Reduced Risk for Lung Cancer Progression and Mortality : A Prospective Cohort Study. Ann Intern Med. 2021.

Pujani M, Chauhan V, Singh K, Rastogi S, Agarwal C, Gera K. The effect and correlation of smoking with platelet indices, neutrophil lymphocyte ratio and platelet lymphocyte ratio. Hematol Transfus Cell Ther. 2021;43(4):424-9.

Gumus F, Solak I, Eryilmaz MA. The effects of smoking on neutrophil/lymphocyte, platelet/ /lymphocyte ratios. Bratisl Lek Listy. 2018;119(2):116-9.

Pujani M, Chauhan V, Singh K, Rastogi S, Agarwal C, Gera K. The effect and correlation of smoking with platelet indices, neutrophil lymphocyte ratio and platelet lymphocyte ratio. Hematol Transfus Cell Ther. 2021;43(4):424-9.

Choquet H, Yin J, Jorgenson E. Cigarette smoking behaviors and the importance of ethnicity and genetic ancestry. Transl Psychiatry. 2021;11(1):120

Downloads

Published

2023-08-31 — Updated on 2023-09-09

How to Cite

1.
Luetragoon T. Influence of Cigarette Smoking on Blood Cell Subpopulations, Plasma Proteins, Cytokines, and Chemokines in Adult Healthy Individuals. วารสารเทคนิคการแพทย์ [internet]. 2023 Sep. 9 [cited 2026 Jan. 22];51(2):8552-66. available from: https://he01.tci-thaijo.org/index.php/jmt-amtt/article/view/262177

Issue

Section

Original Articles