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Persistence of airway inflammation in smokers who switch to electronic cigarettes

Michael D. Kim, Nathalie Baumlin, Andrea Guerrero-Cignarella, Andreas Schmid, Carolina Aguiar, Mohiuddin Mohiuddin, John S. Dennis, Jasjit S. Ahluwalia, Eleanor L. Leavens, Nikki Nollen, Michael Campos, Matthias Salathe
ERJ Open Research 2022 8: 00117-2022; DOI: 10.1183/23120541.00117-2022
Michael D. Kim
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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  • ORCID record for Michael D. Kim
Nathalie Baumlin
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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Andrea Guerrero-Cignarella
2Division of Pulmonary, Critical Care and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
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Andreas Schmid
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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Carolina Aguiar
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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Mohiuddin Mohiuddin
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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  • ORCID record for Mohiuddin Mohiuddin
John S. Dennis
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
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Jasjit S. Ahluwalia
3Dept of Behavioral and Social Science, Brown University School of Public Health, Providence, RI, USA
4Dept of Medicine, Alpert Medical School, Providence, RI, USA
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Eleanor L. Leavens
5Dept of Population Health, University of Kansas Medical Center, Kansas City, KS, USA
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Nikki Nollen
5Dept of Population Health, University of Kansas Medical Center, Kansas City, KS, USA
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Michael Campos
2Division of Pulmonary, Critical Care and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
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Matthias Salathe
1Dept of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA
2Division of Pulmonary, Critical Care and Sleep Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
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  • For correspondence: msalathe@kumc.edu
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    FIGURE 1

    Changes in expression levels of tumour necrosis factor (TNF)-α, transforming growth factor (TGF)-β1 and matrix metalloproteinase (MMP)-9 mRNAs and activity levels of MMP-9 in the upper airways of study participants. a) Relative expression levels of TNF-α, TGF-β1, and MMP-9 mRNAs in nasal epithelial cells (NECs), and relative activity levels of MMP-9 in nasal epithelial lining fluid (ELF), collected from smokers who abstained from smoking with the aid of nicotine-replacement therapy or varenicline (NRT/VAR group) measured at baseline (before) and after a 12-week period of successful abstinence from combustible cigarettes (after). b) Relative expression levels of TNF-α, TGF-β1 and MMP-9 mRNAs in NECs, and relative activity levels of MMP-9 in nasal ELF, collected from smokers who continued to smoke combustible cigarettes measured at week 5 (before) and week 16 (after). c) Relative expression levels of TNF-α, TGF-β1, and MMP-9 mRNAs in NECs, and relative activity levels of MMP-9 in nasal ELF, collected from smokers who switched exclusively to electronic cigarettes (e-cigarettes) measured at week 5 (before) and week 16 (after). Measurements from some participants were not included because mRNA levels were below the limit of detection. Bars show mean values. All data were analysed using Prism software (GraphPad, San Diego, CA, USA). ns: not significant. *: p<0.05 by Wilcoxon test.

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Persistence of airway inflammation in smokers who switch to electronic cigarettes
Michael D. Kim, Nathalie Baumlin, Andrea Guerrero-Cignarella, Andreas Schmid, Carolina Aguiar, Mohiuddin Mohiuddin, John S. Dennis, Jasjit S. Ahluwalia, Eleanor L. Leavens, Nikki Nollen, Michael Campos, Matthias Salathe
ERJ Open Research Apr 2022, 8 (2) 00117-2022; DOI: 10.1183/23120541.00117-2022

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Persistence of airway inflammation in smokers who switch to electronic cigarettes
Michael D. Kim, Nathalie Baumlin, Andrea Guerrero-Cignarella, Andreas Schmid, Carolina Aguiar, Mohiuddin Mohiuddin, John S. Dennis, Jasjit S. Ahluwalia, Eleanor L. Leavens, Nikki Nollen, Michael Campos, Matthias Salathe
ERJ Open Research Apr 2022, 8 (2) 00117-2022; DOI: 10.1183/23120541.00117-2022
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