EFFECTS OF PROLONGED EXPOSURE TO CIGARETTE SMOKE ON PHENOTYPE AND FUNCTION OF INNATE IMMUNE CELLS IN THE LUNGS

  • Vladislav Volarevic Departments of Genetics, Microbiology and Immunology, Center for Research on Harmful Effects of Biological and Chemical Hazards, Faculty of Medical Sciences University of Kragujevac, 69 Svetozara Markovica Street, 34000 Kragujevac, Serbia
  • Nikolina Kastratovic Departments of Genetics, Microbiology and Immunology, Center for Research on Harmful Effects of Biological and Chemical Hazards, Faculty of Medical Sciences University of Kragujevac, 69 Svetozara Markovica Street, 34000 Kragujevac, Serbia
  • Ana Volarevic Department of Psychology, Center for Research on Harmful Effects of Biological and Chemical Hazards, Faculty of Medical Sciences University of Kragujevac, 69 Svetozara Markovica Street, 34000 Kragujevac, Serbia
Keywords: cigarette smoke, lungs, macrophages, neutrophils, dendritic cells

Abstract


Cigarette smoke contains various toxic compounds that can alter the phenotype and function of immune cells within the lungs. To investigate how extended exposure to cigarette smoke affects innate immune cells (including neutrophils, macrophages, dendritic cells (DCs), natural killer (NK) cells, and natural killer T (NKT) cells), we exposed BALB/c mice to cigarette smoke for 4 or 8 weeks, with control animals being exposed to air. The cigarette smoke was generated using an LM1 Borgwaldt smoking machine. Flow cytometry analysis and intracellular staining of lung-infiltrated immune cells revealed that prolonged exposure to cigarette smoke notably increased the number of inflammatory cluster of differentiation (CD14) receptor-expressing neutrophils, tumor necrosis factor-α (TNF-a)-producing NK and NKT cells, and inflammatory cluster of differentiation (CD40)-expressing macrophages. Additionally, significantly higher numbers of interleukin-12 (IL-12) and interleukin-23 (IL-23) producing DCs were observed in the lungs of mice exposed to cigarette smoke for 8 weeks compared to those exposed to air. Moreover, a greater number of TNF-α, IL-12, and IL-23-producing macrophages, along with TNF-α-producing neutrophils, NK, and NKT cells, were found in the lungs of mice exposed to cigarette smoke for 8 weeks compared to those exposed for 4 weeks. In conclusion, prolonged cigarette smoke exposure promotes an inflammatory phenotype in lung-infiltrating innate immune cells, contributing to the progression and worsening of inflammatory lung diseases.

References

Bergantini L, Cameli P, d'Alessandro M, Vagaggini C, Refini RM, Landi C, et al. NK and NKT-like cells in granulomatous and fibrotic lung diseases. Clin Exp Med 2019;19(4):487-94. [CrossRef][PubMed]

Caruso M, Emma R, Distefano A, Rust S, Poulas K, Giordano A, et al. Comparative assessment of electronic nicotine delivery systems aerosol and cigarette smoke on endothelial cell migration: The Replica Project. Drug Test Anal 2023;15(10):1164-74. [CrossRef][PubMed]

Casal A, Suárez-Antelo J, Riveiro V, Ferreiro L, Rodríguez-Núñez N, Toubes ME, et al. Smoking-related interstitial lung disease: A narrative review. Chron Respir Dis 2024;21:14799731241291538. [CrossRef][PubMed]

Cristaldi M, Buscetta M, Cimino M, La Mensa A, Giuffrè MR, Fiore L, et al. Caspase-8 activation by cigarette smoke induces pro-inflammatory cell death of human macrophages exposed to lipopolysaccharide. Cell Death Dis 2023;14(11):773. [CrossRef][PubMed]

Fan J, Zhou Y, Meng R, Tang J, Zhu J, Aldrich MC, et al. Cross-talks between gut microbiota and tobacco smoking: a two-sample Mendelian randomization study. BMC Med 2023;21(1):163. [CrossRef][PubMed]

Furnari S, Emma R, Caruso M, Furneri PM, Fuochi V. Evaluating the Risks of Heated Tobacco Products: Toxicological Effects on Two Selected Respiratory Bacteria and Human Lung Cells. Toxics 2025;13(2):70. [CrossRef][PubMed]

Hikichi M, Mizumura K, Maruoka S, Gon Y. Pathogenesis of chronic obstructive pulmonary disease (COPD) induced by cigarette smoke. J Thorac Dis 2019;11(Suppl 17):S2129-S2140. [CrossRef][PubMed]

Hikisz P, Jacenik D. The Tobacco Smoke Component, Acrolein, as a Major Culprit in Lung Diseases and Respiratory Cancers: Molecular Mechanisms of Acrolein Cytotoxic Activity. Cells 2023;12(6):879. [CrossRef][PubMed]

Kastratovic N, Cekerevac I, Sekerus V, Markovic V, Arsenijevic A, Volarevic A, et al. Effects of combustible cigarettes and heated tobacco products on immune cell-driven inflammation in chronic obstructive respiratory diseases. Toxicol Sci 2024;200(2):265-76. [CrossRef][PubMed]

Kastratovic N, Markovic V, Harrell CR, Arsenijevic A, Stojanovic MD, Djonov V, et al. Effects of Combustible Cigarettes and Electronic Nicotine Delivery Systems on the Development and Progression of Chronic Lung Inflammation in Mice. Nicotine Tob Res 2024;26(6):704-14. [CrossRef][PubMed]

Kastratovic N, Zdravkovic N, Cekerevac I, Sekerus V, Harrell CR, Mladenovic V, et al. Effects of Combustible Cigarettes and Heated Tobacco Products on Systemic Inflammatory Response in Patients with Chronic Inflammatory Diseases. Diseases 2024;12(7):144. [CrossRef][PubMed]

Kheradmand F, Zhang Y, Corry DB. Contribution of adaptive immunity to human COPD and experimental models of emphysema. Physiol Rev 2023;103(2):1059-93. [CrossRef][PubMed]

Li Y, Hecht SS. Carcinogenic components of tobacco and tobacco smoke: A 2022 update. Food Chem Toxicol 2022;165:113179. [CrossRef][PubMed]

Lugg ST, Scott A, Parekh D, Naidu B, Thickett DR. Cigarette smoke exposure and alveolar macrophages: mechanisms for lung disease. Thorax 2022;77(1):94-101. [CrossRef][PubMed]

Malainou C, Abdin SM, Lachmann N, Matt U, Herold S. Alveolar macrophages in tissue homeostasis, inflammation, and infection: evolving concepts of therapeutic targeting. J Clin Invest 2023;133(19):e170501. [CrossRef][PubMed]

McGrath JJC, Vanderstocken G, Dvorkin-Gheva A, Cass SP, Afkhami S, Fantauzzi MF, et al. Cigarette smoke augments CSF3 expression in neutrophils to compromise alveolar-capillary barrier function during influenza infection. Eur Respir J 2022;60(2):2102049. [CrossRef][PubMed]

Misra DP, Agarwal V. Th17.1 lymphocytes: emerging players in the orchestra of immune-mediated inflammatory diseases. Clin Rheumatol 2022;41(8):2297-308. [CrossRef][PubMed]

Quan DH, Kwong AJ, Hansbro PM, Britton WJ. No smoke without fire: the impact of cigarette smoking on the immune control of tuberculosis. Eur Respir Rev 2022;31(164):210252. [CrossRef][PubMed]

Riaz B, Sohn S. Neutrophils in Inflammatory Diseases: Unraveling the Impact of Their Derived Molecules and Heterogeneity. Cells 2023;12(22):2621. [CrossRef][PubMed]

Riches DWH, Martin TR. Overview of Innate Lung Immunity and Inflammation. Methods Mol Biol 2018;1809:17-30. [CrossRef][PubMed]

Strzelak A, Ratajczak A, Adamiec A, Feleszko W. Tobacco Smoke Induces and Alters Immune Responses in the Lung Triggering Inflammation, Allergy, Asthma and Other Lung Diseases: A Mechanistic Review. Int J Environ Res Public Health 2018;15(5):1033. [CrossRef][PubMed]

Szoka P, Lachowicz J, Cwiklińska M, Lukaszewicz A, Rybak A, Baranowska U, et al. Cigarette Smoke-Induced Oxidative Stress and Autophagy in Human Alveolar Epithelial Cell Line (A549 Cells). Adv Exp Med Biol 2019;1176:63-9. [CrossRef][PubMed]

Upadhyay P, Wu CW, Pham A, Zeki AA, Royer CM, Kodavanti UP, et al. Animal models and mechanisms of tobacco smoke-induced chronic obstructive pulmonary disease (COPD). J Toxicol Environ Health B Crit Rev 2023;26(5):275-305. [CrossRef][PubMed]

Williams M, Todd I, Fairclough LC. The role of CD8 + T lymphocytes in chronic obstructive pulmonary disease: a systematic review. Inflamm Res 2021;70(1):11-8. [CrossRef][PubMed]

Published
2026/06/17
Section
Original article