Smoking and Pulmonary Fibrosis: Novel Insights

The relationship between smoking and pulmonary fibrosis is under debate and intense investigation. The aim of this paper is to review the existing literature and identify further areas of research interest. Recently the negative influence of cigarette smoking on IPF outcome was highlighted, as non-s...

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Main Authors: Katerina D. Samara, George Margaritopoulos, Athol U. Wells, Nikolaos M. Siafakas, Katerina M. Antoniou
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2011/461439
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author Katerina D. Samara
George Margaritopoulos
Athol U. Wells
Nikolaos M. Siafakas
Katerina M. Antoniou
author_facet Katerina D. Samara
George Margaritopoulos
Athol U. Wells
Nikolaos M. Siafakas
Katerina M. Antoniou
author_sort Katerina D. Samara
collection DOAJ
description The relationship between smoking and pulmonary fibrosis is under debate and intense investigation. The aim of this paper is to review the existing literature and identify further areas of research interest. Recently the negative influence of cigarette smoking on IPF outcome was highlighted, as non-smokers exhibit a better survival than ex-smokers and combined current- and ex-smokers. In patients with non-specific interstitial pneumonia (NSIP), a high prevalence of emphysema was recently demonstrated, providing an indirect support for a smoking pathogenetic hypothesis in NSIP. The coexistence of pulmonary fibrosis and emphysema has been extensively described in a syndrome termed combined pulmonary fibrosis and emphysema (CPFE). Connective tissue disorders (CTDs) are a group of autoimmune diseases which affect the lung, as one of the most common and severe manifestations. However, the relationship between smoking and autoimmune disorders is still conflicting. Rheumatoid arthritis results from the interaction between genetic and environmental factors, while the best established environmental factor is tobacco smoking. Smoking has also a negative impact on the response of the RA patients to treatment. The aforementioned smoking-related implications give rise to further research questions and certainly provide one more important reason for physicians to advocate smoking cessation and smoke-free environment.
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institution Kabale University
issn 2090-1836
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publishDate 2011-01-01
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series Pulmonary Medicine
spelling doaj-art-edf5913d177e4d65840dd50a6d8b75dd2025-02-03T01:11:34ZengWileyPulmonary Medicine2090-18362090-18442011-01-01201110.1155/2011/461439461439Smoking and Pulmonary Fibrosis: Novel InsightsKaterina D. Samara0George Margaritopoulos1Athol U. Wells2Nikolaos M. Siafakas3Katerina M. Antoniou4Department of Thoracic Medicine, Faculty of Medicine, University of Crete, 71110 Heraklion, GreeceInterstitial Lung Disease Unit, Royal Brompton Hospital, London SW3 6NP, UKInterstitial Lung Disease Unit, Royal Brompton Hospital, London SW3 6NP, UKDepartment of Thoracic Medicine, Faculty of Medicine, University of Crete, 71110 Heraklion, GreeceDepartment of Thoracic Medicine, Faculty of Medicine, University of Crete, 71110 Heraklion, GreeceThe relationship between smoking and pulmonary fibrosis is under debate and intense investigation. The aim of this paper is to review the existing literature and identify further areas of research interest. Recently the negative influence of cigarette smoking on IPF outcome was highlighted, as non-smokers exhibit a better survival than ex-smokers and combined current- and ex-smokers. In patients with non-specific interstitial pneumonia (NSIP), a high prevalence of emphysema was recently demonstrated, providing an indirect support for a smoking pathogenetic hypothesis in NSIP. The coexistence of pulmonary fibrosis and emphysema has been extensively described in a syndrome termed combined pulmonary fibrosis and emphysema (CPFE). Connective tissue disorders (CTDs) are a group of autoimmune diseases which affect the lung, as one of the most common and severe manifestations. However, the relationship between smoking and autoimmune disorders is still conflicting. Rheumatoid arthritis results from the interaction between genetic and environmental factors, while the best established environmental factor is tobacco smoking. Smoking has also a negative impact on the response of the RA patients to treatment. The aforementioned smoking-related implications give rise to further research questions and certainly provide one more important reason for physicians to advocate smoking cessation and smoke-free environment.http://dx.doi.org/10.1155/2011/461439
spellingShingle Katerina D. Samara
George Margaritopoulos
Athol U. Wells
Nikolaos M. Siafakas
Katerina M. Antoniou
Smoking and Pulmonary Fibrosis: Novel Insights
Pulmonary Medicine
title Smoking and Pulmonary Fibrosis: Novel Insights
title_full Smoking and Pulmonary Fibrosis: Novel Insights
title_fullStr Smoking and Pulmonary Fibrosis: Novel Insights
title_full_unstemmed Smoking and Pulmonary Fibrosis: Novel Insights
title_short Smoking and Pulmonary Fibrosis: Novel Insights
title_sort smoking and pulmonary fibrosis novel insights
url http://dx.doi.org/10.1155/2011/461439
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AT nikolaosmsiafakas smokingandpulmonaryfibrosisnovelinsights
AT katerinamantoniou smokingandpulmonaryfibrosisnovelinsights