Abstract:
:Cigarette smoking is the most prominent significant cause of death and morbidity. It is recognised as a risk factor for a number of immune mediated, inflammatory diseases including multiple sclerosis (MS). Here, we review the complex immunological effects of smoking on the immune system, which include enhancement of inflammatory responses with a parallel reduction of some immune defences, resulting in an increased susceptibility to infection and a persistent proinflammatory environment. We discuss the effect of smoking on the susceptibility, clinical course, disability, and mortality in MS, the likely benefits of smoking cessation, and the specific immunological effects of smoking in MS. In conclusion, smoking is an important environmental risk factor for MS occurrence and outcome, and it acts in significant part through immunological mechanisms.
journal_name
J Neuroimmunoljournal_title
Journal of neuroimmunologyauthors
Alrouji M,Manouchehrinia A,Gran B,Constantinescu CSdoi
10.1016/j.jneuroim.2018.10.004subject
Has Abstractpub_date
2019-04-15 00:00:00pages
24-34eissn
0165-5728issn
1872-8421pii
S0165-5728(18)30130-9journal_volume
329pub_type
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