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Published on: October 22, 2020
Smoking and asthma: dangerous liaisons
Riccardo Polosa1, Neil C Thomson
1Università di Catania, Catania, Italy. polosa@unict.it
The European Respiratory Journal
|August 21, 2012
Summary
Cigarette smoking significantly worsens asthma outcomes and control due to altered airway inflammation and corticosteroid insensitivity. Improved smoking cessation strategies and clinical trials including smokers are crucial for better asthma management.
Area of Science:
- Pulmonology
- Clinical Medicine
- Public Health
Background:
- Cigarette smoking exacerbates asthma, negatively impacting clinical, prognostic, and therapeutic results.
- Asthma prevalence is similar in smokers and non-smokers, but smokers experience poorer asthma control.
Purpose of the Study:
- To review the harmful effects of smoking on asthma.
- To explore underlying inflammatory mechanisms and altered responses.
- To discuss management strategies and future therapeutic directions for smokers with asthma.
Main Methods:
- Literature review of recent evidence on smoking and asthma.
- Analysis of inflammatory mechanisms and corticosteroid insensitivity.
- Evaluation of current management and smoking cessation strategies.
Main Results:
- Active smoking, especially in females, increases asthma risk.
- Smokers with asthma exhibit worse asthma control compared to non-smokers.
- Altered airway inflammation and corticosteroid insensitivity are key mechanisms.
Conclusions:
- Smoking cessation improves asthma symptoms and lung function.
- Low smoking cessation rates necessitate enhanced management strategies.
- Clinical trials must include smokers to develop effective treatments for the asthma-smoking phenotype.
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