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Updated: Sep 17, 2025

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System
Published on: October 22, 2020
Impact of smoking on the complement system: a narrative review
Ahmed B Alarabi1, Fatima Z Alshbool2, Fadi T Khasawneh1
1Department of Pharmaceutical Sciences, College of Pharmacy, Texas A&M University, Kingsville, TX, United States.
Smoking significantly harms health by activating the complement system, a key factor in many diseases. Understanding these links is crucial for developing new strategies to combat tobacco use
Area of Science:
- Immunology
- Toxicology
- Public Health
Background:
- Smoking is a leading cause of preventable death and disease worldwide.
- The complement system is a critical part of innate immunity, involved in inflammation and pathogen clearance.
- Dysregulation of the complement system is implicated in various chronic diseases.
Purpose of the Study:
- To review the intricate relationship between smoking and complement system activation.
- To elucidate how smoking-induced complement dysregulation contributes to disease pathogenesis.
- To identify specific tobacco smoke components that trigger complement activation.
Main Methods:
- Literature review synthesizing current research on smoking, complement biology, and disease.
- Analysis of studies investigating the effects of tobacco smoke constituents on complement components.
- Examination of epidemiological and mechanistic data linking smoking-related diseases to complement activation.
Main Results:
- Smoking activates multiple pathways of the complement system.
- Components like tobacco glycoprotein (TGP) and particulate matter (PM) are implicated in complement activation.
- Complement system dysregulation exacerbates smoking-related cardiovascular, respiratory, and inflammatory conditions.
Conclusions:
- Smoking-induced complement activation is a significant mechanistic link to numerous diseases.
- Targeting complement pathways could offer novel therapeutic strategies for smoking cessation and related conditions.
- Multifaceted approaches combining public health, education, and mechanistic research are needed to address the global health impact of tobacco use.
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