A comprehensive multi-omics and functional study of evolutionary adaptive responses to smoke
Simon D Pouwels1,2,3, Hao Chen4,5, Senani N H Rathnayake5
1University of Groningen, University Medical Center Groningen, Department of Pathology and Medical Biology, Groningen, the Netherlands.
Iscience
|April 22, 2026
Summary
Cigarette smoke damages lung epithelium, leading to chronic lung diseases. This study reveals a "smoking signature" in airway cells, identifying protective genes and master regulators like NRF2 and AhR, offering insights into smoke-induced lung injury and evolution.
Area of Science:
- Pulmonary Medicine
- Molecular Biology
- Genomics
Background:
- Cigarette smoking is a major cause of preventable death globally.
- Inhaled smoke damages lung epithelium, contributing to chronic lung diseases.
- Understanding the molecular impact of smoking on the lungs is crucial.
Purpose of the Study:
- To identify the molecular
- smoking signature
- in the lungs of smokers.
- To pinpoint the specific airway epithelial cells affected by smoke.
- To investigate evolutionary adaptations in smoke response genes and identify key regulatory pathways.
Main Methods:
- Transcriptomic analysis across multiple human cohorts.
- Single-cell and spatial transcriptomics to map the smoking signature.
- Comparative genomics between human and non-human primate lungs.
- Methylation and ChIP-seq analyses to identify master regulators.
- Gene knockout studies (NQO1, ALDH3A1) to assess protective functions.
Main Results:
- The
- smoking signature
- was identified, highlighting transcriptomic differences between smokers and non-smokers.
- The surface layer of the airway epithelium was identified as the most affected region.
- A set of human-specific smoke-response genes suggests evolutionary adaptation.
- NRF2 and AhR were identified as master regulators of the smoking signature.
- Knockout of NQO1 and ALDH3A1 demonstrated their protective roles in airway response to smoke.
Conclusions:
- The study defines the molecular landscape of smoking-induced lung damage.
- Airway epithelial surface cells are particularly vulnerable to smoke exposure.
- Human lungs exhibit unique genetic adaptations to smoke.
- NRF2 and AhR are key regulators, and NQO1/ALDH3A1 play protective roles, offering potential therapeutic targets for smoking-related lung diseases.


