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Updated: Aug 19, 2026

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System
Published on: October 22, 2020
Smoking alters the phenotype of macrophages in induced sputum
C Lensmar1, G Elmberger, M Sköld
1Department of Medicine, Karolinska Hospital, Stockholm, Sweden.
Abstract:
To investigate the effect of chronic smoke exposure on pulmonary macrophages (PM), the expression of seven different surface and intracellular molecules of PM was studied in induced sputum (IS) samples from healthy volunteers--nine smokers and seven non-smokers. Sputum was induced by inhalation of nebulized saline (3.5% NaCl). Cell viability and total cell counts (TCC) were performed immediately. Cell differentials were determined on May-Grunwald Giemsa-stained cytospin preparations. The PM were immunologically characterized by use of the following monoclonal antibodies: RFD1, RFD7, CD11b, CD54, CD68, CD71 and HLA-DR. The stainings were performed with a three-step, indirect immuno-alkaline phosphate method. Viability and TCC did not differ between the groups. Smokers had a higher percentage of macrophages (P < 0.05) and a lower proportion of neutrophils (P < 0.05). The percentage of macrophages expressing RFD1, HLA-DR, CD71 (P < 0.01 for all) and CD54 (P < 0.05) was significantly lower in smokers, whereas the remaining markers were expressed equally in the two groups. The results indicate that smoking induces a decrease in the expression by PM of surface molecules known to be associated with the antigen-presenting function.
Insights
Chronic smoke exposure decreases key surface molecules on pulmonary macrophages (PM), impacting their antigen-presenting function. This study analyzed immune markers in sputum from smokers and non-smokers.
Area of Science:
- Pulmonary immunology
- Cellular immunology
- Respiratory medicine
Background:
- Pulmonary macrophages (PM) play a crucial role in lung immunity.
- Chronic smoke exposure is known to alter immune cell function in the lungs.
Purpose of the Study:
- To investigate the impact of chronic smoke exposure on the expression of surface and intracellular molecules on pulmonary macrophages.
- To assess changes in immune cell populations within induced sputum (IS) of smokers compared to non-smokers.
Main Methods:
- Induced sputum (IS) was collected from healthy smokers and non-smokers.
- Cell viability, total cell counts, and differential cell counts were determined.
- Pulmonary macrophages were immunologically characterized using monoclonal antibodies (RFD1, RFD7, CD11b, CD54, CD68, CD71, HLA-DR).
Main Results:
- Smokers exhibited a higher percentage of macrophages and a lower proportion of neutrophils in IS.
- A significant decrease in the expression of RFD1, HLA-DR, CD71, and CD54 was observed on macrophages from smokers.
- No significant differences were found in viability and total cell counts between groups.
Conclusions:
- Chronic smoke exposure leads to reduced expression of critical surface molecules on pulmonary macrophages.
- These molecular changes suggest an impaired antigen-presenting function of PM in smokers.
- Findings highlight the immunomodulatory effects of smoking on lung macrophages.
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