Journal
JOURNAL OF NEUROIMMUNOLOGY
Volume 329, Issue -, Pages 24-34Publisher
ELSEVIER
DOI: 10.1016/j.jneuroim.2018.10.004
Keywords
Smoking; Multiple sclerosis; Neuroinflammation; T cells; B cells
Categories
Funding
- MS Society of Great Britain and Northern Ireland
- Forman Hardy Charitable Trust via the University of Nottingham
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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.
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