Pérez-Bautista Oliver, Ramírez-Venegas Alejandra, Escobar-Arriaga Elizabeth, Sansores Raúl H
Departamento de Investigación en Tabaquismo y EPOC, Instituto Nacional de Enfermedades Respiratorias, México, DF.
Rev Invest Clin. 2009 May-Jun;61(3):205-11.
Cigarette smoking is one of the main risk factors for the development of cancer, chronic obstructive pulmonary disease and cardiovascular disease, most of which exhibit an inflammatory component at some stage of their time-course. However, little is known about the early presence of proinflammatory markers in healthy smokers.
We conducted a 16-month, cross-sectional study to determine the presence of inflammatory markers in a group of smokers pronounced in good health after an exhaustive medical exam. Of an initial population of 1,806 smokers and non-smokers who underwent anthropometric, biochemical, radiographic and ultrasound studies plus exercise testing, 317 smokers and 297 non-smokers (the control group) found to have no alterations were ultimately selected and paired by age and gender. Their test data were then compared.
In comparison with non-smokers, smokers showed higher levels of C-reactive protein, hemoglobin, hematocrit, platelets, lipid profile and cardiovascular risk. They also showed lower values of total proteins, albumin and lactic dehydrogenase.
Even though laboratory value results were considered to be within normal range, smokers showed increased levels of prothrombotic and proinflammatory molecules. Therefore, tobacco smoking can be considered an inflammatory syndrome whose final outcome could be one of the many organic disorders that characterize and accompany this entity.
吸烟是癌症、慢性阻塞性肺疾病和心血管疾病发展的主要危险因素之一,其中大多数疾病在其病程的某个阶段都表现出炎症成分。然而,对于健康吸烟者中促炎标志物的早期存在情况知之甚少。
我们进行了一项为期16个月的横断面研究,以确定在经过详尽医学检查后被判定为健康状况良好的一组吸烟者中炎症标志物的存在情况。在最初的1806名吸烟者和非吸烟者群体中,他们接受了人体测量、生化、放射和超声检查以及运动测试,最终选择了317名吸烟者和297名非吸烟者(对照组),这些人被发现没有异常,并按年龄和性别进行配对。然后比较他们的测试数据。
与非吸烟者相比,吸烟者的C反应蛋白、血红蛋白、血细胞比容、血小板、血脂水平和心血管风险更高。他们的总蛋白、白蛋白和乳酸脱氢酶值也较低。
尽管实验室检查结果被认为在正常范围内,但吸烟者的促血栓形成和促炎分子水平有所升高。因此,吸烟可被视为一种炎症综合征,其最终结果可能是许多表征和伴随该病症的器质性疾病之一。