1/10. Several clinical trials have shown that the mean nasal mucociliary clearance is negatively and significantly affected by cigarette smoking (PMIDs: 24669080, 3787531, 23615315,

@ChaunceyGardner 2/10. Ciliary beat frequency is also significantly affected by smoking habit. A reduced nasal ciliary beat frequency was observed among smoking individuals in a cohort study performed in a British urban population (PMID: 9669071).
@ChaunceyGardner 3/10. In vitro, using human 3D epithelial cultures, cigarette smoke affects the cilia beat frequency in nasal and bronchial tissue cultures (PMIDs: 33220401, 30090531). In vivo, smoke exposure also affects cilia beat frequency in mice (PMID: 20042711).
@ChaunceyGardner 4/10. Given the consistency of these observations, and the dose response (e.g. PMID: 23615315), these mucociliary clearance-related endpoints are translational between human clinical, human in vitro and in vivo animal studies.
@ChaunceyGardner 5/10. Smoking cessation leads to an improvement of mucociliary clearance (PMIDs: 21545372, 24863424, https://t.co/BmFu2AnabI). Hence, the cilia function recovers over time following smoking cessation (as you wrote in your Tweet).
@ChaunceyGardner 6/10. Now, the important question: How does switching to a heated tobacco product or an e-vapor product affect mucociliary clearance and cilia function?
@ChaunceyGardner 7/10. In vitro, these product aerosols do not significantly affect cilia function (PMIDs: 33220401, 30090531).
@ChaunceyGardner 8/10. In humans, switching to these products leads to an improvement of mucociliary clearance similar to that following smoking cessation (https://t.co/BmFu2AnabI).
@ChaunceyGardner 9/10. Why is this important? Impaired mucociliary clearance predisposes COPD patients to exacerbations (PMIDs: 32640859, 25389352), and cessation reduces the number of these exacerbations.
@ChaunceyGardner 10/10. Similar to cessation, switching to an e-vapor (PMID: 33101622) or heated tobacco product (https://t.co/LhS1PP3GMt; https://t.co/X9IIN4HfWK) reduces the number of exacerbations and improves the patients’ CAT score.

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Trump is gonna let the Mueller investigation end all on it's own. It's obvious. All the hysteria of the past 2 weeks about his supposed impending firing of Mueller was a distraction. He was never going to fire Mueller and he's not going to


Mueller's officially end his investigation all on his own and he's gonna say he found no evidence of Trump campaign/Russian collusion during the 2016 election.

Democrats & DNC Media are going to LITERALLY have nothing coherent to say in response to that.

Mueller's team was 100% partisan.

That's why it's brilliant. NOBODY will be able to claim this team of partisan Democrats didn't go the EXTRA 20 MILES looking for ANY evidence they could find of Trump campaign/Russian collusion during the 2016 election

They looked high.

They looked low.

They looked underneath every rock, behind every tree, into every bush.

And they found...NOTHING.

Those saying Mueller will file obstruction charges against Trump: laughable.

What documents did Trump tell the Mueller team it couldn't have? What witnesses were withheld and never interviewed?

THERE WEREN'T ANY.

Mueller got full 100% cooperation as the record will show.