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.

More from Health

1/
Remember woman who tuk multiple @SriSriTattva products 4 range of problems frm diabetes 2 gas 2 liver disease & developed liver failure, listed for liver transplant?
Here is original thread:
https://t.co/PXxI1Slyv2
23 samples, Analysis results
#MedTwitter #livertwitter


2/
Before I go into results, I must say this was overwhelming. There was SO MUCH the lab identified, impossible to put everything here. So I made a summary. At the end of this thread, I have linked a full analysis described in Excel format. Some results were VERY concerning

3/
How did we analyse?
Here R links 2 methods
They R high end, done under strict protocols
Frm Ministry of Forest, Environment, Climate / NABL approvd Lab
ICP-OES https://t.co/O1CLhqVQAu
GC MSMS https://t.co/zRJoXyWQIr
FTIR https://t.co/goAembQ08p
Here is list V analysed 👇


4/
Sample names written on top (each column).
First 5 samples: C what we identified in #Ayurveda #medicines
Antibiotics
Steroids (anabolic/synthetic)
#NARCOTICS - LSD, Morphine
Blood thinners (possible reason Y bleeding tests were off the roof in the patient)
Heavy metals!


5/
Next 5 samples (total 10 now)
Mercury is clear winner. Almost all samples
See controlled substances - Butyrolactones https://t.co/CPz0FwPEOm, methylamine https://t.co/OZnXY7U9UQ
Alcohols, industrial solvents
Rare metals - cobalt, lithium
Again lots of blood thinners
#Ayush

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