Evidence map›Paper›PMID 40415015›Full record

ArticleScientific reports2025

The effects of heavy smoking on oxidative stress, inflammatory biomarkers, vascular dysfunction, and hematological indices.

Zhikal Omar Khudhur, Shukur Wasman Smail, Harem Khdir Awla, Gasheen Bakhtiyar Ahmed, Yara Omar Khdhir, Kawa Amin, Christer Janson

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zhikal Omar KhudhurBiology Education Department, Tishk International University, Erbil, Iraq.
Shukur Wasman SmailDepartment of Biology, College of Science, Salahaddin University-Erbil, Erbil, Kurdistan Region, Iraq.
Harem Khdir AwlaDepartment of Biology, College of Science, Salahaddin University-Erbil, Erbil, Kurdistan Region, Iraq.
Gasheen Bakhtiyar AhmedDepartment of Biology, College of Science, Salahaddin University-Erbil, Erbil, Kurdistan Region, Iraq.
Yara Omar KhdhirBiology Education Department, Tishk International University, Erbil, Iraq.
Kawa AminDepartment of Medicine, Microbiology/Immunology, College of Medicine, University of Sulaimani, Sulaymaniyah, Iraq.
Christer JansonDepartment of Medical Science, Respiratory, Allergy and Sleep Research, Uppsala University and University Hospital, Uppsala, Sweden. Christer.Janson@medsci.uu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smoking remains a major health issue worldwide, causing various diseases. This research examines the effects of heavy smoking on oxidative stress, inflammatory biomarkers, blood vascular health, and hematological parameters. A study conducted at Par Private Hospital in Erbil, Iraq, from April to May 2024 examined 104 male heavy smokers and 94 healthy male nonsmokers. Blood and biopsy samples were collected from both groups. The groups had similar age and body mass index, reducing the chances of confounding factors. Smokers showed significantly higher levels of oxidative stress markers, including malondialdehyde (p = 0.002) and nitric oxide (p = 0.002), and lower superoxide dismutase activity (p < 0.0001) compared to controls. Smokers displayed significantly elevated levels of serum endothelin-1 and interleukin-8 (p < 0.0001). Immunohistochemical analysis showed a significant rise in myeloperoxidase-positive cells and eosinophilic granule 2-positive eosinophils among smokers, indicating heightened neutrophil and eosinophil activity. Smokers showed elevated neutrophil counts in hematological analysis, while lymphocyte counts and neutrophil-to-lymphocyte ratio remained unchanged. Oxidative stress parameters, endothelin-1 levels, inflammatory biomarkers, and hematological indices are all significantly influenced by heavy smoking, reflecting systemic inflammation and vascular dysfunction. Public health initiatives are urgently required to address the harmful health consequences of smoking, as indicated by noteworthy changes in inflammation and oxidative stress biomarkers. The study offers important information on the physical effects of long-term heavy smoking, enhancing our understanding of the health hazards associated with smoking.

Indexed as

BiomarkersInflammationOxidative StressSmokingAdultCase-Control StudiesEndothelin-1HumansMaleMalondialdehydeMiddle AgedNitric OxideBiomarkersEndothelin-1MalondialdehydeNitric OxideAnd vascular dysfunctionEndothelin-1Hematological indicesInflammatory biomarkersSmoking

Identifiers

PMID40415015
PMCPMC12104322

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.