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Cigarette smoke disrupts gutlung axis communication through microbial metabolite alterations driving pulmonary inflammation and cancer progression Interestingly, accumulating investigations demonstrate that cigarette smoke distorts gutlung axis communication by altering microbial metabolite profiles, creating a pro-inflammatory milieu that fuels pulmonary deterioration in COPD and promotes oncogenic niches in lung adenocarcinoma (LUAD)

Dr Ahmed Saeed al-Jadba, a consultant ear, nose and throat specialist, warns that burning molokhia may be even more dangerous than traditional tobacco, and could increase the risk of cancer