Evidence map›Paper›PMID 40559945›Full record

ArticleToxics2025

Influence of Different Nicotine Sources on Exercise-Driven Immune Responses of Peripheral Blood Monocytes.

Paul N Axt, Theresa Mohr, Armin Steffen, Kirstin Plötze-Martin, Nele Jagodzinski, Sabine Bohnet, Daniel Drömann, Karl-Ludwig Bruchhage, Klaas F Franzen, Ralph Pries

Abstract read
In one paragraph

Article in Toxics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Paul N AxtMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.ORCID 0009-0003-1436-4892
Theresa MohrMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Armin SteffenDepartment of Otorhinolaryngology, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Kirstin Plötze-MartinDepartment of Otorhinolaryngology, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Nele JagodzinskiDepartment of Otorhinolaryngology, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Sabine BohnetMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Daniel DrömannMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Karl-Ludwig BruchhageMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.
Klaas F FranzenMedical Clinic III, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.ORCID 0000-0002-3882-2662
Ralph PriesDepartment of Otorhinolaryngology, University Hospital Schleswig-Holstein, 23538 Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tobacco smoking is closely associated with pro-inflammatory immunological alterations, whereas regular physical exercise is well known to lower systemic inflammations and related immune cell activities. The combined effects of smoking, nicotine pouch use, vaping, and exercise on individual immunological responses remain incompletely understood, especially in view of alternative nicotine delivery systems. In this study, we analyzed the immediate impact of different nicotine sources on exercise monocyte subsets in 16 human subjects using a four-arm cross-over design. Distribution of circulating CD14/CD16 monocyte subsets and expression of the monocytic checkpoint molecule PD-L1 (programmed cell death ligand-1) were analysed via whole blood flow cytometry measurements. Plasma cytokines were evaluated using membrane-based cytokine arrays and enzyme-linked immunosorbent assays (ELISA). Data revealed significant distributions of circulating monocytes subsets in response to nicotine consumption and physical stress. In contrast, exercise-driven increased monocytic PD-L1 was clearly attenuated following the consumption various nicotine delivery systems. Furthermore, significantly increased plasma growth hormone levels were detected in response to physical stress in combination with cigarette consumption. Our data clearly illustrates a significant influence of nicotine consumption on the cellular characteristics of circulating monocyte subsets and on proper exercise-driven immune responses within a short period of time, which makes the widespread trivialization of alternative nicotine sources questionable.

Indexed as

exercisegrowth hormonemonocytesPD-L1smoking

Identifiers

PMID40559945
PMCPMC12197595

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Registered trials

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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 OpenQuestion graph.