Cor Vasa 2025, 67(3):376-380 | DOI: 10.33678/cor.2025.015
The Effect of Cigarette Exposure on Intima-Media Thickness (IMT) and VCAM-1 Expression in the Aorta of Mus musculus Mice
- a Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
- b Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia
Background: Smoking remains one of the leading causes of endothelial dysfunction, which triggers the atherosclerotic process and contributes to various cardiovascular diseases. One marker of endothelial dysfunction is an increase in VCAM-1, a molecule that promotes monocyte aggregation and accelerates the development of atherosclerosis. Thickening of the intima-media layer (IMT) is also a common indicator of endothelial damage, frequently observed in smokers. The aim of this study is to investigate the effect of cigarette smoking on vascular cell adhesion molecule-1 (VCAM-1) levels and intima-media thickness (IMT).
Methods: An experimental study with a post-test only controlled group design was conducted. Twelve mice (Mus musculus) were randomly subdivided into four groups: Group K (-), the control group (not exposed to tobacco smoke); Group P1, exposed to smoke daily for 14 days; Group P2, exposed to smoke daily for 21 days; and Group P3, exposed to smoke daily for 28 days. After the 28-day exposure period, samples from all groups were analyzed for VCAM-1 expression and aortic intima-media thickness (IMT).
Results: The tobacco smoke exposure leads to an increase in aortic intima-media thickness (IMT). The IMT measurements showed a significant difference between the 3-week group compared to the 2-week group and the baseline (p <0.05). However, the endothelial dysfunction marker, VCAM-1, did not show a significant change in the aortic samples (p >0.05).
Conclusion: The IMT measurement increased significantly after 3 weeks of cigarette smoke exposure, but the exposure duration was not sufficient to significantly elevate VCAM-1 levels in the aortic tissue of the mice.
Keywords: Aortic tissue, Atherosclerosis, Cigarette smoking, Intima media thickness, VCAM-1
Received: December 26, 2024; Revised: December 26, 2024; Accepted: January 21, 2025; Prepublished online: June 2, 2012; Published: June 20, 2025 Show citation
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References
- WHO. Global Health Risks. Published online 2009. Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf [cited 2025-06-12].
- Centers for Disease Control and Prevention (US), U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Publications and Reports of the Surgeon General. Published online 2006. Available from: https://www.ncbi.nlm.nih.gov/books/NBK44324/. [cited 2025-06-12].
- Zhu J, Nelson K, Toth J, Muscat JE. Nicotine dependence as an independent risk factor for atherosclerosis in the National Lung Screening Trial. BMC Public Health. 2019;19(1). doi: 10.1186/s12889-019-6419-8
Go to original source...
Go to PubMed...
- Bjartveit K, Tverdal A. Health consequences of smoking 1-4 cigarettes per day. Tob Control 2005;14:315-320.
Go to original source...
Go to PubMed...
- Larsson SC, Burgess S. Appraising the causal role of smoking in multiple diseases: A systematic review and meta-analysis of Mendelian randomization studies. EBioMedicine 2022;82. doi:10.1016/j.ebiom.2022.104154
Go to original source...
Go to PubMed...
- Messner B, Bernhard D. Smoking and cardiovascular disease: Mechanisms of endothelial dysfunction and early atherogenesis. Arterioscler Thromb Vasc Biol 2014;34:509-515.
Go to original source...
Go to PubMed...
- Münzel T, Hahad O, Kuntic M, et al. Effects of tobacco cigarettes, e-cigarettes, and waterpipe smoking on endothelial function and clinical outcomes. Eur Heart J 2020;41:4057-4070.
Go to original source...
Go to PubMed...
- Centner AM, Bhide PG, Salazar G. Nicotine in Senescence and Atherosclerosis. Cells 2020;9(4). doi:10.3390/cells9041035
Go to original source...
Go to PubMed...
- Chang KH, Park JM, Lee CH, et al. NADPH oxidase (NOX) 1 mediates cigarette smoke-induced superoxide generation in rat vascular smooth muscle cells. Toxicology in Vitro 2017;38:49-58.
Go to original source...
Go to PubMed...
- Welsh P, Grassia G, Botha S, et al. Targeting inflammation to reduce cardiovascular disease risk: a realistic clinical prospect? Br J Pharmacol 2017;174:3898-3913.
Go to original source...
Go to PubMed...
- Wu X, Zhang H, Qi W, et al. Nicotine promotes atherosclerosis via ROS-NLRP3-mediated endothelial cell pyroptosis. Cell Death Dis 2018;9(2). doi:10.1038/s41419-017-0257-3
Go to original source...
Go to PubMed...
- Dos Santos JC, Cruz MS, Bortolin RH, De Oliveira KM, et al. Relationship between circulating VCAM-1, ICAM-1, E-selectin and MMP9 and the extent of coronary lesions. Clinics 2018;73. doi:10.6061/clinics/2018/e203
Go to original source...
Go to PubMed...
- Kaemmerer D, Peter L, Lupp A, et al. Comparing of IRS and Her2 as immunohistochemical scoring schemes in gastroenteropancreatic neuroendocrine tumors. Int J Clin Exp Pathol 2012;5:187-194.
- Libby P, Ridker PM, Hansson GK. Progress and challenges in translating the biology of atherosclerosis. Nature 2011;472:317-325.
Go to original source...
Go to PubMed...
- Benowitz NL, Burbank AD. Cardiovascular toxicity of nicotine: Implications for electronic cigarette use. Trends Cardiovasc Med 2016;26:515-523.
Go to original source...
Go to PubMed...
- Ardiana M, Santoso A, Hermawan HO, et al. Acute effects of cigarette smoke on Endothelial Nitric Oxide synthase, vascular cell adhesion molecule 1 and aortic intima media thickness. F1000Res 2023;10:1-20.
Go to original source...
- Alsiddig AM, Ali IA. Effects of Smoking on Intima-Media Thickness of the Common Carotid Artery Using Ultrasonography. Artery Res 2024;30. doi:10.1007/s44200-024-00044-w.
Go to original source...
- Mahmoud M. Effect of cigarettes smoking on common carotid arteries intima-media thickness in current smokers. Ozean J Appl Sci 2012;5:259-269.
Go to original source...
Go to PubMed...
- Ali SS, Ayuob NN, Al Ansary AK, Soluman ER. Antioxidants protect against increased risk of atherosclerosis induced by exposure to cigarette smoke: Histological and biochemical study. Saudi J Biol Sci 2012;19:291-301.
Go to original source...
Go to PubMed...
- Jaldin R, Castardelli É, Perobelli J, et al. Morphologic and biomechanical changes of thoracic and abdominal aorta in a rat model of cigarette smoke exposure. Ann Vasc Surg 2013;27:791-800.
Go to original source...
Go to PubMed...
- Harrington J, Peña AS, Gent R, et al. Aortic intima media thickness is an early marker of atherosclerosis in children with type 1 diabetes mellitus. J Pediatr 2010;156:237-241.
Go to original source...
Go to PubMed...
- Lembas A, Zawartko K, Sapuła M, et al. VCAM-1 as a Biomarker of Endothelial Function among HIV-Infected Patients Receiving and Not Receiving Antiretroviral Therapy. Viruses 2022;14:578.
Go to original source...
Go to PubMed...
- Yang G, Li Y, Wang Z, et al. Protective effect of melatonin on cigarette smoke-induced restenosis in rat carotid arteries after balloon injury. J Pineal Res. 2014;57(4):451-458.
Go to original source...
Go to PubMed...
- Teasdale JE, Hazell G, Newby AC, White SJ. Paradoxical effects of cigarette smoke extract and high laminar flow on tumour necrosis factor-alpha induced VCAM-1 up-regulation - Implications for endothelial dysfunction. Atherosclerosis 2014;237:e13-e14.
Go to original source...
- Kamceva G, Arsova-Sarafinovska Z, Ruskovska T, et al. Cigarette smoking and oxidative stress in patients with coronary artery disease. Open Access Maced J Med Sci 2016;4:636-640.
Go to original source...
Go to PubMed...
- Mu W, Chen M, Gong Z, et al. Expression of vascular cell adhesion molecule-1 in the aortic tissues of atherosclerotic patients and the associated clinical implications. Exp Ther Med 2015;10:423-428.
Go to original source...
Go to PubMed...
- Toma L, Sanda GM, Deleanu M, et al. Glycated LDL increase VCAM-1 expression and secretion in endothelial cells and promote monocyte adhesion through mechanisms involving endoplasmic reticulum stress. Mol Cell Biochem 2016;417:169-179.
Go to original source...
Go to PubMed...
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