There are more hazards in
cigarettes than chemicals.
We know that cigarette
smoke is associated with chronic inflammation that leads to malignant
transformations of the mouth, and respiratory tract. We have associated these
health issues with the more than 5,300 chemicals in the smoke. However, could it be possible that this
chronic inflammation is in part due to the bacteria, fungi and their endotoxins/exotoxins
and mycotoxins that are found in tobacco? A research review was undertaken in
2011 by John Pauly and Geraldine Paszkiewicz to answer this question. I read
the review and I am sharing some of the tidbits in this article. For the full
review of tobacco research go to Cigarette
Smoke, Bacteria, Mold, Microbial Toxins, and Chronic Lung Inflammation. http://www.hindawi.com/journals/jo/2011/819129/
There is plenty of evidence that bacteria and fungi as
well as their toxic products may contribute to the health risks of smoking and of
smokeless tobacco products.
Some of the tobacco-associated microbial/fungal elements include Gram
positive and Gram negative bacteria, as well as bacterial spores and bacterial
endotoxins and exotoxins such as lipopolysaccharide (LPS) (an inflammatory factor),
yeast and molds as well as fungal spores and mycotoxins such as aflatoxin B1 (associated with liver cancer), and fungal cell wall components such as
glucans and flagellum.
These organisms can colonize the respiratory tract while they and their
by-products can cause chronic inflammation in the respiratory tract and may
cause inflammation in other parts of the body. Microbial/fungal-toxin-induced
pathologies include instigation of malignant transformation leading to tumor growth.
Mold has been identified in the tobacco of
popular brand cigarettes and in marijuana. It has been known that cigarettes
are contaminated with tobacco since 1971. Some people switch to “natural”
tobaccos thinking they are safer as they lack some of the chemicals. However,
they too can harbor mold and bacteria.
In 2000, The Journal of the American Medical
Association, addressed the heath risks associated with fungal
contaminates of tobacco and marijuana and they concluded that all of the 14
brands of cigarette tested had some degree of fungal contamination, although
not every cigarette was found to have a positive culture.
Bacterial
lipopolysaccharides (LPS) have been
shown to be a component in cigarette tobacco and cigarette smoke. High levels
of LPS are inhaled during active cigarette smoking and second hand smoke
appears to involve inhalation of amounts that are dramatically
greater than those existing in indoor environments that are free from tobacco
smoke.
We can see that both smokers and people around smokers
should not only be concerned about the thousands of chemicals in the cigarette
smoke. We also need to be concerned about the bacteria, fungi and their
endotoxins, exotoxins and mycotoxins.
The reviewers pointed out that the FDA does not apply
the same standards to leaf tobacco or any of the smoking products or smokeless
tobacco as it does food. I agree with the reviewers and think mycotoxin,
endotoxin/exotoxin levels should be established to provide an adequate margin
of safety to protect not just human tobacco users, but also those of us who are accosted with
their second hand smoke unwillingly.